Orthonotes
Orthonotes
by the.bonestories
v4.1 Fusion X
v4.1 Fusion X

Category: Trauma

Thomas Splint β€” Indications & Technique
πŸ‘ 694 views

Indications: femoral shaft fractures, temporary stabilization. Provides traction + splintage. Structure: proximal ring, side bars, distal crossbar. Co...

BΓΆhler Braun Splint β€” Set-up
πŸ‘ 2,270 views

Used for tibia/femur fractures with traction. Has pulleys, slings; allows elevation and adjustment. Complications: sores, stiffness, peroneal palsy.

Skin Traction in Children
πŸ‘ 1,161 views

Non-invasive traction in children. Types: Gallows (

Malunion and Nonunion β€” Biology & Management
πŸ‘ 370 views

Malunion = fracture healing in unacceptable position (angulation, rotation, shortening, translation). Nonunion = failure of fracture to heal in expect...

Compartment Syndrome β€” Diagnosis and Management
πŸ‘ 321 views

Raised intracompartmental pressure β†’ ischemia/necrosis. Causes: tibia/forearm fractures, crush injury, reperfusion, tight casts. Early signs: pain out...

Polytrauma β€” Damage Control vs Early Total Care
πŸ‘ 388 views

ETC: definitive fixation within 24 h for stable patients. DCO: temporary stabilization in unstable patients; definitive fixation after stabilization....

Mangled Extremity Severity Score (MESS)
πŸ‘ 669 views

Score based on skeletal/soft tissue injury, ischemia, shock, age. Ischemia >6 h doubles points. MESS β‰₯7 β†’ amputation likely. Adjunct tool; not absolut...

Peripheral Nerve Injury β€” Sunderland Classification
πŸ‘ 2,055 views

Seddon: neuropraxia, axonotmesis, neurotmesis; Sunderland expands to 5 degrees based on structural disruption. Degree I: conduction block; II: axonal...

Buckle (Torus) & Plastic Bowing β€” Paediatric Forearm Patterns
πŸ‘ 198 views

Buckle/Torus: Compression failure of cortex (metaphyseal) β€” stable; treat with short immobilization/splint. Plastic Bowing: Microfracture without disc...

Medial Clavicle Physeal Injury (Pseudodislocation) β€” Pattern
πŸ‘ 436 views

Physeal separation of medial clavicle mimics SCJ dislocation β€” the physis is weaker than ligaments in children. Posterior displacement threatens media...