Podcast
Questions and Answers
What is the most common type of dislocation mentioned?
What is the most common type of dislocation mentioned?
- Inferior dislocation
- Lateral dislocation
- Anterior dislocation (correct)
- Posterior dislocation
What condition leads to the humeral head moving downward during dislocation?
What condition leads to the humeral head moving downward during dislocation?
- Joint fully flexed
- Joint fully adducted
- Joint fully extended
- Joint fully abducted (correct)
What mechanism of injury is typically associated with anterior inferior dislocation?
What mechanism of injury is typically associated with anterior inferior dislocation?
- Gradual overuse
- Infection leading to joint damage
- Sudden violence applied to the humerus (correct)
- Trauma from falling weights
What part of the shoulder capsule is primarily affected in anterior inferior dislocation?
What part of the shoulder capsule is primarily affected in anterior inferior dislocation?
What occurs to the joint structure during anterior inferior dislocation?
What occurs to the joint structure during anterior inferior dislocation?
What is the most commonly fractured bone in the body?
What is the most commonly fractured bone in the body?
Which factor contributes to the clavicle being the most commonly fractured bone?
Which factor contributes to the clavicle being the most commonly fractured bone?
In terms of fracture frequency, how does the clavicle compare to other bones?
In terms of fracture frequency, how does the clavicle compare to other bones?
Which of the following statements regarding clavicle fractures is accurate?
Which of the following statements regarding clavicle fractures is accurate?
What common event is likely to lead to a fracture of the clavicle?
What common event is likely to lead to a fracture of the clavicle?
What is the most commonly dislocated large joint?
What is the most commonly dislocated large joint?
Which of the following statements is true regarding shoulder dislocation?
Which of the following statements is true regarding shoulder dislocation?
Which joint is least likely to be dislocated compared to others mentioned?
Which joint is least likely to be dislocated compared to others mentioned?
In context of dislocations, what is a characteristic of the shoulder joint?
In context of dislocations, what is a characteristic of the shoulder joint?
Shoulder dislocations are most common in which population?
Shoulder dislocations are most common in which population?
What type of fracture may cause an injury to the axillary nerve?
What type of fracture may cause an injury to the axillary nerve?
Which structure is at risk of injury with a surgical neck fracture of the humerus?
Which structure is at risk of injury with a surgical neck fracture of the humerus?
What is a common consequence of a surgical neck fracture in the humerus?
What is a common consequence of a surgical neck fracture in the humerus?
Which of the following fractures is least likely to involve the axillary nerve?
Which of the following fractures is least likely to involve the axillary nerve?
In the context of humeral fractures, which statement is true regarding the surgical neck?
In the context of humeral fractures, which statement is true regarding the surgical neck?
What characterizes a Smith's fracture?
What characterizes a Smith's fracture?
How does a Smith's fracture compare to a Colle’s fracture?
How does a Smith's fracture compare to a Colle’s fracture?
Which statement about the distal segment in a Smith's fracture is true?
Which statement about the distal segment in a Smith's fracture is true?
Which type of fracture is considered the reverse of a Smith's fracture?
Which type of fracture is considered the reverse of a Smith's fracture?
What is a common misinterpretation regarding Smith's fractures?
What is a common misinterpretation regarding Smith's fractures?
What does the dinner-fork deformity in the forearm and wrist resemble?
What does the dinner-fork deformity in the forearm and wrist resemble?
In which direction is the distal fragment of the radius pulled during the dinner-fork deformity?
In which direction is the distal fragment of the radius pulled during the dinner-fork deformity?
What is the clinical implication of a dinner-fork deformity?
What is the clinical implication of a dinner-fork deformity?
What best describes the anatomical position of the wrist in the dinner-fork deformity?
What best describes the anatomical position of the wrist in the dinner-fork deformity?
Which of the following statements about the dinner-fork deformity is correct?
Which of the following statements about the dinner-fork deformity is correct?
Flashcards
Common Shoulder Dislocation
Common Shoulder Dislocation
The shoulder joint is the most frequently dislocated large joint.
Shoulder Joint
Shoulder Joint
The joint predominantly dislocated among large joints.
Dislocation
Dislocation
Displacement of a joint.
Most Commonly Dislocated Large Joint
Most Commonly Dislocated Large Joint
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Joint
Joint
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Anterior Inferior Dislocation
Anterior Inferior Dislocation
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Abduction
Abduction
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Humeral Head
Humeral Head
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Capsule
Capsule
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Tears in the Capsule
Tears in the Capsule
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Clavicle Fracture
Clavicle Fracture
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Most Common Bone Fracture
Most Common Bone Fracture
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Why Clavicle Fractures are Common
Why Clavicle Fractures are Common
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Clavicle Position
Clavicle Position
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Force Absorption
Force Absorption
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Surgical Neck Fracture
Surgical Neck Fracture
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Axillary Nerve
Axillary Nerve
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Injury to Axillary Nerve
Injury to Axillary Nerve
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How can a Surgical Neck Fracture affect the Axillary Nerve?
How can a Surgical Neck Fracture affect the Axillary Nerve?
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What are the consequences of Axillary Nerve Damage?
What are the consequences of Axillary Nerve Damage?
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Dinner-fork Deformity
Dinner-fork Deformity
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Distal Radius Fracture
Distal Radius Fracture
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Posterior Displacement
Posterior Displacement
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Superior Displacement
Superior Displacement
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Distal Fragment
Distal Fragment
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Smith's Fracture
Smith's Fracture
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Distal Radius
Distal Radius
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Reversed Colle's Fracture
Reversed Colle's Fracture
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Colle's Fracture
Colle's Fracture
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Study Notes
Shoulder Dislocation
- Most common type is anterior inferior dislocation
- Caused by sudden force, with the arm fully abducted
- Humeral head moves inferiorly, displacing it below the glenoid fossa
- Inferior capsule tears due to the displacement
- Axillary nerve can be damaged
Posterior Dislocation
- Less common than anterior dislocation
- Classified as less common
Fracture of the Clavicle
- Most common fractured bone in the body
- Typically caused by a fall onto the shoulder or outstretched hand
- Usually fractures at the junction of the medial and lateral thirds
- Lateral fragment is compressed by the weight of the arm
- Medial fragment is pulled upwards by the sternomastoid muscle
- Supraclavicular nerves can be involved, causing persistent neck pain
Fracture of the Humerus
- Surgical neck fractures: Can damage the axillary nerve
- Fractures of the shaft:
- Proximal to deltoid insertion: proximal fragment adducted by pectoralis major, latissimus dorsi, and teres major; distal fragment pulled proximally by deltoid, biceps, and triceps.
- Distal to deltoid insertion: proximal fragment abducted by deltoid; distal fragment pulled proximally by biceps and triceps.
- Radial nerve can be injured
Fracture of the Lower End of Humerus
- Supracondylar fracture: Common in children; can injure the median nerve
- Medial epicondyle fracture: Can injure the ulnar nerve
Pulled Elbow
- Radial head is pulled out of the annular ligament
- Common in children when lifted by the upper limb
Tennis Elbow
- Caused by partial tear of the extensor muscles origin near the lateral epicondyle (common extensor tendon)
- Due to excessive use of these muscles, like in tennis
Golfer's Elbow
- Caused by partial tear of flexor muscles origin near the medial epicondyle (common flexor tendon)
- Due to excessive use of these muscles, like in golfing
Fracture of the Radius
- Colle's fracture:
- Fall onto the outstretched hand, common in patients over 50
- Distal radius fragment pulled posteriorly and superiorly
- Creates a "dinner fork" deformity
- Smith's fracture:
- Reverse Colle's fracture
- Distal radius fragment is displaced anteriorly
References
- MOORE Clinically Oriented, Seventh Edition
- Clinical Anatomy by Regions, Snell, Ninth Edition
- Prof. Mohey Hulail, Zagazig University
- Lecture of Dr. Zeenat Zaidi
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