The DEF Age treatment The most

fracture affected common

complication
Fractures of - Any age Closed Malunion
the clavicle reduction
+figure of 8
bandage
Shoulder - Any age Closed Associated
dislocation reduction by fractures,
(the anterior manipulation recurrent
is the under dislocation,
commonest) anesthesia axillary nerve
injury
Fracture of - Any age Open -
the upper end reduction +
humerus internal
fixation
Fracture of - Open Radial nerve
the humeral reduction + injury (wrist
shaft internal drop)
fixation
Supra- - In children Trial of closed - Vascular
condylar reduction by injury
fracture manipulation Volkmann’s
& if failed ischemic
open contracture
reduction
+internal - Malunion 
fixation cubitus varus
Fracture of - - Open - lateral
the humeral reduction + condyle
condyles internal cubitus valgus
fixation by K- deformity
wires
-medial
condyle
ulnar nerve
 injury
Elbow - Closed -Stiffness and
dislocation reduction by instability of
(posterior is manipulation the elbow
the under
commonest) anesthesia -Associated
fractures,
median nerve
or brachial
artery injury
Night stick Isolated - Closed -
fracture fracture of the reduction then
ulna above elbow
cat
Galeazzi Fracture of - Unstable -
fracture the lower fracture =
dislocation third radius+ open
dislocation of reduction +
the inferior internal
radioulnar fixation by
joint plate and
(dislocation of screws
ulna)
Monteggia Fracture of - Unstable -
fracture the upper fracture =
dislocation third ulna+ open
dislocation of reduction +
the head of internal
radius fixation by
plate and
screws
Colles’ Fracture of Elderly Closed Malunion and
fracture the distal end reduction by deformity
radius (distal manipulation (dinner fork
one inch) with under deformity)
backward & anesthesia
radial then below
 dislocation & elbow cast
tilt
Smith Fracture of Closed -
fracture the distal end reduction by
radius (distal manipulation
one inch) with under
forward tilt anesthesia
and then below
dislocation elbow cast
Separation of Corresponds children The same as in
the lower to colles’ Colles’
radial fracture but in
epiphysis children
Fracture of Usually by
the olecranon open
process of the reduction and
ulna internal
fixation by
tension band
wiring
Fracture of All ages but in Trial of closed
both bones of children it is reduction & if
the forearm called (green- no response
stick fracture)  open
reduction &
internal
fixation by
plates
&screws
Fracture of Unstable  Avascular
the scaphoid open necrosis 7 non-
reduction and union
internal
fixation by k-
wires or
screws
Fracture of Usually by
the shaft of conservative
metacarpals treatment by
immobilization
in plaster

The fractures of fingers & their deformities  read from Dr. El-Adwar’s book (the
same)

Notes:

1- The common cause of anterior shoulder dislocation is indirect trauma

whether the posterior dislocation is incoordinated muscle contraction as in
epileptic fits or electric shock.
2- Manipulation of the anterior shoulder dislocation by kocher’s method :
traction and external rotation then adduction and internal rotation
3- Recurrent dislocation of the shoulder is noticed by some signs : - bankart’s
lesion (defect of anterior capsule of labrum glenoidale)
- Hill Sach’s sign ( posterolateral compression of the humeral head)
4- Light bulb sign is commonly seen in posterior shoulder dislocation
5- Manipulation of Colles’ fracture: -traction to disimpact the fracture then
forward push to correct the dorsal displacement and tilt  ulnar (medial)
deviation to correct the radial displacement