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Radiology.Academy.Sk

Fractures Upper Extremity

Proximal humeral fx

4 segment Neer classification: Anatomic neck, Surgical neck, Greater tuberosity, Lesser tuberosity; > 1cm separation or > 45 degrees angulation; Lipohemarthrosis - subacromial fat-fluid level




Supracondylar extraarticular

Nondisplaced, displaced; Volkmann contracture




Transcondylar intraarticular




Intercondylar intraarticular

Nondisplaced, displaced, rotated, comminuted; malunion - cubitus varus




Radial head fx

Most common adult elbow fx; not-displaced (splint), > 3 mm displaced (ORIF), comminuted (excision); elevated fat pad, radial head view, oblique view or tomogram if in doubt




Olecranon fx

ORIF if displaced




Coronoid fx

With posterior elbow dislocation; radial head or oblique views




Monteggia fx

MUGR, ulnar shaft fx, radial head dislocation




Galeazzi fx

MUGR, distal radial shaft fx, ulnar dislocation (DRUJ)




Essex-Lopresti fx

Radial head fx and DRUJ subluxation with tear of interosseous ligament




Colles fx

Distal radius fx, dorsal angulation, extraarticular, ulnar styloid fx




Smith fx

Distal radius fx, volar angulation




Barton fx

Intraarticular distal radial fx/dislocation, unstable, ORIF




Chauffer's fx

Intraarticular fx of radial styloid aka Hutchinson fx