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정형외과 의사를 위한 모든 hand, wrist fracture 상세 설명

"정형외과 의사를 위한 모든 hand, wrist fracture 상세 설명"에 대한 내용입니다.
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최초등록일 2024.06.03 최종저작일 2023.03
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정형외과 의사를 위한 모든 hand, wrist fracture 상세 설명
  • 미리보기

    소개

    "정형외과 의사를 위한 모든 hand, wrist fracture 상세 설명"에 대한 내용입니다.

    목차

    1.Basic principle
    Anatomy & physeal injury

    2.Children Fracture
    Upper extremity
    Lower extremity

    본문내용

    1. Bone fracture healing
    Indirect bone healing
    3. Remodeling phase
    Wolff’s law
    - Convex surface
    → electropositivity
    → osteoclastic activity
    - Concave surface
    → electronegativity
    → osteoblastic activity

    참고자료

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  • AI와 토픽 톺아보기

    • 1. Distal radius fracture
      Distal radius fractures are one of the most common fractures encountered in orthopedic practice. They can occur due to a variety of mechanisms, including falls onto an outstretched hand, motor vehicle accidents, and high-energy trauma. The management of these fractures depends on the specific fracture pattern, displacement, and associated injuries. Conservative treatment with immobilization may be appropriate for minimally displaced, stable fractures, while more displaced or unstable fractures often require surgical intervention to restore anatomic alignment and allow for early mobilization. Factors such as patient age, activity level, and presence of concomitant injuries must be carefully considered when developing the optimal treatment plan. Careful assessment and appropriate management of distal radius fractures is crucial to minimize the risk of long-term complications, such as post-traumatic arthritis, malunion, and loss of wrist function.
    • 2. Fracture and Dislocation of carpus
      Fractures and dislocations of the carpal bones can be complex and challenging injuries to manage. These injuries often result from high-energy trauma, such as motor vehicle accidents or falls from a height, and can involve single or multiple carpal bones. Careful assessment of the injury pattern, including the degree of displacement and associated ligamentous injuries, is essential for developing an appropriate treatment plan. Conservative management with immobilization may be appropriate for stable, minimally displaced injuries, but many carpal fractures and dislocations require surgical intervention to restore anatomic alignment and stability. Surgical techniques may include open reduction and internal fixation, ligament repair or reconstruction, and/or limited or complete carpal bone excision. Successful management of these injuries requires a thorough understanding of carpal anatomy and biomechanics, as well as meticulous surgical technique to minimize the risk of long-term complications, such as post-traumatic arthritis, instability, and loss of wrist function.
    • 3. Scaphoid fracture
      Scaphoid fractures are a common injury, particularly in young, active individuals. These fractures can be challenging to diagnose and manage due to the complex anatomy of the scaphoid and the risk of complications, such as avascular necrosis and nonunion. Careful clinical assessment, including a high index of suspicion for occult fractures, and appropriate imaging studies are essential for accurate diagnosis. The management of scaphoid fractures depends on the location and displacement of the fracture, as well as the presence of associated injuries. Nondisplaced or minimally displaced fractures may be treated conservatively with immobilization, while more displaced or unstable fractures often require surgical intervention, such as open reduction and internal fixation, to promote fracture healing and prevent long-term complications. Prompt diagnosis and appropriate treatment of scaphoid fractures is crucial to optimize outcomes and minimize the risk of long-term disability.
    • 4. Perilunate fracture and dislocation
      Perilunate fractures and dislocations are complex and high-energy injuries that can result in significant long-term disability if not properly managed. These injuries involve disruption of the carpal ligaments and/or fractures of the carpal bones, leading to instability and malalignment of the wrist. Careful assessment of the injury pattern, including the degree of displacement and associated injuries, is essential for developing an appropriate treatment plan. Surgical intervention, often involving open reduction and internal fixation, is typically required to restore anatomic alignment and carpal stability. Successful management of these injuries requires a thorough understanding of carpal anatomy and biomechanics, as well as meticulous surgical technique to minimize the risk of long-term complications, such as post-traumatic arthritis, instability, and loss of wrist function. Prompt diagnosis and appropriate treatment of perilunate fractures and dislocations is crucial to optimize outcomes and prevent long-term disability.
    • 5. Scapholunate dislocation
      Scapholunate dislocations are a type of carpal instability injury that can result in significant wrist dysfunction if not properly managed. These injuries involve disruption of the scapholunate ligament, leading to abnormal motion and malalignment of the carpal bones. Careful assessment of the injury pattern, including the degree of displacement and associated injuries, is essential for developing an appropriate treatment plan. Conservative management with immobilization may be appropriate for stable, minimally displaced injuries, but many scapholunate dislocations require surgical intervention to restore anatomic alignment and carpal stability. Surgical techniques may include open reduction and ligament repair or reconstruction, as well as limited or complete carpal bone excision. Successful management of these injuries requires a thorough understanding of carpal anatomy and biomechanics, as well as meticulous surgical technique to minimize the risk of long-term complications, such as post-traumatic arthritis, instability, and loss of wrist function. Prompt diagnosis and appropriate treatment of scapholunate dislocations is crucial to optimize outcomes and prevent long-term disability.
    • 6. Hand fracture and dislocation
      Fractures and dislocations of the hand can be complex and challenging injuries to manage, as they can involve single or multiple bones and joints, and can result in significant functional impairment if not properly treated. These injuries often result from high-energy trauma, such as motor vehicle accidents or falls from a height, and can be associated with soft tissue injuries, neurovascular compromise, and other concomitant injuries. Careful assessment of the injury pattern, including the degree of displacement and associated injuries, is essential for developing an appropriate treatment plan. Conservative management with immobilization may be appropriate for stable, minimally displaced injuries, but many hand fractures and dislocations require surgical intervention to restore anatomic alignment and joint stability. Surgical techniques may include open reduction and internal fixation, ligament repair or reconstruction, and/or limited or complete bone excision. Successful management of these injuries requires a thorough understanding of hand anatomy and biomechanics, as well as meticulous surgical technique to minimize the risk of long-term complications, such as post-traumatic arthritis, instability, and loss of hand function. Prompt diagnosis and appropriate treatment of hand fractures and dislocations is crucial to optimize outcomes and prevent long-term disability.
    • 7. Thumb CMC joint dislocation, metacarpal fractures, MP joint dislocations
      Injuries to the thumb, including CMC joint dislocations, metacarpal fractures, and MP joint dislocations, can be particularly debilitating due to the important role of the thumb in hand function. These injuries often result from high-energy trauma, such as falls or motor vehicle accidents, and can be associated with significant soft tissue damage and neurovascular compromise. Careful assessment of the injury pattern, including the degree of displacement and associated injuries, is essential for developing an appropriate treatment plan. Conservative management with immobilization may be appropriate for stable, minimally displaced injuries, but many of these injuries require surgical intervention to restore anatomic alignment and joint stability. Surgical techniques may include open reduction and internal fixation, ligament repair or reconstruction, and/or limited or complete bone excision. Successful management of these injuries requires a thorough understanding of thumb and hand anatomy and biomechanics, as well as meticulous surgical technique to minimize the risk of long-term complications, such as post-traumatic arthritis, instability, and loss of hand function. Prompt diagnosis and appropriate treatment of thumb, metacarpal, and MP joint injuries is crucial to optimize outcomes and prevent long-term disability.
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