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Orthopaedics
Metacarpal and Thumb Fractures (AO Based)
Built from AO Surgery Reference: Orthopedic Trauma, Adult Trauma (AO Foundation)
What’s inside
3 sections · 103 slides
Overview
- Introduction
- Scope of this seminar
- Anatomy and biomechanics
- Dorsal anatomy of the metacarpals
- Dorsal anatomy of the metacarpals
- The 5th ray and the CMC joints
- The 5th ray and the CMC joints
- Anatomy of the thumb base
- Anatomy of the thumb base
- Clinical and radiographic assessment
- Clinical assessment of the hand
- Clinical assessment of the hand
- Checking rotational alignment
- Checking rotational alignment
- Imaging of metacarpal and thumb injuries
- Imaging of metacarpal and thumb injuries
- AO/OTA classification
- AO/OTA codes: metacarpal base and shaft
- AO/OTA codes: distal end and dislocations
- AO/OTA type tree for the metacarpals
- Fracture types as drawn by AO
- Fracture types as drawn by AO (cont.)
- Fracture types as drawn by AO (cont.)
- Metacarpal base and CMC injuries
- Metacarpal base fractures
- Metacarpal base fractures
- Treatment options: metacarpal base
- Treatment options: metacarpal base (cont.)
- CMC dislocation and fracture-dislocation
- Metacarpal shaft fractures
- Metacarpal shaft fractures
- Acceptable deformity for splinting
- Acceptable deformity for splinting
- Treatment options: oblique shaft fractures
- Treatment options: oblique shaft fractures (cont.)
- Options: transverse and comminuted shaft
- Options: transverse and comminuted shaft (cont.)
- Decision logic: metacarpal shaft
- Decision logic: metacarpal shaft
- Neck, head and MCP joint injuries
- Metacarpal neck fractures
- Treatment options: metacarpal neck
- Treatment options: metacarpal neck (cont.)
- Metacarpal head fractures
- Metacarpal head fractures
- MCP joint dislocation
- MCP joint dislocation
- Operative techniques: metacarpals
- Positioning and anesthesia
- Positioning and anesthesia
- Approaches to the metacarpals
- Approaches to the metacarpals
- Lag-screw fixation: oblique shaft
- Lag-screw fixation: oblique shaft
- Compression plating: transverse shaft
- Compression plating: transverse shaft
- Intramedullary headless screw
- Intramedullary headless screw
- Intramedullary K-wires: neck fracture
- Intramedullary K-wires: neck fracture
- Closed reduction and splinting
- Closed reduction and splinting
- Thumb metacarpal fractures
- Extraarticular thumb base fracture
- Extraarticular thumb base fracture
- Bennett fracture: forces on the fragments
- Bennett fracture: forces on the fragments
- Treatment options: Bennett fracture
- Treatment options: Bennett fracture (cont.)
- Lag-screw fixation of a Bennett fracture
- Lag-screw fixation of a Bennett fracture
- Rolando fracture
- Rolando fracture
- Decision logic: thumb base articular
- Decision logic: thumb base articular
Thumb phalanx fractures
- Skier's thumb: UCL injury
- Skier's thumb: UCL injury
- Decision logic: thumb UCL injury
- Decision logic: thumb UCL injury
- Thumb proximal phalanx: main options
- Thumb proximal phalanx: main options
- Mallet injury of the thumb
- Mallet injury of the thumb
- Treatment options: mallet injury
- Treatment options: mallet injury
- Distal phalanx shaft and tuft fractures
- Distal phalanx shaft and tuft fractures
Aftercare and complications
- Four phases of aftercare
- Four phases of aftercare
- Complications
- Complications
- Take-home messages
- References (1 of 8)
- References (2 of 8)
- References (3 of 8)
- References (4 of 8)
- References (5 of 8)
- References (6 of 8)
- References (7 of 8)
- References (8 of 8)
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