fractures

Atlas / C1 Fractures

3 types

 

1. Posterior Arch

 

Mechanism

- axial compression with hyperextension

 

Associations

- 50% incidence other C1/2 fracture

- i.e. ondontoid fracture

 

Management

- stable

- soft / philadelphia collar

 

2. Isolated lateral mass fracture

 

Mechanism

- asymmetrical axial compression / lateral bend

Metacarpal Fractures

Fractures

 

1.  Neck of 5th Metacarpal

2.  Metacarpal Shaft

3.  Metacarpal Head

4.  Base of Metacarpal Fracture Dislocations

5.  Base of Thumb Fractures / Bennett's / Rolanda

 

1.  Neck of 5th Metacarpal Fracture

 

Non operative Management

 

Accept 45o angulation

- will have finger extensor lag, but will recover