Traumatic Upper Extremity

This image illustrates a nightstick fracture of ulna (in a cast).

Monteggia’s fracture of the proximal ulna.

Mixed osteolytic and blastic lesion right femoral condyles. Blastic lesion (blue), lytic lesions (red). [Courtesy of Dr. N. Jaffer]

Humerus Fracture: lateral view and PA view

Fractures of the proximal humerus are common in elderly with a history of osteoporosis following a FOOSH. Humerus shaft fractures (pictured here) usually occur as a result oftrama in younger patients. In this case, there is approximately 10% varus angulation, and a look at the lateral view shows anterior displacement. Clinically, look for localized pain, swelling, tenderness and shortening of the upper extremity. Radial injury is common, so look for a wrist drop.

Try to find the fracture. Forearm Fracture

Radial head fracture are the most common fracture of the elbow, usually resulting from fall on the outstretched hand. Pain profile includes lateral elbow tenderness and pain, and inability to fully extend the elbow.

Colle’s fracture. PA (left) and lateral (right) x-rays demonstrating a fracture of the distal radius.

Fracture of distal radius (in case, also metacarpal), ulnar styloid, and dorsally displaced causing a dinner-fork deformity. If it is volarly displaced, it is a Smith’s fracture.

Fracture of first metacarpal. Notice that the fracture is intra-articular.

Fractured humeral head and torn articular cartilage.