fracture dislocation
Metacarpal
Fractures
1. Neck of 5th Metacarpal
2. Metacarpal Shaft
3. Metacarpal Head
4. Base of Metacarpal Fracture Dislocations
5. MCPJ dislocations
1. Neck of 5th Metacarpal Fracture
Non operative Management
Accept 45o angulation
- will have finger extensor lag, but will recover
Thoraco Lumbar Fracture
Xray Assessment
A: Alignment
B: Bony
C: Canal
D: Disc
S: Soft tissues
Goals of surgery
1. Correct deformity
2. Restore stability
3. Decompress neural elements if required
MRI
Advantage
- defines level of conus
- may need anterior rather than posterior surgery if lesion above conus