Fractures and Trauma Care


  • Hand Fracture and Dislocations

    The hand is one of the most flexible and useful parts of our body. Because of overuse in various activities, the hands are more prone to injuries...

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  • Wrist Fractures and Dislocations

    The wrist is comprised of two bones in the forearm, the radius and ulna, and eight tiny carpal bones in the palm.

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  • Finger Fractures and Dislocations

    Finger Fractures
    Finger Dislocations

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  • Percutaneous Scaphoid Fracture Care

    The scaphoid is a wrist bone that is commonly fractured. If the fracture fragments are only slightly displaced, repair may be accomplished with a minimally invasive procedure using a screw passed through the skin to enter and stabilize the fracture fragments.

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  • Elbow Fractures and Dislocations

    • Elbow Fractures
    • Elbow Dislocations

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  • Shoulder Fracture and Dislocations

    • Shoulder Fracture
    • Shoulder Dislocations

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  • Nonunion - What Is a Nonunion

    A fracture is a break in the bone that occurs when extreme force is applied. Treatment of fractures involves the joining of the broken bones either by immobilizing...

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  • Malunion - What Is a Malunion

    A malunion occurs when the fractured ends of a bone heal in an abnormal position. It can result in bending, rotation or shortening of the bone with loss of function.

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  • Finger and Hand Replantation

    Replantation is surgery to reattach a part of the body such as a finger or hand that was cut from the body due to trauma. It may be recommended if the severed part is not extensively damaged.

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  • Emergency Surgery

    Hand and upper extremity injuries are common and often need emergency surgical care to prevent dysfunction. Emergency surgery may be performed to treat fractures, amputations, soft tissue injuries, infections, high pressure injuries and burns.

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  • Acute Compartment Syndrome Hand and Forearm

    Compartment syndrome is a condition in which pressure develops within muscle tissue obstructing the flow of blood which carries oxygen and nutrients. A severe injury to the hand and forearm may cause an acute form of this condition which can result in permanent muscle damage if not treated emergently.

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  • Soft Tissue Loss

    Trauma to the hand and upper extremity can result in loss of soft tissues and expose the vital structures of the hand. Thin, supple tissue grafts are usually used to treat such injuries as they provide a good range of motion and better cosmetic result.

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  • Crushing Injuries

    Crush injuries of the hand and upper extremities are caused by high compressive forces usually during accidents. The injury can lead to increased pressure within the tissues causing further damage to multiple tissues.

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  • Open Fractures

    Open fractures are fractures where the bone breaks through the skin. An open fracture is a serious injury as it is prone to infection of the wound and bone...

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  • Osteomyelitis (Infection in Bone)

    Osteomyelitis is infection of the bone. Bones can become infected through the bloodstream or because of trauma where the bone is exposed or surgery. People with certain medical conditions such as diabetes are more likely to develop osteomyelitis.

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  • Septic Arthritis (Infection in Joint)

    Septic arthritis, also called as infectious arthritis, is characterized by joint inflammation due to a bacterial or fungal infection...

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  • Monteggia Fracture

    The radius and ulna are the long bones in your forearm. These bones articulate with each other near the elbow and wrist, forming the proximal and distal radioulnar joints respectively.

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  • Galeazzi Fracture

    The ulna and radius are long bones of the forearm. The radius is on the thumb side and the ulna is on the side of the little finger.

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  • Terrible Triad Injury of The Elbow

    Terrible triad is a complex injury to the elbow which includes dislocation of the elbow, fracture to the head of the radius, and fracture of the coronoid process of the ulna. Symptoms include pain and locking of the elbow in extension.

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  • Longitudinal Forearm Instability (Essex-Lopresti Injury)

    The Essex-Lopresti injury is a complex injury causing longitudinal forearm instability. It includes a fracture to the radial head at the elbow, dislocation of the radioulnar joint near the wrist and disruption of the interosseous membrane between the radius and ulna.

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  • Fracture Care Hand, Wrist, Elbow, Shoulder

    Fractures where the bones are not displaced may be treated conservatively using a sling or cast. Surgery is usually required for displaced and unstable fractures. Fracture fragments are repositioned and stabilized or removed.

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  • Repair of Nonunion

    A fracture is a break in the bone that occurs when extreme force is applied. Treatment of fractures involves the joining of the broken bones either by immobilizing the area and allowing...

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  • Bone Stimulator

    Bone stimulation is a technology to accelerate the healing of bone fractures. The procedure is non-invasive and can be used for cases of delayed union or nonunion.

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  • Bone Grafting

    Bone grafting is the technique of transplanting bone tissue in an area of bone loss or fracture. The graft helps fill a gap in the bone and provides stability. It is also used along with joint implants.

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  • Vascularized Bone Graft

    Vascularized Bone Graft

    A vascularized bone graft is transplanted bone tissue which has a blood supply. It may be used in the wrist to treat nonhealing fractures or avascular necrosis, especially of the scaphoid and lunate bones.

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  • Treatment of Scaphoid Fracture

    The scaphoid bone is a small, boat-shaped bone in the wrist, which, along with 7 other bones, forms the wrist joint. It is present on the thumb side of the wrist causing it to be at a high risk for fractures.

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  • Treatment of Hand Fractures

    The hand is one of the most flexible and useful parts of our body. Because of overuse in various activities, the hands are more prone to injuries, such as sprains...

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  • Treatment of Colles Fracture

    A Colles fracture is a fracture of the radius bone of the forearm near its end at the wrist with the broken fragment tilted upwards. To treat a Colles fracture, an incision is made to access and realign the bones which are stabilized with plates and screws.

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  • Treatment of Elbow Fracture

    The elbow is a joint that consists of three bones – the humerus (upper arm bone), radius (forearm bone) and ulna (forearm bone).

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  • Treatment of Radial Head Fracture

    The elbow is a junction between the forearm and the upper arm. The elbow joint is made up of 3 bones namely the humerus bone in the upper arm which joins with the radius and ulna bones in the forearm.

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  • Treatment of Distal Humerus Fracture

    The elbow is a hinge joint made up of 3 bones – humerus, radius and ulna. The bones are held together by ligaments to provide stability to the joint.

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  • Treatment of Arm Fracture

    Arm fractures are common in children as they are very active. Most fractures occur by falling on an outstretched arm. As children’s bones are still growing and have different consistency than adults, evaluation and treatment for fractures may differ.

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  • Treatment of Shoulder Fracture

    The shoulder joint is a ball and socket joint. A 'ball' at the top of the upper arm bone (the humerus) fits neatly into a 'socket', called the glenoid, which is part of the shoulder blade (scapula).

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  • Treatment of Collar Bone Fracture (Clavicle)

    Clavicle fracture, also called broken collarbone is a very common sports injury seen in people who are involved in contact sports such as football and martial arts as well as impact sports such as motor racing.

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  • Corrective Osteotomies for Malunion

    A corrective osteotomy is a procedure to treat deformity or loss of function due to a malunited fracture. It involves opening the fracture site and carefully removing bone so that the fracture fragments can be reunited appropriately.

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  • Scaphoid Repair of Nonunion

    The scaphoid is a bone in the wrist close to the base of the thumb which is commonly fractured. Nonunion of a scaphoid fracture can occur due to damage to the blood supply. Scaphoid repair is surgery that involves cleaning the fracture site, placing a bone graft and using pins or screws to stabilize the fracture.

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  • Hand and Forearm Fasciotomies

    Damage to the hand and forearm can result in increased pressure within a compartment surrounded by fascia. This can decrease the blood supply to the tissues leading to muscle and nerve damage and may be treated by surgical incision of the fascia.

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  • Skin Grafting

    A skin graft is a layer of skin tissue used to cover an open superficial wound with a good wound bed to prevent infection and improve function and appearance. The graft can vary in thickness and is usually obtained from another part of the body such as the thigh.

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  • Negative Pressure Dressing (VAC)

    A negative pressure dressing or vacuum-assisted closure (VAC) is used for open wounds which do not have an adequate wound bed. A device applied to the dressing reduces pressure at the wound site removing fluid and bacteria, reducing swelling and shrinking the wound.

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  • The American Board of  Orthopaedic Surgery
  • Allegheny General Hospital
  • University of Pittsburgh  Medical Center
  • University of Cincinnati College of Medicine
  • American Society for Surgery of the Hand
  • American Association for Hand Surgery: AAHS
  • Alpha Omega Alpha