medicine
...ndisplaced fractures should be protected in full leg cast for 3 weeks o Displaced fractures require internal fixation with screw or tension band wire o Comminuted fractures may require patellectomy · Phalanges o Undisplaced fractures should be strapped for 2-3 weeks o Displaced fractures may require manipulation and external fixation · Radius - head o If minimal displacement place in collar and cuff for 3 weeks o If severely comminuted excise radial head · Scaphoid o Immobilise in Scaphoid cast until fracture united o If delayed union consider fixation with Herbert screw · Tibia - shaft o Undisplaced fracture require immobilisation in full leg cast o Displaced fractures may require internal fixation with intramedullary nail Eponymous fractures · Bennett's fracture o Intra-articular fracture of the base of the first metacarpal o Usually requires open reduction and internal screw fixation · Colle's fractures o Fracture of the distal radius with dorsal and radial angulation and backward displacement o Closed reduction should be followed by immobilisation in forearm cast for 6 weeks o Position should be checked by radiography one week after injury · Galeazzi fracture o Fracture of the radial shaft with dislocation of the inferior radio-ulnar joint o Usually requires internal fixation of the radius · Monteggia fracture o Fracture of the proximal ulna with anterior dislocation of the radial head o Usually requires internal fixation of the ulna o Radial head should be reduced or excised · Pott's fracture o A general term applied to ankle fracture's · Smith's fracture o Fracture of the distal radius with anterior displacement of the distal fragment o Closed reduction may be successful o If fails requires open reduction and fixation with a buttress plate Ultrasound of Early Pregnancy Ultrasound Evaluation during the First Trimester has become an important diagnostic tool to establish the site and status...