JBJS | Acute Trauma to the Upper Extremity: What to Do and When to Do It

The Journal of Bone & Joint Surgery, Volume 91, Issue 5

Selected Instructional Course Lecture | May 01, 2009

Acute Trauma to the Upper Extremity: What to Do and When to Do It

Jennifer Moriatis Wolf, MD¹; George S. Athwal, MD, FRCS(C)²; Alexander Y. Shin, MD³; David G. Dennison, MD³

¹ Department of Orthopaedic Surgery, University of Colorado-Denver, 12631 East 17th Avenue, Room 4602, Aurora, CO 80045. E-mail address: Jennifer.Wolf@ucdenver.edu
² University of Western Ontario, Hand and Upper Limb Centre, St. Joseph's Health Care, 268 Grosvenor Street, London, ON N6A 4L6, Canada
³ Division of Hand Surgery, Mayo Clinic, Gonda 14, 200 First Street S.W., Rochester, MN 55905

The Journal of Bone & Joint Surgery. 2009; 91:1240-1252

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The management of any trauma patient begins with the standard trauma survey (ABCDE: airway, breathing, and circulation, followed by evaluation of disability [assessed with the Glasgow Coma Scale] and exposure for adequate examination while prevention of hypothermia is maintained). The purpose of the primary survey is the control and stabilization of life-threatening injury¹. The secondary trauma survey, consisting of a detailed examination of each body region for possible injury, is then performed. Standard recommendations for identification of orthopaedic injuries include plain radiographs of the injured region and the joints proximal and distal to it.

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Topics

fracture ; wounds and injuries ; arm ; dislocations ; external fixation devices ; elbow region ; humeral fractures, distal ; wrist ; radius ; bone plates

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These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.

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