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WEEK 24:
BROKEN ARM PLENARY:
| Question | Answer |
|---|---|
| normal radial length | 11-12mm |
| radial inclination | 24 degrees with range of 19-29 degrees |
| normal palmar tilt | 0-22 degrees |
| 3 eponymous classifications of distal radius fracture | flattened radial inclination (to the left in supination), shortening impaction (down in supination), and volar tilt reversed to dorsal tilt (right in mid pronation view) |
| when is a split used | when fracture is stable, well aligned, and expected to heal without surgery also because of swelling |
| when are wires/ kwires used | when fracture needs more stability but large operation is unnecesarry |
| when are plates and screws used (internal fixation) | when fracture is unstable, badly displaced, involves a joint, needs very accurate fracture alignment |
| when are metal frames (external fixators) used | in open fractures, major soft tissue damage, severe swelling, and infection risk |