Tag Archives: Arm

Not your ordinary arm fracture…

July 21, 2014

0 Comments

This patient was shoveling, had sudden onset of forarm pain…

Radius fx 2 radius fx

This is a pathologic fracture from a forearm malignancy.  The patient’s primary malignancy was rectal adenocarcinoma.  This is a rare place for a metastasis.

The mechanism for this patient did not support a broken bone.  However one should keep in mind pathologic fractures when deciding whether to obtain plain films.  Plain films in the ED are quick, inexpensive, and don’t come with significant radiation risks.  I usually argue these points with my residents when discussion about plain film utilization in musculoskeletal pain.

Author:  Russell Jones, MD

Advertisements
Continue reading...

Answer to Humerus fracture…

August 2, 2013

0 Comments

Humerus fracture

Classically the radial nerve can be damaged by a mid-shaft humerus fracture.  The radial nerve courses in the radial groove on the lateral aspect of the shaft of the humerus.  Other associated nerve injuries with humerus fractures include:

  1. Proximal humerus fracture = axillary nerve
  2. Supracondylar humerus fracture = median nerve
  3. Medial epicondylar humerus fracture = ulnar nerve

It is very important to understand that these are not uniform and other nerves could be damaged with any humerus fracture.  Always test median, ulnar, radial, and axillary nerve function in any upper arm fracture!

Author:  Russell Jones, MD

Continue reading...

Humerus fracture…

July 28, 2013

0 Comments

Humerus fracture

This is a mid-shaft humerus fracture.  Very common to encounter this in the ED.  What is the most common nerve injured with this type of fracture?

Author:  Russell Jones, MD

Continue reading...