Fracture Management
Modern fixation techniques and rehabilitation for safe and effective fracture recovery.
WRIST & FOREARM
Common fractures include distal radius/ulna and scaphoid; prompt stabilisation optimises outcomes.
- Distal radius/ulna fractures
- Scaphoid fractures
- Galeazzi/Monteggia patterns
What is it?
Breaks around the wrist/forearm from falls onto an outstretched hand; scaphoid fractures risk non-union.
HAND & FINGERS
Metacarpal and phalangeal fractures can impair fine function if malaligned.
- Metacarpal neck/shaft fractures
- Phalangeal base/shaft fractures
- Dislocations & fracture-dislocations
What is it?
Fractures affecting grip, pinch and dexterity; rotational alignment is crucial.
SHOULDER & CLAVICLE
Clavicle and proximal humerus fractures are common after falls; most can be treated conservatively.
- Clavicle midshaft fractures
- Proximal humerus fractures
- Acromioclavicular injuries
What is it?
Fractures around the shoulder girdle affect arm function and sleep; displacement guides management.
ANKLE & FOOT
Ankle malleolar fractures and metatarsal/stress fractures need correct alignment for gait.
- Lateral/bi-/tri-malleolar fractures
- 5th metatarsal (Jones) fractures
- Stress fractures
What is it?
Fractures affecting load transfer; instability risks arthritis if untreated.
PAEDIATRIC FRACTURES
Unique patterns (greenstick, buckle) and growth plate (physeal) injuries require careful follow-up.
- Buckle/greenstick fractures
- Supracondylar humerus
- Physeal injuries (Salter–Harris)
What is it?
Growing bones remodel but physeal injuries may affect growth if missed.
FRAGILITY FRACTURES & BONE HEALTH
Identify osteoporosis, prevent further fractures, and coordinate secondary prevention.
- Wrist/hip/vertebral fragility fractures
- DEXA & FRAX risk assessment
- Medication initiation & monitoring
What is it?
Low-energy fractures signal reduced bone strength; secondary prevention reduces future risk.