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Trauma & Fracture Care
Wrist Fractures
The wrist is made up of eight small bones and the two forearm bones, the radius and ulna. The shape of the bones allows the wrist to bend and straighten, move side-to-side, and rotate, as in twisting the palm up or down. A fracture may occur in any of these bones when enough force is applied, such as when falling down onto an outstretched hand. Severe injuries may occur from a more forceful injury, such as a car accident or a fall off a roof or ladder.
Hand Fractures
The hand skeleton is made up of many bones that form its supporting framework. This frame acts as a point of attachment for the muscles that make the wrist and fingers move. A fracture occurs when force is applied to a bone that is enough to break it. When this happens, there is pain, swelling, and decreased use of the injured part.
Elbow Fractures
Elbow fractures may result from falling onto an outstretched arm, a direct impact to the elbow, or a twisting injury. Sprains, strains, or dislocations may occur at the same time as a fracture.
Clavicle Fractures
The shoulder is a joint suspended by many muscles surrounding the upper extremity. The majority of fractures in children occur in the clavicle. In the adult, fractures within the upper part of the arm (proximal humerus) occur with increasing frequency with older age. Some fractures may occur with dislocation of the shoulder joint.
Scaphoid Fractures
The scaphoid bone is one of eight small bones that make up the "carpal bones" of the wrist. Fracture of the scaphoid bone occurs most frequently from a fall onto the outstretched hand. Typically there is pain initially, but the pain may decrease after days or weeks. Bruising is rare, and swelling may be minimal. Since there is no deformity, many people with this injury mistakenly assume that they have just sprained their wrist, leading to a delay in seeking evaluation.




