Learning Objectives

• Describe the key components of the secondary survey and adjuncts
• Name 5 different wrist fractures based on clinical deformity and Xrays: Smiths, Colles, Barton, Monteggia, Galleazzi
• Describe how to perform a neurovascular examination of the hand, including the motor and sensory distribution of radial, ulna and median nerves.
• Describe the muscles and innervation of 2 clinical signs of ulna nerve injury: ulna claw (at rest) and Froment’s sign (on thumb adduction)
• Describe the muscles and innervation of 2 clinical signs of median nerve injury: ape hand (at rest) and Hand of Benediction (on finger flexion)
• Describe the Ottawa Ankle rules and how they relate to the 3 lateral ankle ligaments
• Describe the Webber Classification - ABC, including Maisonneuve and foot drop
• Describe the Young-Burgess classification: AP, Lateral, Vertical Shear. Including mechanisms of injury and direction of force for each fracture pattern

Secondary Survey

• what 2 criteria are required to progress to a secondary survey?
• what does a secondary survey involve?
• what body regions do you assess in a secondary survey?

Upper Limb

• Wrist Fractures
• what motor deficits are associated with ulnar nerve injury?
• what sensory deficit is associated with ulnar nerve injury?
• what motor deficits are associated with median nerve injury?
• what sensory deficit is associated with median nerve injury?