![]() On-line referral to virtual hand fracture clinic Video: How to Reduce and Hold a Distal Radius Fracture Using Finger Traps Video: How to Apply a Dorsal Backslab for Distal Radius Fractures This will avoid bringing the patient back.ĭistal radial fractures – check median nerve Hand and Wrist NB: If Surgery is indicated please ensure a Covid-19 swab is taken. GP review or refer to spine service as outpatien Please do not refer to virtual fracture clinic, GP refer into MSK service if necessary 6-12 weeks), analgesia, comfortable footwear and no onward referral. Generally these need reassurance that it will heal with time (approx. There has been an increase in unnecessary toe fracture referrals.This improves our ability to contact patients. Please include an email address and phone number on the referral.Please direct them to the appropriate team. If you think referral to the VFC is required, please be specific and detailed in your reason for referral. If symptoms persist over 6 weeks, the patients GP can refer to the MSK Partnership. These injuries generally resolve with time. Minor soft tissue injuries do not routinely require a Virtual Fracture Clinic referral.The VFC does not accept referrals for wounds.Open fractures - these should always be referred to the Orthopaedic on-call team.Spine injuries including soft tissue/whiplash injuries.To contact this team please email or call extension 4116. For hand and wrist injuries please refer to The Virtual Hand Fracture Clinic by clicking here.To contact this team please email or call 63428. For the Virtual Fracture Clinic please use the online referral form.If you have concerns about following these guidelines please consult your A&E senior or the Orthopaedic Registrar on-call. This type of fractures does not require a traumatic impact or a fall to occur.Latest A&E guidelines for treatment of common orthopaedic injuries (Updated November 2019) A pathologic fracture is the consequence of osteoporosis or metabolic changes. A fall can be the result of medical conditions including limited vision, impaired balance, sudden drop in blood pressure and heart arrhythmia causing people to faint. In the older population low energy falls are the main cause of a femoral shaft fracture. In the young population a femoral shaft fracture arises from high-energy traumas such as road traffic accidents and falls from a significant height. Femoral shaft fractures are often associated to injuries of the hip (fracture/dislocation), pelvis and knee as well as compartment syndrome due to extreme soft tissue swelling and damage.The fracture of the femoral shaft can display various patterns and complexities: Transverse - horizontal break of the shaftOblique - angled break across the shaft Spiral - line forming a circle around the shaftComminuted “ bones breaks in 3 or more fragmentsDisplaced - bone extremities have lost alignmentNon-displaced - bone segments do not separateOpen or compound fracture - broken fragments protrude through the skin Osteoporosis and metastatic tumours can result in spontaneous or pathologic fractures. In the elderly low energy forces are sufficient to cause a femoral shaft fracture due to reduced bone density. Contrary to a hip fracture, a femoral shaft fracture is more common in the young population. ![]() A femoral shaft fracture is a serious condition needing immediate management in the Emergency Department, as it is often associated with other life-threatening injuries to the pelvis, hip, knee and head.It requires high-energy impacts as often seen in road traffic accidents. ![]()
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