MSK: Upper Limb Fracture: Free MSRA Podcast

🦴 Deep Dive Podcast – Upper Limb Fractures🎧 Struggling to differentiate between Colles, Smith’s, Bennett’s, Monteggia, Galeazzi, Barton's and scaphoid fractures? This revision-packed episode breaks it down clearly 💥🧠 High-Yield Fractures You’ll Learn:📌 Colles' Fracture• Transverse fracture of the distal radius• Dorsal displacement → 🥄 "Dinner fork deformity"• Fall on outstretched extended hand🔑 Mnemonic: DDR 1 inch = Dorsal displacement, Dinner fork, Radius, ~1 inch proximal📌 Smith’s Fracture• Reverse of Colles’ – volar (palmar) angulation• 🌱 "Garden spade deformity"• Fall on flexed wrist or backwards fall📌 Bennett’s Fracture• Intra-articular fracture at the base of 1st metacarpal• Caused by axial force on a flexed thumb (e.g. fistfight 👊)• Triangular fragment on X-ray – often requires surgical fixation📌 Monteggia Fracture• Ulna shaft fracture + proximal radial head dislocation• Fall on outstretched pronated hand• Requires prompt diagnosis + surgery🧠 Think: M = MU → Monteggia = Ulna shaft fracture + Radial head dislocation (proximal)📌 Galeazzi Fracture• Radial shaft fracture + distal radio-ulnar joint dislocation• Fall + rotational force🧠 Think: G = GR → Galeazzi = Radius fracture + Distal dislocation• Prominent ulnar head may be noted on exam📌 Barton's Fracture• Distal radius fracture involving the radiocarpal joint (wrist)• Can resemble Colles/Smith’s but includes dislocation of wrist joint• Fall onto extended, pronated wrist → needs careful assessment📌 Scaphoid Fracture• Most common carpal fracture• Fall on outstretched hand → tenderness in anatomical snuffbox• Poor blood supply → risk of avascular necrosis & non-union🔍 X-rays may appear normal early – always treat if clinically suspicious🧠 Mnemonic: Snuffbox = Suspect Scaphoid📌 Radial Head Fracture• Common in younger adults• Pain on lateral elbow, worsens with pronation/supination• Fall on outstretched hand → axial force transmitted to radial head🧠 Clue: Pain on forearm rotation = radial head📚 Useful Resources:🎓 Full MSK Course:https://www.passthemsra.com/courses/msk-for-the-msra/💡 Final Thought:Understanding the mechanism of injury helps you predict the fracture. It’s not random – there’s logic behind the pattern 🧠💥#MSRA #MSRARevision #MSRAFractures #UpperLimbFractures #MSRAFlashcards #MSRAQuiz #MSRANotes #MSRAQandA #CollesFracture #ScaphoidFracture #SmithsFracture #Galeazzi #Monteggia #MSK #Orthopaedics #MSRAExam #MSRA2025