Upper Limb Fractures: NEET PG High-Yield
| Fracture | Key High-Yield Point | Nerve at Risk |
|---|---|---|
| Clavicle | The middle 1/3 is the most common site. | Brachial Plexus |
| Humerus (Shaft) | Holstein-Lewis fracture (Distal 1/3). | Radial Nerve |
| Supracondylar | The most common pediatric elbow fracture. | Anterior Interosseous (AIN) |
| Lateral Condyle | Non-union is a major risk. | Ulnar Nerve (tardy) |
| Colles’ | “Dinner fork” deformity (Dorsal tilt). | Median Nerve |
Exam Pearls
- Supracondylar Humerus: Extension type is common. Volkmann’s ischemic contracture is the most dreaded complication.
- Lateral Condyle: Milch’s classification determines treatment (Type II often requires open reduction/internal fixation).
- Colles’ vs. Smith’s: Colles’ is dorsal displacement (fall on outstretched hand); Smith’s is volar displacement (fall on flexed wrist).
- Carpometacarpal (CMC): Bennett’s fracture (base of 1st MC) is an intra-articular fracture-dislocation. Rolando’s fracture is the comminuted equivalent.
- Clavicle: Figure-of-eight bandage was standard, now mostly sling/swathe for non-displaced.