Chapter 10: Upper Limb

Introduction

The regions of the upper limb include:

• Deltoid (shoulder)

• Scapular

• Axilla

• Anterior and posterior arm

• Cubital fossa

• Anterior and posterior forearm

• Anatomical snuffbox

• Palm and dorsum of the hand

• Palmar and dorsal finger

The clinician should be very familiar with upper limb anatomy, as this constitutes a large proportion of all imaging.

Normal Images

Clavicle

Notes

Fall onto shoulder with painful tender clavicle shaft plus deformity.

Report

Undisplaced angulated fractured clavicle at typical recurve site.

Treatment

Sling, pain relief.

Notes

Fall onto shoulder with painful tender clavicle shaft plus deformity.

Report

Undisplaced angulated fractured clavicle at typical recurve site.

Treatment

Sling, pain relief.

Notes

Fall onto shoulder with painful tender clavicle plus deformity.

Report

Displaced, comminuted fracture of lateral third of clavicle.

Treatment

The fracture has been reduced and fixed with a hook plate and screws.

Notes

Past history of fractured lateral third of clavicle with persistent pain and deformity.

Report

Hypertrophic non-union is present.

Treatment

Clean fracture ends and internally fix (if causing sufficient symptoms).

Acromioclavicular Joint

Notes

Fall onto shoulder with pain at tip and specific acromioclavicular joint tenderness.

Report

Widened left ...