Snapshot A healthy 25-year-old man is brought to the ED after falling out of a second-floor window. He is supported by two friends. All appear to be inebriated with injected conjunctiva. The patient complains that his right thigh is in pain. He reports having landed on his feet. Primary survey is unremarkable. Blood pressure is 100/60 mmHg, pulse is 80/min, respirations are 18/min, and SaO2 is 99% on RA. On physical exam, he cannot passively or actively move his right leg without wincing in pain. AP and lateral radiographs of his right femur reveal an isolated oblique diaphyseal fracture. Radiographs of his other femur, knees, hip, and lumbar spine are unremarkable. Urine drug screen is positive for marijuana. Pain medications are provided and closed reduction with a splint is applied. The patient is admitted to the orthopedics service. Introduction Orthopedic trauma can be part of any high-energy mechanism (MVC, fall) login to view 4 more bullets Life and Limb-Threatening Orthopedic Injuries All of the following are appropriate reasons for emergent surgical consultation Life-threatening login to view 4 more bullets Limb-threatening login to view 10 more bullets Classification of Fractures Fractures are described by integrity of skin, location, fracture pattern, and displacement login to view 37 more bullets Imaging Radiographs login to view 2 more bullets studies Primary and secondary survey with resuscitation login to view 4 more bullets treatment For all life and limb-threatening injuries, surgical consult (general, vascular, orthopedics) Fracture management includes reduction to maintain bone alignment and integrity login to view 15 more bullets Goal of open fracture management is to minimize risk of osteomyelitis login to view 9 more bullets