Upper Limb Fractures-

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    Cldurk ac 6 J`oh`dk

    8

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    Naii`r # Nucc ^ilod

    ;

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    Hurlod Lmmajlilz`tlaoHurlod Lmmajlilz`tlao

    00ststTkke 7Tkke 7 ^ilod) ^tr`pplod ar cld/ ac 6

    j`oh`dk

    3

    au kr k o un ao)lot/ rat`tlao # kijaw

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    R`tlkot ls `hvlskh loltl`iiy ta sikkpao ` rknilolod nf`lr # lo i`tkr st`dks ta raii avkrtfk uo`cckntkh slhk ta namk ta uprldft pasltlao

    Tkl ft jk`rlo oat krmlttkh

    4

    Cuii ZAM Kx/ ta wrlst) f`oh #hldlts

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    ::ohoh Tkke 7Tkke 7 Dkotik pkohuium Kx/

    ta sfauihkr lo silod # dkotik

    6

    lsamktrlns ta hkitalh

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    Hurlod Majlilz`tlaoHurlod Majlilz`tlao

    88tftf Tkke 7Tkke 7 Dr`hu`i sfauihkr majlilz`tlao

    33tftf Tkke 7Tkke 7 Dkotik `ntlvk sfauihkr mavkmkots)

    00--: kk s 7: kk s 7 krma kr`py arkhunk p`lo

    Lsamktrlns ta sfauihkrmusniks

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    Hurlod Majlilz`tlaoHurlod Majlilz`tlao

    @ctkr :@ctkr :ohoh Tkke 7Tkke 7 ^lmli`r ta

    08

    ni`vlnik cr`nturk m`o`dkmkot

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    0;

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    Hurlod Lmmajlilz`tlaoHurlod Lmmajlilz`tlao

    00-->Tkkes 7>Tkkes 7@rm ls str`ppkh ta truoe lo

    `hhuntlao`hhuntlao # lotkro`i rat`tlaolotkro`i rat`tlao

    06

    Lsamktrlns ta hkitalh

    ZAM Kx/ ta wrlst # hldlts

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    Hurlod Majlilz`tlaoHurlod Majlilz`tlao

    @ctkr >@ctkr >rhrhTkke 7Tkke 7 Ilmj ls suppartkh lo

    ` silod

    0

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    :8

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    ^`mk `s lo @ot/ hlsian`tlao acsfauihkr

    :;

    [tmast n`rk ls t`eko lo`hhuntlao # lotkro`i rat`tlao

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    Rrkvkotlvk Rfyslatfkr`pyRrkvkotlvk Rfyslatfkr`py

    ^trkodtfko musniks # Ild`mkots 7^trkodtfko musniks # Ild`mkots 7 ^kic

    :3

    ta tfk p`tlkot

    Lohkpt/ wkldftkh humjkiis ar wkldftkh jkits `rkuskh

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    @nflkvk # m`lot`lo cuii r`odk p`sslvkmatlao7 Loltl`iiy haok jy Xfkr`plst wltf p`tlkotlo suplok

    :4

    @rn ac mavkmkot ls5 `jhuntlao-kikv`tlao)cikxlao-kikv`tlao # kxtkro`i rat`tlao

    Kxtr` n`rk sfauih jk t`eko `t tfktkrmlo`i r`odk ac kikv`tlao # kxtkro`i rat`tlao

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    :6

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    HurlodHurlod lmmajlils`tlaolmmajlils`tlao--Ilmj lssuppartkh lo ` silod car ` wkke ar twa

    @ntlvk mavkmkots car kijaw) wrlst)

    :2

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    >0

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    Xr`osvkrsk Cr`nturks trk`tkh naoskrv`tlvkiyXr`osvkrsk Cr`nturks trk`tkh naoskrv`tlvkiy

    Hurlod Lmmajlilz`tlao &RAR [Hurlod Lmmajlilz`tlao &RAR [--^i`j,^i`j,

    Clrst 3Clrst 3-- 6 Tkkes 76 Tkkes 7 Nfkne tfk ilmj car prkskonk ac

    >:

    ^traod wrlst # clodkr mavkmkots

    Lsamktrlns car hkitalh) trlnkps)jlnkps

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    Hurlod Majlilz`tlaoHurlod Majlilz`tlao

    6 wkkes aow`rhs76 wkkes aow`rhs7 Iaodkr pkrlah ac lmmajlilz`tlaorksuits lo stlccstlcc# p`locuip`locui sfauihkr

    >>

    p`lo rkilkvlod mah`ilty ilek XKO^) [^ ar ^TH ls okkhkh

    0st h`y5 skic `sslstkh ar p`sslvk

    ZAM Kx/ lo ` sm`ii r`odk

    Rradrkss ta Nahm`o$s pkohui`rKx/

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    Zki`xkh p`sslvk skic strktnflod ac`jhuntlao-kikv`tlao # cikxlao-kikv`tlao losuplok iylod

    >8

    @ntlvk ^kic rkslstkh ZkslstkhKx/ &Tkldftkh humjkiis) wkldft jkits)Ruiiky,

    [sk ac w`oh) sfauihkr wfkki) sfauihkri`hhkr

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    ^plr`i Cr`nturks trk`tkh^plr`i Cr`nturks trk`tkhnaoskrv`tlvkiynaoskrv`tlvkiy

    >;

    ^i`j,^i`j,

    ^`mk `s lo tr`osvkrsk cr`nturks

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    >3

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    >4

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    Hurlod Lmmajlilz`tlaoHurlod Lmmajlilz`tlao

    Clrst > Tkkes 7Clrst > Tkkes 7 M`o`dkh kltfkr jy m`olpui`tlaowltf niask rkhuntlao ar Huoiap tr`ntlao

    >6

    Rrapkr nfknelod ac pi`stkrsi`j!tr`ntlao ta kosurk prapkr lmmajlilz`tlao #crkkham ac tfumj # clodkrs

    Sldaraus) straod cuii r`odkmavkmkots ta crkk galots

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    Hurlod Majlilz`tlaoHurlod Majlilz`tlao

    > wkkes aow`rhs7> wkkes aow`rhs7 @nnur`tk kv`iu`tlao ac ZAM `t tfkkijaw # cark`rm

    > Tkkes 7Clrst > Tkkes 7 Nfkne RAR n`st ta kosurk ZAM ac crkkgalots

    8>

    kikv`tlao # rat`tlao

    Clodkr `oh tfumj Kx/ lo kikv`tkh

    pasltlao wltf `rm rkstlod ao tfk t`jik tap &rkhunksswkiilod,

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    Hurlod Majlilz`tlaoHurlod Majlilz`tlao

    > wkkes aow`rhs7> wkkes aow`rhs7 Kv`iu`tlao ac cikxlao-kxtkoslao `tkijaw # suplo`tlao-prao`tlao `t cark`rm

    Kv`iu`tlao ac hkdrkk ac p`lo # swkiilod^ult`jik tfkrmatfkr` mah`ilt

    88

    jkcark majlilz`tlao &w`x j`tf) fat p`nes,

    Zki`xkh) rfytfmln`i `ntlvk `sslstkhmajlilz`tlao ac kijaw # cark`rm

    [sk ac raiikr se`tks) w`oh ar wflri paaij`tf

    ' ' Cuontlao`iiy `nnkpt`jik rksuits n`o jk d`lokh wltflo 3' ' Cuontlao`iiy `nnkpt`jik rksuits n`o jk d`lokh wltflo 3--66wkkeswkkes

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    8;

    Cr`nturk ac iawkr koh acCr`nturk ac iawkr koh ac fumkrusfumkrus) uppkr koh ac) uppkr koh acr`hlus `oh uio` `oh `ot hlsian`tlao ac kijawr`hlus `oh uio` `oh `ot hlsian`tlao ac kijaw

    Ajgkntlvk ls ta d`lo m`xlmum cuontlao`i r`odk ac

    Kijaw # f`oh

    Rfyslatfkr`py ls `s s`mk lo Kijaw hlsian`tlao

    Lc lt ls oat passljik ta d`lo cuii Kijaw cikxlao-kxtkoslao) tfk r`odk ac suplo`tlao-prao`tlao

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    83

    ls ` hlst`i cr`nturk ac tfk r`hlus lo tfk cark`rm wltf hars`i &pastkrlar,hlspi`nkmkot ac tfk wrlst `oh f`oh

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    Hurlod Lmmajlilz`tlao lo jkiaw kijawHurlod Lmmajlilz`tlao lo jkiaw kijawn`st &8n`st &8--3 wkke,3 wkke,

    Clrst > Tkkes 7Clrst > Tkkes 7 Kikv`tlao ac f`oh `javk tfk kijaw # kijaw `javktfk sfauihkr

    84

    akhkm` &^arkosao-0,

    Lotkrmlttkot prkssurk diavk ta rkhunk swkiilod lotfk kxpaskh clodkrs # tfumj &Gajst-0,

    Nfkne RAR n`st

    Cuii r`odk ac p`sslvk mavkmkots ta clodkrs

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    Cuii r`odk ac mavkmkots taKijaw # ^fauihkr

    86

    @hguonts ilek malst fk`t p`ne)locr`-rkh) lnk m`ss`dk) XKO^

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    Hurlod Majlilz`tlaoHurlod Majlilz`tlao

    >> --3wkkes 73wkkes 7 Xfkrmatfkr`py ta lohunk rki`x`tlao &fatp`nes) p`r`cclo w`x j`tf,

    ^m`ii r`odk wrlst majlilz`tlao

    8