Common Injuries That Occur In Association

Many a injuries occur together. Often the involved mechanism would produce an injury which would involve two or more structures. When a pattern is continuously repeated, it becomes important to look for other injury if only one is apparent.

For example in calcaneal fractures one must not forget to examine spine to rule out lumbar fracture.

Following are the commonly associated injuries. This does not mean that they always occur together. But if someone comes across one type, the search should be made to confirm whether other injury that is frequently founded along with is present or not.

• Clavicular shaft fracture- Subclavian vessels, brachial plexus, acromioclavicular joint.
• Shoulder dislocation- Brachial plexus, axillary nerve, subclavian vessels
• First rib fracture- Subclavian vessels
• Midshaft humeral fracture- Radial nerve
• Supracondylar humeral fracture -Median nerve, brachial artery
• Avulsion fracture of medial epicondyle -Ulnar nerve
• Radial head dislocation -Posterior interosseus nerve
• Distal radius/ulnar fracture -Median nerve, ulnar nerve
• Proximal ulnar shaft fracture- Radial head dislocation
• Radial shaft fracture – Distal radioulnar joint dislocation
• Posterior hip dislocation- Sciatic nerve, acetabular fracture
• Knee dislocation - Popliteal artery, tibial and common peroneal nerves
• Upper fibular fracture -Peroneal nerve
• Ankle dislocation - Anterior and posterior tibial artery
• Calcaneual fracture- Lumbar compression fracture

Presence of associated injuries often changes the way treament is carried out. if associated injury is vascular, it would make the situation an emergency.

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