Early management of upper limb fractures in general practice

Upper limb injuries are very common and patients frequently present to general practitioners for treatment. Circumstances of the injury and varied patient factors are critical to assessment. Outcome of these injuries involves short term pain control and diagnosis; fracture immobilisation, comfort and function in the treatment device medium term; and longer term, the best functional outcome.

This article aims to guide GPs through the initial assessment and early management of fractures and provides a logical, simple structure for this process. Understanding of different injury patterns and patient characteristics to assist correct overall management is emphasised and the correct timing for early follow up is discussed.

Many upper limb fractures can be comprehensively managed in general practice. Bad outcomes from injuries are not uncommon and most commonly occur due to relatively minor errors in early decision making. These 'second accidents' are often completely preventable.