According To Direction

Direction of fracture line and effect of muscle action    1. Favorable        Muscle pull in the same direction          minimizing displacement    2. Unfavorable       Muscle pull in different  same direction           displace proximal fragment.       (  Management Protocol ž   Primary Resuscitation ž    Definitive Treatment  )                      (   Primary Resuscitation A.  Airway maintenance with cervical spine control B.   Breathing and adequate ventilation C.   Circulation with control of hemorrhage D.  Discerning neurological status of patient E.   Exposure of patient to facilitate a complete physical examination)