47 - common ortho injuries

Question 1

5 ways to describe and fracture

Answer 1

1. open vs. closed
2. neurovascular status
3. location of fracture
4. type of fracture
   - simple vs. comminuted
   - oblique vs. transverse
5. alignment of fragments
   - angulation, displacement, shortening

Question 2

main cause of unstable PT in fractures

Answer 2

blood loss

Question 3

main cause of limb threatening

Answer 3

neurovascular damage

Question 4

4 reasons to consult ortho for limb

Answer 4

1. all open
2. extensive soft tissue injury
3. amputation and some dislocations
4. suspicion of compartment syndrome

Question 5

Ps of compartment syndrome

Answer 5

Pain
Parathesia
Pallor
Pulselessness
Paralysis

Question 6

see flashcards

Answer 6

try them! P230

Question 7

what are ottawa rules for ankle xray

Answer 7

Pain in zone 1 and 1 of:

• bony tenderness at tip of lat. malleolus
• bony tenderness at tip of med. malleolus
• inability weight bear at home and ER

Question 8

what are ottawa rules for foot xray

Answer 8

Pain in zone 2 and 1 of:

• bony tenderness at navicular
• bony tenderness at 5th metatarsal
• inability weight bear at home and ER

Question 9

what is a colle’s fracture

Answer 9

• FOOSH
• distal radius
• needs proper reduction to avoid problems