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8 - Skel Rad D Lab > 6.) Trauma - Upper Extremities > Flashcards

6.) Trauma - Upper Extremities Flashcards

1
Q

What type of trauma is pictured?

A

Greater Tuberosity Fx aka Flap Fx

Avulsion fx by connecting tendons and associated with anterior dislocations

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2
Q

What type of trauma is pictured?

A

Trans-Scaphoid Fx & Perilunate Dislocation

  • Perilunate Dislocation: Dorsal displacement of all carpal bones except lunate
  • Trans-Scaphoid Dislocation: Same as perilunate dislocation with an associated fx through waist of scaphoid
    • Proximal part of scaphoid stays next to lunate
    • Distal part of scaphoid moves w/other carpal bones
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3
Q

What type of trauma is pictured?

A

Colle’s Torus Fx aka Dinner Fork Deformity aka Silver Fork Fx

Fracture at distal radius 20-35mm proximal to the joint with posterior angulation of distal the fragment

  • Normally there is 5-15° palmar angulation of articular surface
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4
Q

What type of trauma is pictured?

A

Torus Fx

  • MC fx at the wrist in children 6-10 years
  • 2-4cm distal from joint surface
  • Can occur in any bone
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5
Q

What type of trauma is pictured?

A

Rolando’s Fx aka Comminuted Bennett’s Fx

  • Least common of all 1st metacarpal injuries
  • Difficult to treat
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6
Q

What type of trauma is pictured?

A

Condylar Fx

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7
Q

What type of trauma is pictured?

A

Supracondylar Fx

Fx line extends transversely or obliquely through the distal humerus above the condyles

  • Usually the fx fragment displaces posterior
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8
Q

What type of trauma is pictured?

A

Monteggia’s Fx

Proximal ulnar shaft fracture

  • Associated with dislocations of the radial head
  • In children ulnar component is often a greenstick fx
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9
Q

What type of trauma is pictured?

A

Nightstick Fx aka Parry Fx

Fx of the distal ulnar shaft

  • MOI: Direct trauma from arm being raised to protect head during an assult w/club or hard object
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10
Q

What type of trauma is pictured?

A

Epicondylar Avulsion Fx

  • Usually avulsive from common flexor or extensor tendons & collateral ligaments
  • Little Leaguer’s Elbow: Separation of the medial epicondyle
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11
Q

What type of trauma is pictured?

A

Grade III: Acromioclavicular (AC) Joint Separation

Severe sprain: Both AC & coracoclavicular ligaments are disrupted

  • Widened joint space
  • Elevation of the distal clavicle
  • Widened coracoclavicular space (>5mm)
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12
Q

What type of trauma is pictured?

A

Rolando’s Fx aka Comminuted Bennett’s Fx

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13
Q

What type of trauma is pictured?

A

Scapholunate Dissociation aka Rotary Scaphoid Subluxation

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14
Q

What type of trauma is pictured?

A

Grade I: Acromioclavicular (AC) Joint Separation

Mild Sprain: AC ligament is stretched but not disrupted & coracoclavicular ligament is intact

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15
Q

What type of trauma is pictured?

A

Non-Displaced Clavicle Fx

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16
Q

What type of trauma is pictured?

A

Occult Scaphoid Fx

  • MC site for occult fx
    • Only 30% initially thought to be occult actually are
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17
Q

What type of trauma is pictured?

A

Scaphoid Fx with AVN

  • 1-15% of scaphoid fxs result in AVN
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18
Q

What type of trauma is pictured?

A

Colle’s Fx aka Dinner Fork Deformity aka Silver Fork Fx

Fracture at distal radius 20-35mm proximal to the joint with posterior angulation of distal the fragment

  • Normally there is 5-15° palmar angulation of articular surface
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19
Q

What type of trauma is pictured?

A

Sternoclavicular (SC) Joint Dislocation

  • MC: Anterior displacement of the clavicle
    • Posterior dislocations can be life threatening
  • Best Radiographic Technique: CT
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20
Q

What type of trauma is pictured?

A

Non-Displaced Clavicle Fx

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21
Q

What type of trauma is pictured?

A

Smith’s Fx aka Reverse Colle’s Fx

Fx at the distal radius with anterior angulation of the distal radius

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22
Q

What type of trauma is pictured?

A

Radial Head Fx aka Chisel Fx

  • Fx line is usually on lateral side
    • Step-off or angulation is common
    • Double cortical sign
  • 50% of elbow injuries in adults
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23
Q

What type of trauma is pictured?

A

Radial Head Fx aka Chisel Fx

  • Fx line is usually on lateral side
    • Step-off or angulation is common
    • Double cortical sign
  • 50% of elbow injuries in adults
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24
Q

What type of trauma is pictured?

A

Isolated Fx of the Radius aka Galeazzi’s Fx aka Piedmont’s Fx aka Reverse Monteggia’s Fx

MC toward the distal shaft

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25
Q

What type of trauma is pictured?

A

Colle’s Fx aka Dinner Fork Deformity aka Silver Fork Fx

Fracture at distal radius 20-35mm proximal to the joint with posterior angulation of distal the fragment

  • Normally there is 5-15° palmar angulation of articular surface
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26
Q

What type of trauma is pictured?

A

Grade II: Acromioclavicular (AC) Joint Separation

Moderate Sprain: Torn AC ligament & stretched but intact coracoclavicular ligament

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27
Q

What type of trauma is pictured?

A

Bennett’s Fx

Fx-dislocation-avulsion injury at the base of the 1st metacarpal

  • Caused by injury where there is a grip applied to an object (ex. handle bar)
  • Intraarticular fx
  • Usually dorsal & radial displacement of the shaft
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28
Q

What type of trauma is pictured?

A

Sternal Fx

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29
Q

What type of trauma is pictured?

A

Rib Fx

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30
Q

What type of trauma is pictured?

A

Posterior Dislocation

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31
Q

What type of trauma is pictured?

A

Scaphoid Fx

MC carpal to fracture

32
Q

What type of trauma is pictured?

A

Epicondylar Avulsion Fx

  • Usually avulsive from common flexor or extensor tendons & collateral ligaments
  • Little Leaguer’s Elbow: Separation of the medial epicondyle
33
Q

What type of trauma is pictured?

A

Galeazzi’s Fx aka Isolated Fx of Radius aka Piedmont’s Fx aka Reverse Monteggia’s Fx

MC toward the distal shaft

34
Q

What type of trauma is pictured?

A

Surgical Neck Torus Fx

35
Q

What type of trauma is pictured?

A

Scaphoid Fx with AVN

  • 1-15% of scaphoid fxs result in AVN
36
Q

What type of trauma is pictured?

A

Hamate Fx

  • Fxs in various locations
    • MC: Hook
  • Fxs of the dorsal surface often accompanies posterior dislocation of the 4th & 5th metacarpal
    • Seen as an oblong-shaped bone fragment near the articulation
37
Q

What type of trauma is pictured?

A

Sternoclavicular (SC) Joint Dislocation

  • MC: Anterior displacement of the clavicle
    • Posterior dislocations can be life threatening
  • Best Radiographic Technique: CT
38
Q

What type of trauma is pictured?

A

Bar Room Fx

39
Q

What type of trauma is pictured?

A

Hill-Sach’s Lesion aka Hatchet Deformity

  • Hill-Sach’s Lesions are seen in 60% of anterior dislocations
40
Q

What type of trauma is pictured?

A

Radial Head Fx aka Chisel Fx

  • Fx line is usually on lateral side
    • Step-off or angulation is common
    • Double cortical sign
  • 50% of elbow injuries in adults
41
Q

What type of trauma is pictured?

A

Surgical Neck Fx

  • MC site for humeral fxs
  • Fxs tend to be comminuted involving adjacent tuberosities
42
Q

What type of trauma is pictured?

A

Slipped Radial Epiphysis - Type I: Salter-Harris Fx

Shearing across the growth plate following forceful hyperextension

  • Childhood equivalent of Colle’s fx
43
Q

What type of trauma is pictured?

A

Colle’s Torus Fx aka Dinner Fork Deformity aka Silver Fork Fx

Fracture at distal radius 20-35mm proximal to the joint with posterior angulation of distal the fragment

  • Normally there is 5-15° palmar angulation of articular surface
44
Q

What type of trauma is pictured?

A

Slipped Radial Epiphysis - Type I: Salter-Harris Fx

Shearing across growth plate following forceful hyperextension

  • Childhood equivalent of Colle’s fx
45
Q

What type of trauma is pictured?

A

Greater Tuberosity Fx aka Flap Fx

Avulsion fx by connecting tendons and associated with anterior dislocations

46
Q

What type of trauma is pictured?

A

Colle’s Fx aka Dinner Fork Deformity aka Silver Fork Fx

Fracture at distal radius 20-35mm proximal to the joint with posterior angulation of distal the fragment

  • Normally there is 5-15° palmar angulation of articular surface
47
Q

What type of trauma is pictured?

A

Smith’s Fx aka Reverse Colle’s Fx

Fx at the distal radius with anterior angulation of the distal radius

48
Q

What type of trauma is pictured?

A

Midclavicular Fx

  • 75-80% of clavicle fxs happen in the middle
    • 15-20% lateral clavicle
    • 5% medial clavicle
49
Q

What type of trauma is pictured?

A

Trans-Scaphoid Fx & Perilunate Dislocation

  • Perilunate Dislocation: Dorsal displacement of all carpal bones except lunate
  • Trans-Scaphoid Dislocation: Same as perilunate dislocation with an associated fx through waist of scaphoid
    • Proximal part of scaphoid stays next to lunate
    • Distal part of scaphoid moves w/other carpal bones
50
Q

What type of trauma is pictured?

A

Hamate Fx

  • Fxs in various locations
    • MC: Hook
  • Fxs of the dorsal surface often accompanies posterior dislocation of the 4th & 5th metacarpal
    • Seen as an oblong-shaped bone fragment near the articulation
51
Q

What type of trauma is pictured?

A

Boxer’s Fx

Transverse fx of the neck of the 2nd & 3rd metacarpal

52
Q

What type of trauma is pictured?

A

Subcoracoid Dislocation aka AI Dislocation

  • MC glenohumeral dislocation
53
Q

What type of trauma is pictured?

A

Radial Neck Fx with Positive Fat Pad Sign

54
Q

What type of trauma is pictured?

A

Bar Room Fx

55
Q

What type of trauma is pictured?

A

Radial Head Fx aka Chisel Fx

  • Fx line is usually on lateral side
    • Step-off or angulation is common
    • Double cortical sign
  • 50% of elbow injuries in adults
56
Q

What type of trauma is pictured?

A

Distal Clavicle Fx

57
Q

What type of trauma is pictured?

A

Monteggia’s Fx

Proximal ulnar shaft fracture

  • Associated with dislocations of the radial head
  • In children ulnar component is often a greenstick fx
58
Q

What type of trauma is pictured?

A

Chauffeur’s Fx aka Hutchinson’s Fx aka Backfire Fx

Fx of the radial styloid

  • Used to be the result of backfire occuring when attempting to start engine
59
Q

What type of trauma is pictured?

A

AI Dislocation with Hill-Sach’s Lesion

  • Hill-Sach’s Lesions are seen in 60% of anterior dislocations
60
Q

What type of trauma is pictured?

A

Monteggia’s Fx

Proximal ulnar shaft fracture

  • Associated with dislocations of the radial head
  • In children ulnar component is often a greenstick fx
61
Q

What type of trauma is pictured?

A

Radial Neck Fx

62
Q

What type of trauma is pictured?

A

Barton’s Fx aka Rim Fx

Fx at the distal radius with associated proximal dislocation at the carpals

63
Q

What type of trauma is pictured?

A

Ulnar Styloid Fx

  • Moore’s Fx: Ulnar styloid fx in association w/Colle’s fx with dislocation of the distal ulna
64
Q

What type of trauma is pictured?

A

Occult Scaphoid Fx

  • MC site for occult fx
    • Only 30% initially thought to be occult actually are
65
Q

What type of trauma is pictured?

A

Lunate Dislocation

66
Q

What type of trauma is pictured?

A

Hard Bankart Lesion

Bankart Lesion: An avulsion at the triceps insertion or inferior glenoid is seen with anterior humeral dislocation

67
Q

What type of trauma is pictured?

A

Phalynx Fx

68
Q

What type of trauma is pictured?

A

Olecranon Fx

Direct trauma or avulsion from triceps

69
Q

What type of trauma is pictured?

A

Bone Scan of Rib Fx

70
Q

What type of trauma is pictured?

A

Smith’s Fx aka Reverse Colle’s Fx

Fx at the distal radius with anterior angulation of the distal radius

71
Q

What type of trauma is pictured?

A

Lunate Dislocation

MC carpal to dislocate following hyperextension

72
Q

What type of trauma is pictured?

A

Healing Clavicle Fx

73
Q

What type of trauma is pictured?

A

Post-Traumatic Osteolysis of Distal Clavicle

  • 1-3mm & never > 2-3cm
  • Commonly overlooked
  • Apparent 2-3 months post-injury
  • Possibly bc of synovial hypertrophy
  • Common in weightlifters
74
Q

What type of trauma is pictured?

A

Post-Traumatic Osteolysis of Distal Clavicle

  • 1-3mm & never > 2-3cm
  • Commonly overlooked
  • Apparent 2-3 months post-injury
  • Possibly bc of synovial hypertrophy
  • Common in weightlifters
75
Q

What type of trauma is pictured?

A

Fxs of both Radius & Ulna

  • MC in the middle 1/3 of the shaft
  • Almost all fxs of these bones have associated displacement & angular rotation

8 - Skel Rad D Lab (7 decks)

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