9 Flashcards
management of open nerve injury
- direct repair
- nerve grafting
<3 days clean and sharp
<3 weeks blunt/ contusion
most common causes of anterior shoulder dislocation
fall with outstretched arm
angiosarcoma
malignant vascular tissue tumour
lipoma
benign adipose tissue tumour
cause of lateral recess stenosis
normally due to disc prolapse
cast time greenstick forearm fracture
4-6 weeks
phocomelia
some long bone absence
presentation transient synovitis
pain in hip on affected side
limping
slightly unwell
apyrexial
Antabuse
makes alcoholics sick if they have a drink
typical pathway of acute osteomyelitis
- metaphysics
- vascular stasis
- acute inflammation
- suppuration
- release of pressure
- bone necrosis
- new bone formation
- resolution
describe type III B open #
high energy, extensive soft tissue damage,
severe fracture (comminution, displacement), wound >10cm;
any gunshot, farm accident, segmental fracture, bone loss, severe crush injury, marine
- periosteal stripping
- extensive muscle damage
- heavy contamination
urgent criteria for open #
polytraumatised marine/ farmyard neurovascular compromise gross contamination compartment syndrome
define dislocation
complete joint disruption
management dislocations
- reduction
- analgesia
- muscle relaxant
- may need more than 1 person to provide enough traction
presentation cauda equina syndrome
triad of:
- shooting pain down both legs
- saddle numbness/ paraesthesia
- bladder/ bowel dysfunction
causes of closed nerve injury
usually stretching of the nerves
symptoms sciatica
pain radiating down leg from lower back stabbing/ burning/ shooting paraethesia numb weak
what is spondolisthesis
when one of the bones in your spine slips out of position
causes of sciatica
slipped disc
spinal stenosis
spondylolisthesis
back injury
is golfer elbow medial or lateral elbow
medial
causes of frozen shoulder
idiopathic
trauma
cardiac surgery
thyroid conditions are a risk factor
management subacromial impingement
subacromial steroid injection
physio
arthroscopic subacromial decompression