Adult Orthopedics 2 Flashcards
Management of tibial or fibular fracture?
#Casting if easily reduced; #intramedullary nailing if cannot be aligned
Most common locations for developing compartment syndrome?
Leg and forearm
Patient playing tennis hears loud popping noise and falls. Suspected diagnosis? Sign and symptoms? Management?
Ruptured Achilles tendon
Limited plantar flexion with pain, swelling, limping
Casting in equinas position Or surgery
Mortise x-Ray looks at what?
Fracture the ankle
Most common causes of compartment syndrome?
#Fracture with closed reduction #Ischemia with reperfusion #Crushing injuries #trauma
Pt presents with pain under a cast - next step?
Remove cast and look at limb
Management of open fracture?
Cleaning in the OR and reduction six hours of injury
Patient gets into car crash and knees hit dashboard. Likely injury? Signs? Management?
Posterior dislocation of the hip
A pain with shortened, adducted, internally rotated legs
Emergency reduction to avoid avascular necrosis
Patient steps on rusty nail in mud. Worried about? Treatment?
Gas gangrene
IV penicillin, hyperbaric oxygen, surgical debridement
Specific fracture with radial nerve injury? Management?
Distal/middle humorous
#Reduction and casting #Surgery if nerve paralysis develops or remains after reduction
Posterior dislocation of the knee – injured artery?
Popliteal artery
Patient falls from height – look for fractures where?
Foot/leg AND lumbar/thoracic spine
Patient with facial fracture or head injury – always evaluate?
Cervical spine
Point of imaging patients with carpal tunnel? Surgery when?
Not to diagnose (diagnosis is clinical) but to rule out other things
- Splints and anti-inflammatory agents
- Electromyography
- Surgery
Trigger finger – Surgery when?
- Steroid injection
2 it fails, surgery