# - Approach Flashcards
History/ examination:
0 Ascertain ? and ?, associated ?, ? symptoms
and ? status.
0 ? history with a view to potential surgical intervention (Stands for?)
mech site injuries joint NV AMPLE - Allergies, Meds, PMH, Last meal, Events leading to incident
Radiology;
0 Order ? plain film orthogonal views, as well as the joints ? and
? the injury.
0 ? / ? if the fractures are poorly visualised on XR.
two above below ct mri
Describing
Simple or ? (?+ pieces)
— If simple: is it ?, ? or ?.
Fracture of what bone? Where is the fracture on that bone?
- –?-shaft - Or at the ?/?
- –If at the base/ head, is it intra-?
- ——o Important as intra-? fractures are much more likely to require ? (due to risks of ?).
multifragmentary 3 oblique transverse spiral mid head base articular articular surgery OA
Describing
Displaced or non-displaced?
- –Generally not that useful, but in impacted fractures the two fragments are ? together making the fracture line ? (thus barely visible on ?… ).
- –Often ‘? displaced’ is acceptable.
- –If displaced, how are they displaced?
- —–o ?: bones shifted sideways/ back/ forward in relation to each other.
- —–o Alignment: fragments are ?/? in relation to each other.
- —–o ?: hard to see on XR.
- —–o Length: can become ?, or ? due to muscle spasm.
jammed indistinct XR minimally translation angulated/tilted rotation separated overlap
Displacement is always described according to the ? of the ? bone,
i.e. laterally displaced.
‘Open’ or ‘?’ fractures result in an ? wound, often with protruding bony
?.
pos distal compound open fragments
Paediatric Fractures;
? fractures can occur in children due to their ? bones, - the bone fractures on one side and is ?/? on the other (akin to trying to snap a green ?). ? is easy and healing is ?.
The ?-? classification is for fractures at the ? ?, a
common finding in childhood fractures.
greenstick malleable bent/buckled twig reduction quick salter harris epiphyseal plate
