Arm Fractures Flashcards

1
Q

What is a Colles Fracture?

A

Most common pattern of injury seen in wrist Classically caused by a fall on the outstretched hand Associated with osteoporosis in elderly women

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2
Q

What is shown on XR in a Colles Fracture?

A

Displacement of radius and radial impaction leading to shortening

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3
Q

What is the management of Colles Fracture?

A

Should be manipulated with traction and apply a moulded plaster If good positioning then conservative management -XRs taken at wk 1 and 2 to confirm positioning If unstable/comminuted -open reduction and internal fixation

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4
Q

What are the complications of Colles fracture?

A

Median nerve damage Post traumatic carpal tunnel syndrome

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5
Q

What is a smiths fracture?

A

Caused by a gall on the flexed wrist causing displacement of the distal segment

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6
Q

What is the management of Smiths fracture?

A

Open reduction and internal fixation

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7
Q

How do Scaphoid fractures occur?

A

Similar to colles fracture

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8
Q

What are the symptoms of a Scaphoid fracture

A

Pain maximal at anatomical snuffbox Weak pinch grip

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9
Q

What is found on XR for a scaphoid fracture?

A

Commonly undisplaced Difficult to detect on XR

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10
Q

What is the management of scaphoid fracture?

A

If XR is normal but clinical suspicion is high then treat for fracture Plaster for 2wks then repeat XR and clinical exam -plaster must stay on for 6-8wks and include thumb 10% risk of non union which requires surgery

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11
Q

What is a complication of scaphoid fracture?

A

Avascular necrosis

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12
Q

What is a monteggia fracture?

A

Proximal ulna fracture Radial head dislocation

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13
Q

What is a Galeazzi fracture?

A

Dislocation of radio-ulnar joint Fracture of radius Can get radial nerve injury or extensor tendon injury

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14
Q

What fracture is this?

A

Galeazzi Fracture

Radial fracture and radial-ulnar dislocation

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15
Q

What fracture is this?

A

Monteggia fracture

Proximal ulna fracture

Radial head dislocation

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16
Q

What fracture is this?

A

Scaphoid Fracture

17
Q

What fracture is this?

A

Smiths fracture

18
Q

What fracture is this?

A

Colles Fracture