Assessing Fractures Flashcards
what presentations are commonly associated with compartment syndrome
tibial fractures (esp male 10-35), forearm fractures, IVDA- comatose with prolonged lie, anti coagulation and trivial trauma, burns
what happens in compartment syndrome
increased interstitial pressure in closed osseofascial compartments causes microvascular compromise- ischaemia in the muscles
what leg compartments are commonly affected by compartment syndrome
anterior and posterior
what are the symptoms of compartment syndrome
disproportionate pain, pain on passive stretch of muscles in involved compartment. Paraesthesia in the nerve that supplies the compartment. area red and hot
what should you do if you suspect compartment syndrome
Do not delay, immediately release all dressing/ casts to the skin, do not elevate (put it parallel to the heart), phone senior help, theatre
what can fight bite cause
septic arthritis
what are weber a,b and c ankle fractures
a- fracture of lateral malleolus distal to the syndesmosis
b- fracture of the fibula at the level of the syndesmosis
c- fracture of the fibular proximal to the syndesmosis
syndesmosis= the connection between the distal ends of the tibia and fibula
what metabolically can cause a hip fracture in a patients 50s, 60s or 70s
alcohol, steroids, radiation
do intra or extra capsular fractures have good blood supply
extra
should you do an x ray for a hip fracture
MRI better
what drug is associated with hip fractures
biphosphonate- as used to treat osteoporosis- doesnt cause the hip fracture
this is a stupid flashcard ignore it
what are the key things to do in an open fracture
ABCD, stop the haemorrhage (tourniquet and manual pressure not clamp), splint the extremity, document vascular and neural stress
