B6.070 - CBCL Miller Flashcards
what is the initial study of choice for a suspected ankle fracture
x ray, should include frontal, lateral and mortise views
what is the modality of choice for further characterization or classification of ankle fractures especially in pediatric patients
ankle CT
why is classification of triplane fractures important
to ensure proper treatment ie open vs closed reduction
what are complications of an ankle fracture if not diagnosed and managed appropriately
epiphyseal arrest, angular deformity, early post traumatic osteoarthritis
if initial x ray of scaphoid fracture is negative what do you do
get follow up films with immobilization or CT/MRI
why do you need to follow up on a scaphoid fracture
avg carpal fx heals in 6 weeks
scaphoid because of blood supply averages healing of 12 weeks
if delayed diagnosis it may take 6 months to heal
complications of a scaphoid fracute
avascular necrosis of proximal pole +/- to collapse
nonunion/malunion
chronic deformity
standard radiograph evaluation of a patient with a suspected shoulder injury should include what
frontal (internal/external rotation), axillary, scapular Y views
what is the most common type of shoulder dislocation and what are common injuries due to this
anterior dislocations
commonly associated with Hill Sachs and Bankart injuries
diagnosis hill sachs or bankart injuries often accomplished how
with CT or MRI, important because they can lead to chronic shoulder instability and future dislocations
leading cause of death in young children in USA
non accidental trauma aka abuse
how does NAT frequently manifest
skeletal trauma
what is the foundation for evaluating patients you suspect of having NAT
skeletal survey exam
highly specific fractures for NAT
Rib fractures metaphyseal lesions scapular fractures spinous process fractures sternal fractures
