Blue Boxes Flashcards
Coxa Vara and Coxa Valga
Coxa vara decreased angle of inclination (perpendicular) and Coxa valga is an increased angle of inclination (obtuse angle).
Dislocated epiphysis of femoral head
In older children, the epiphysis of femoral head may slip away from epiphyseal plate from acute trauma or chronic microtrauma. Can eventually result in coxa vara.
Femoral fractures Proximal fx Intracapsular fx Greater trochanter or femoral shaft fx Distal femur fx
- Usually from indirect trauma.
- Very complicated and can lead to vascular trauma.
- Usually from direct blows.
- Can be complicated by fx of condyles or rupture of popliteal a.
Fibular fractures
Occur most often 2-6 cm proximal to lateral malleolus and associated with fx-dislocations of ankle joint.
Fx of talar neck
May occur due to severe dorsiflexion of the ankle. Body of talus can be posteriorly dislocated.
Dancer’s fx
Occurs when a dancer loses balance and puts all body weight on one metatarsal, causing a fx.
Fatigue fx of metatarsals
Usually from prolonged walking.
Avulsion of tuberosity of 5th metatarsal
Can be avulsed due to rapid inversion by the tendon of the fibularis brevis m.
Os trigonum
Lateral tubercle of the talus (from secondary ossification center fails to unite with the talar body. Occurs in 14-25% of adults.
Fx of sesamoid bones
Sesamoid bones of great toe where FHL m. bear the weight. Caused from crushing injury.
Compartment syndrome
Hemorrhage, edema, and inflammation can put pressure on the septa and increase the pressure. This can put extreme pressure on nerves, vessels, etc.
Saphenous v. is used in bypasses because:
Very accessable, good distance between tributaries and perforating branches, contains a higher percentage of muscular and elastic fibers than other superficial veins.
Saphenous cutdown
Making an incision anterior to medial malleous can locate the saphenous v. This can be used to administer blood, plasma, electrolytes, drugs.
Regional nerve blocks of femoral n.
Blocked 2 cm inferiorly to the inguinal l. Interrupts the conduction of impulses in peripheral ns via perineural injections.
Hip pointer
Contusion of the iliac crest usually at ASIS.
Cause bleeding from ruptures capillaries and infiltration of blood into tissues.
Most hip pointers are actually avulsions.
Psoas abscess
Caused by a retroperitoneal infection in pelvis, usually associated with TB, or secondary to Crohn’s Dz. Should be considered when edema persists in the proximal thigh.
Chondromalacia patellae (Runner’s knee)
Results from overuse of knee. Common in runners. Patellar soreness/pain.
Calcaneal fx
From falls. Produces a comminuted fx. Disrupts the subtalar joint.
Thrombophlebitis
Varicosis of great saphenous v. and its tributaries. Common in posteriomedial parts of LL. Valves in veins no longer function and blood flows inferiorly.
Patellar fx
Usually transverse. Proximal fragment gets pulled superiorly with quad tendon, and distal fragment remains within patellar L.
Gracilis m. transplantation
Gracilis m. is a weak adductor. It can be removed easily and transplanted in the hand.
Groin pull
Pull of anteriomedial muscles (adductors, thigh flexors).