Broken Bones

Question 0

Colles fracture

Answer 0

Dinner fork deformity - old age
Fracture of distal radius in forearm with dorsal displacement of wrist and hand
Cast or ORIF

Question 1

Scaphoid fracture

Answer 1

Tenderness over the anatomical snuffbox
Fall on palm on outstretched hand
Won’t show up on X-ray
Cast hand for 7-10 days otherwise leads to avascular necrosis

Question 2

Anterior shoulder dislocation

Answer 2

Gross injury and loss of sensation over badge patch area
X-ray MRI of rotator cuff injury
Management: pain relief, reduce dislocation, place in sling, surgery

Question 3

Pulled elbow

Answer 3

Parents pulling extended arm of child

Conservative management: reduce and analgesia

Question 4

Slipped femoral epiphysis

Answer 4

Overweight child, painful hip or knee at end of PE lesson
X-ray
Bed rest, stabilised by pin or screw