common fractures Flashcards
management of tibial shaft fracture
conservative = above knee cast
operative = IM nailing, open reduction internal, fixation
when to use Schatzker classification
types of tibial plateau fracture
features of tibial plateau fracture
high energy > young
low energy > old (osteoporotic)
associated risk of injury to surrounding popliteal structures and neurovascular damage
management of tibial plateau fracture
conservative = above knee cast
operative = open reduction internal
fixation (ORIF)
external fixator
delayed total knee
replacement
femoral shaft fractures features
high energy > young
low energy > old
when is a Thomas’ splint required
femoral shaft fracture
-helps with swelling, blood loss
-a temporary mechanism
management of femoral shaft fracture
operative = IM nail, plate fixation (ORIF)
(conservative not advised)
pelvic fractures features
disruption in one part of the pelvic ring invariably results in a disruption elsewhere
high > young
low > old
initial management for pelvic fracture
pelvic binder
(high energy injuries)
what is the young burgess classification for
pelvic fracture
management for pelvic fractures
conservative
operative
distal radius fracture features
FOOSH (fall on outstretched hand) often the cause
eponymous fracture patterns = Colles Smiths Bartons
assess peripheral nerves and blood supply
management of distal radius fracture
conservative = cast, splint
operative = ORIF/MUA, K-wires, external fixator
forearm fractures features
if there is a fracture of one bone often there is an injury to another
eponymous fracture patterns = 3?
forearm fractures in children features
triceps tendon - extension of the elbow
often caused by falling on the elbow
