common ortho injuries

Question 1

clavicular fractures

Answer 1

junction and middle 2/3

- figure of 8 sling

Question 2

most common dislocation

Answer 2

• anterior

- may be numb over deltoid due to stretching axillary nerve

Question 3

posterior dislocaiton

Answer 3

tend to be due to high force like seizure or eceltricity

Question 4

colles

Answer 4

FOOSH, esp in older women

- dinner fork deformity

Question 5

monteggia fracture

Answer 5

• police baton

- fracture of ulna with distal radial dislocation

Question 6

galeazzi

Answer 6

opposite of monteggia

Question 7

scaphoid fracture

Answer 7

FOOSH in young ppl

• spica cast
• not on xrays

Question 8

metacarpal fracture

Answer 8

• from hitting a wall
• swollen hand and xray will show
• may fix open or closed depending

Question 9

clinical picture in hip fracture

Answer 9

externally rotated and shortened leg

Question 10

issue in femoral neck

Answer 10

loss of blood supply

- often just do prostesis

Question 11

intertrochanteric fracture

Answer 11

less danger to blood supply

- open with pins

Question 12

tibial stress fracture

Answer 12

young men on forced marches

• not seen on xray
• cast for 2 weeks

Question 13

X of the tibia and fibula

Answer 13

tend to be in car accidents

- can closed ureduce the easy ones

Question 14

imaging and Tx for ankle Fx

Answer 14

• AP, lat, mortice

- ORIF

Question 15

achilles rupture

Answer 15

middle age man plants and turns

- need surgery to speed healing

Question 16

posterior hip dislocation

Answer 16

hip turned in and shortened

- need surgery to fix

Question 17

nerve injured in humerus break

Answer 17

radial

- can’t extend wrist and pointer

Question 18

danger with knee dislocation

Answer 18

popliteal artery

- need to feel for pulses below