complications of fractures

Question 1

early fracture complications

Answer 1

compartment syndrome
vascular damage
neurological injury
respiratory distress syndrome!!
malunion

Question 2

what is compartment syndrome

Answer 2

elevation of intracompartmental presusre above perfusion pressure leading to muscle necrosis and severe contracture

Question 3

symptoms of compartment syndrome

Answer 3

severe pain

Question 4

signs of compartment syndrome

Answer 4

pain with passive muscle stretch

paresthesias , pulselessness are late signs

Question 5

vascular damage to a limb

Answer 5

is a surgical emergency

Question 6

which nerve is at risk of a humeral fracture

Answer 6

radial nerve

Question 7

define malunion

Answer 7

reduction is not complete
lose due to suboptimal follow up
poor patient compliance

Question 8

ARDS is associated with what type of fractures

Answer 8

long bone fractures

Question 9

if ARDS is associated with cerebral dysfunction then you think this is likely a

Answer 9

fat embolism

Question 10

how do you treat ARDS

Answer 10

resp support

Question 11

how do you reduce the incidence of ARDS

Answer 11

FIX femur fractures EARLY

Question 12

fractures should heal within

Answer 12

2 months

Question 13

nonunion is common with which injuries

Answer 13

scaphoid

femoral neck

Question 14

how do you treat non-union

Answer 14

bone graft and internal fixation

Question 15

what are 2 causes of stiffness after a fracture

Answer 15

• prolonged immobilization

- inadequate rehab

Question 16

most common reason for an infection is

Answer 16

an open fracture

open reduction

Question 17

how do you treat an infection - osteomyelitis

Answer 17

• drain purulent collection
• debride dead bone
• antibiotics

Question 18

compressive neuropathy is related to

Answer 18

edema

pressure

Question 19

common nerves affected in compressive neuropathy include

Answer 19

median nerve
ulnar
common peroneal

Question 20

common tendon that ruptures is

Answer 20

extensor pollicus longus with distal radial fractures

Question 21

Late complications of fractures

Answer 21

• avascular necrosis

- post-traumatic degenerative arthritis

Question 22

avascular necrosis common in which type of fractures

Answer 22

femoral neck

scaphoid

Question 23

post-traumatic degenerative arthritis most commonly associated with

Answer 23

intra-articular displaced fractures

Question 24

symptoms of degenerative arthritis

Answer 24

pain

stiffness