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MSK > Conservative Fracture management > Flashcards

Conservative Fracture management Flashcards

1
Q

What are the 4 stages of fracture management?

A
  • Resuscitate
  • Reduce
  • Retain
  • Rehabilitate
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2
Q

What are the main forms of reduction of a fracture?

A
  • Open reduction
  • Closed manipulation
  • Traction
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3
Q

When may open reduction be required?

A

When anatomical reduction is necessary - e.g. inta-articular fractures) or associated neurovascular damage

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4
Q

When may closed reduction be regarded as the best option?

A

For extra-articular fractures where accurate reduction can be achieved

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5
Q

What are methods for retaining a fracture in its reduced position?

A
  • External fixation
  • Internal fixation
  • Conservative immobilisation
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6
Q

When would external fixation be used to retain a fracture in its reduced position?

A
  • Contaminated open wound
  • Severe open fractures
  • Severe associated soft tissue injury
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7
Q

When would internal fixation be used to retain the position of a fracture following reduction?

A
  • Comminuted or displaced fractures
  • Intra-articular fractures
  • Bones not able to be reduced by other methods
  • Associated joint incongruity
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8
Q

What are the main forms of intramedullary internal fixation?

A
  • K-wires
  • Intramedullary nails
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9
Q

What are the main forms of extramedullary internal fixation?

A

Plates and screws

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10
Q

How would you conservatively manage a C-spine fracture?

A

Cervical collar/traction

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11
Q

How would you conservatively manage a pelvic fracture?

A
  • If stable - none necessary
  • Immediate management - pelvic binder
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12
Q

How would you conservatively manage a proximal humerus fracture?

A

Collar and cuff

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13
Q

How would you conservatively manage a midshaft humeral fracture?

A

Collar and cuff, and U-slab/functional humeral brace

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14
Q

How would you conservatively manage a distal/olecranon/epicondylar humeral fracture?

A

Above elbow backslab/cast

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15
Q

How would you conservatively manage a colles fracture?

A

Colles backslab - below elbow backslab with wrist flexed and ulnar deviated

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16
Q

How would you manage a Smith’s fracture?

A

Below Elbow backslab/cast with wrist extended

17
Q

How would you conservatively manage manage a volar Barton’s fracture?

A

Above elbow backslab/cast

18
Q

How would you conservatively manage an ulnar fracture?

A

Above elbow backslab/cast

19
Q

How would you conservatively manage a fracture of the scaphoid?

A
  • Futuro splint +/- thumb extension
  • Tumb spica splint/cast - If definite fracture
20
Q

How would you conservatively manage a fracture of any other carpal of the hand except the scaphoid?

A
  • Below elbow backslab/cast
  • Volar/dorsal forearm splint
21
Q

How would you conservatively manage a bennet’s fracture?

A

Bennet’s Cast

22
Q

How would conservatively manage a fracture of 4th/5th metacarpals?

A
  • Ulnar gutter splint
  • Volar/dorsal forerarm slab/splint
23
Q

How would you conservatively manage a fracture/fractures of the 2nd/3rd metacarpals?

A
  • Radial gutter splint
  • Volar/dorsal forearm slab/splint
24
Q

How would you conservatively manage a patella fracture?

A
  • Above knee backslab
  • Leg cylinder cast
  • Hinge brace
  • Cricket brace
25
Q

How would you conservatively manage a tibial plateau fracture?

A
  • Hinge brace
  • Above knee back-slab/cast - non-weight bearing
26
Q

How would you conservatively manage a tib/fib fracture?

A

Above knee back slab/cast

27
Q

How would you conservatively manage a bi/trimalleolar fracture?

A

Non weight bearing

  • Below knee backslab/cast
28
Q

How would you conservatively manage a metatarsal fracture?

A

Weight bear as tolerated

  • Stiff soled shoes
  • Walking boot
29
Q

How would you conservatively manage fractures of the proximal or mid palages of the hand?

A
  • Buddy tape
  • Ulnar/radial gutter splint
  • Dorsal/volar finger splints
30
Q

How would you conservatively manage someone with a distal phalanx fracture?

A
  • U-shaped splint
  • Mallet finger splint - if mallet fracture

MSK (27 decks)

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