Exam 4 LE Ortho Emergencies

Question 1

Fibula fxr: tx?

Answer 1

Fibula “out to length”
Immob 4-6 wks
Screw removed @ 12 wks

Question 2

Tibia fxr: tx?

Answer 2

Immob w/ straight leg or ROM hinge brace
Non-weight bearing
CT

Question 3

Femur fxr: tx?

Answer 3

Admit
Traction
Labs:  CBC, TxS, Coag
Surgery
Post-op anti-coag

Question 4

Acetabular fxr: MOI?

Answer 4

(Where head of femur articulates w/ hip)

Trauma
Insufficiency

Question 5

Stress fxrs C where?

Presentation?

Tx?

Answer 5

Pubic rami
Femoral neck

Insidious onset of groin pain
XRay initially negative (MRI needed)

Rest

Question 6

Pubic Rami fxr: tx?

Answer 6

Weightbearing (WB) as tolerated

Pain mgmt

Question 7

Hip fxr: Locations? (4)

Answer 7

Femoral neck
Intertrochanteric
Subtrochanteric
Femoral shaft

Question 8

Hip fxr: Presentation?

Answer 8

Pain
No WB
Short leg U w/ external rotation

Question 9

Hip fxr: tx?

Answer 9

NWB
Traction
Surgery

Question 10

Purpose of Traction?

Answer 10

Aligns fxr fragments
Relieves mm spasm
Relieves pain
↓pressure on bone ends

Question 11

Traction types?

Answer 11

Skin = 5-10 lbs
Skeletal = 25-40 lbs

Question 12

Salter Harris fxr classification:

I

II

III

IV

V

Answer 12

I = Horizontal thru physis (growth plate)

II = Thru physis into metaphysis (in shaft)

III = Thru epiphysis into physis (in distal end)

IV = Thru epiphysis into meta and physis

V = Crush of physis (compact space together)