foot and ankle shit Flashcards
What can you as a PA do for the Dr intitailly
fucked if I know
what is the Gustillo-Anderson open fx classification
Type I
less than 1 cm long, no crushing component, internal to external injury
Type II
more than 1 cm long, minimal comminution, outside to inside injury
Type III
extensive soft tissue damage, severe comminution, vascular injury
are x-rays necessary?
know the Ottawa Rules.
Follow the Ottawa Rules
But when in doubt, order the films
2 views minimum, preferably 4 views
(1) Ankle lateral, (2) Ankle Anterior-Posterior, (3) Ankle Mortise
(4) Foot Anterior-Posterior
(3 views of the ankle, 2 views of the foot)
always get a CT scan if?
intra-articular.
how to reduce?
distract
increase
reduce
calcaneal fx
Mondors sign
edema
open component
vascular comprimise
calcaneal x-rays
3 views of both feet, calcaneal axial
consider spine films
know calcaneal fx measurements
bohlers, gissanes angle….
what do you need to worry about with calcaneal fx?
5 p’s
compartment syndrome…
The 5 P’s Pain (severe) Pulselessness Palor Paresthesias Pain with passive stretch
Talus fx
open or extruded
acute fx
polytrauma
soft tissue envelope
lis franc red flags
imaging
deformity
vascular comrimise
open component
3views of ankle foot and medial image
foot infection red flags
chronic-acute
fuliment
wet or dry
soft tissue injuries
tendon rupture
crush injury
ankle sprains
ankle sprains grading system
whats torn and how bad.
1=mild stretch
2=
ankle prain x-ray threshold
ecchymosis edema guarding fx ambulatory
