fracture management Flashcards
clavicle fracture management
undisplaced= broad arm sling/ polysling (polysling gives more support) + no follow up required
skin compromise- discuss with orthopaedics
AC joint disruption management
broad arm sling + physio follow up
shoulder dislocation management
reduction in ED + polysling
-face to face fracture clinic in 2 weeks
-physio referral
proximal humeral fracture management
collar + cuff
-analgesia
-advice to sleep at incline of 45 degrees
humeral shaft fractue
radial nerve disruption= surgery
humeral brace and collar and cuff or long back slab plus sling
undisplaced supracondylar fracture (Gartland 1)
collar and cuff
suprcondylar fracture minimally displaced, significant displaced or markedly displaced
apply backslab and call ortho
raidal neck fracture management?
undisplaced, angulated <25 degrees and not involving join surface= collar and cuff
angulation, displacement or intra articular= discuss with orthopaedics
forearm fracture management?
MUGR- surgery
no clinical deformity- long arm complete cast
clinical deformity- discuss with ortho, consider manipulation under entonox/ ketamine. May require admission and operative management
management of buckle fracture
wrist splint 3 weeks
management of a distal radius/ ulna fracture?
undisplaced- wrist splint
displaced- discuss with ortho, consider manipulation under entonox or ketamine + may require admission and operative management
undisplaced growth plate (physeal) injury management
backslab or removable splint
displaced physeal (growth plate) injury
discuss with otho
-consider manipulation under entonox or ketamine. may require amdission + operation
scaphoid fracture suspect
wrist splint/ scaphoid cast
femoral shaft fracture
immediate= femoral nerve block and thomas splint
-IM nail + ORIF plate fixation
what nerves does the femoral nerve supply
L2- 4
what motor/sensory affects does a femoral nerve block have
sensory loss:
-anterior thigh
-medial thigh
-medial leg and foot
motor:
-quadriceps
-weak or absent knee extension
undisplaced fracture of tibia management
long leg full cast AKA above knee cast
operative:
-IM nailing
-ORIF
toddler fracture managment
(spiral fracture of tibia)
1st= walking boot
not available= full cast
undisplaced fracture of distal fibula management
walking boot
-remove in 4 weeks
displaced fracture of distal fibula managment
walking boot
-face to face fracture clinic in 1 week
toe fractures management
walking boot
-call ortho is there are multiple displaced metatasal shaft fractures
pelvic fracture initial management
pelvic binder
