Fracture stuff Flashcards

1
Q

What prophylaxis is given for any open fracture?

A

Co-amoxiclav and metronidazole

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2
Q

Compartment syndrome presentation?

A

Pressure >30mmHg.

Pain on passive stretch and out of proportion.

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3
Q

Management and complication of compartment syndrome?

A

Fasciotomy

Volkmann’s ischaemia contracture.

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4
Q

What fractures are at risk of AVN?

A
Scaphoid 
Talus
Head of humerus 
Intra-capsular femoral 
Etc
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5
Q

Mechanism of injury of olecranon fracture?

A

Fall onto point of elbow with triceps contracted.

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6
Q

Loss of pronation and supination with a fat pad sign on x-ray, what #?

A

Radial head.

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7
Q

Hip fractures classified based on what?

A

Garden classification

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8
Q

Management of extra-capsular hip fractures?

A

Dynamic hip screw or IM nail.

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9
Q

Management of femoral shaft fracture?

A

Immediate stabilisation with Thomas splint

Closed reduction then IM nail.

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10
Q

What is the slowest growing fracture?

A

Tibial shaft.

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11
Q

Management of 5th metatarsal fracture?

A

Moon boot.

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12
Q

Hip dislocation is always in what direction and what nerve is at risk?

A

Always posterior and sciatic nerve is at risk.

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13
Q

Investigation of choice for osteomnyselitis?

A

MRI

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14
Q

High temp and back/groin pain in an IVDU?

A

Psoas abscess.

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15
Q

Sagging of the tibia behind the femur indicates what ligament is damaged?

A

PCL

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16
Q

Bennett’s fracture?

A

intra-articular fracture of thumb when in a fight.

17
Q

Bimalleolar ankle fracture?

18
Q

Elderly woman with reduced mobility who has a displaxced intracapsualr hip fracture?

A

Cement hemi-arthroplasty.

19
Q

Risk factors for DDH?

A
  • Breech
  • Family history
  • first born
  • Female
20
Q

Burning pain in leg, what nerve?

A

Lateral cutaneous nerve of thigh.

21
Q

What is syringomyelia?

A

Cystic cavity forms within the spinal cord that only affects the spinothalamic tract.

22
Q

FOOSH and pain over lateral elbow?

A

Radial head fracture

Pain on pronation and supination

23
Q

Back pain better on walking up hill?

A

Spinal canal strenosis

24
Q

Investigation and management of spinal canal stenosis?

A

MRI and laminectomy.

25
Management of a subcapital hip fracture?
Hemi-arthroplasty Sub-capital hip fracture is the most common intra-casual hip fracture.
26
How do u detect and intracapsual hip # on x ray?
Draw a line from greater to less trochanter, any fracture proximal to this is Intracapsular
27
Sudden onset breathlessness after femoral fracture?
Fat embolism.
28
teenage girl with knee pain that is worse on walking down the stairs?
Chondromalacia patellae. Occurs often in teenage girls after injury.
29
Foot drop after hip replacement?
Sciatic nerve
30
Foot drop after any other op?
Perineal nerve.
31
Investigation of cauda equina?
Immediated MRI.
32
Triceps reflex?
Radial nerve C7
33
Management of intertrochanteric hip fracture?
Dynamic hip screw.
34
Triad of symptoms in fat embolism?
Breathlessness Neuro signs Rash
35
What antibiotic is often to blame for an Achilles’ tendon rupture?
Ciprofloxacin (quinolones)