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Rheum Ortho > Fractures > Flashcards

Fractures Flashcards

1
Q

What are the different types of fractures involving the epiphiseal plate?

A 
T1- Straight through 
T2- across => up
T3- up => across
T4- Straight up
T5- crush involving whole  width of plate
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2
Q

The healing of which fractures are prevented by synovial fluid?

A

Weight bearing surfaces
Talar Dome
Tibial plateau

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3
Q

What are the traits of Anterior Shoulder Dislocations?

A

Anterior most common. Force to upraised arm
Obvious on physical
Reduce
Axillary n neuropraxia

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4
Q

What are the traits of Posterior Shoulder Dislocations?

A

Forced internal roation
Seizures, tonic type (tongue biting/cheekchewing)
ROM abn. Cant clap in front

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5
Q

What are the traits of Inferior Shoulder Dislocations?

A

Rare
Abducted shoulder, force applied downward
Brach plexus injuries

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6
Q

What are the traits of Shoulder Fracture?

A

Sling w/ early mobilization
Articular surface intact
Fall on outstretched arm
Surgical or anatomic neck

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7
Q

What are the traits of Spiral Fracture of humerus?

A 
Impact- transeverse
Complications
-Radial nerve danger; Callus?
-Wrist drop?
-during healing
Vascular Damage
Humeral Brace
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8
Q

What are the traits of Distal humerus fracture?

A

Unstable fracture
Sling. Surgical reduction
Radial and ulnar nerve danger

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9
Q

What are the traits of elbow dislocation?

A

Need quick reduction!

Elbow flexion; Sling

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10
Q

What are the traits of Olecranon process fracture?

A

Painful to extend against resistance

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11
Q

What are the traits of Prox radial Dislocation?

A

Nursemaid’s elbow
Easy to reduce
Can be done at home for chronic sublux

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12
Q

What are the traits of Radius-ulnar frcture?

A

May need to complete the fracture. Done under sedation. Casting. Sometimes need to pin

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13
Q

What are the traits of wrist dislocation?

A

Mech: Fall on flexed hand. Need surgical reduction and fixation. lunate keeps slipping out.

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14
Q

What are the traits of a Scaphoid fracture.

A

Radial styloid impacts this. Risk of avascular necrosis. Snuffbox tenderness

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15
Q

What are the traits of Metacarpal Dislocation?

A

hard to grasp. Need repair of dorsal ligmaments. Common in “amature punch”

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16
Q

What are the traits of Finger dislocation?

A

Classic Physical

X-ray easy Dx

17
Q

What is the gen principle of reducing a dislocation?

A

Put joint in position it was dislocated in, then pull traction, release. Splint

18
Q

What are the traits of Finger fractures?

A

Bayonette Frac
Screw fixation
Thumb fracture is 100% disability.
Ulnar collateral ligament

19
Q

What are the traits of pelvic disloction?

A

Open book dislocation
Pelvic Binders
Ischial Ring, Iliac wing
Assist with ADLs => Walker

20
Q

What are the traits of Hip dislocation?

A 
Foot internal rotation
Lateral view on XR
PAIN
Fall from height
Avasc necrosis possible
Propofol => Reduce
21
Q

What are the traits of Hip Fracture?

A 
Direct trauma, insuff
Caput or Neck fixation
Shortened ext rot leg
PAIN CONTROL
Find reason and other injuries.
22
Q

What are the traits of femur shaft fracture?

A

Direct traum, osteoporotic, mid shaft, Patella Cephalad, spasm of quad. PAIN w/ Motion. Traction splint

23
Q

What are the traits of Knee dislocation?

A

Reduction, Assess for circulation

24
Q

What are the traits of Patellar dislocations?

A

Prompt reduction, no XR, push dn on tibia=> put patella back

Crutches PT

25
Q

What are the traits of Tib Fib Fractures?

A

Tap on top of Tibia should transmit to bottom.

26
Q

What nerve can be affected infibular fracture?

A

Peroneal Nerve

27
Q

What are the traits of Ankle fractures?

A

Mech: Torsion or direct axial load. skin integrity. Dislocation. XR Mandatory
Interosseus membrane

28
Q

What are the traits of Foot fractures?

A

Calcaneal frac from jumping off wall. Disabling.

Stress Fractures. Runners

Rheum Ortho (11 decks)

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