Fractures and Amputation Flashcards
An ankle disarticulation with attachment of heel pad to distal end of tibia; may include removal of malleoli and distal tibial/fibular flares– this describes what type of amputation?
Symes
A physical therapist performs a dorsal glide to the distal radioulnar joint on a patient 12 weeks status post fracture. This technique is best used to increase:
supination
The following are true regarding phantom limb pain, except:
If it is still present at 6 months post surgery, the prognosis is favorable
A patient with severe fracture pattern, skin contusion and complicated with (+) compartment syndrome was referred for in patient physical therapy. What type/grade of closed fracture as to Oestern and Tscherne classification is being described?
Grade 3
These complications develop only on the stumps on active prosthetic users as result of socket pressure, skin friction, and perspiration
Epidermoid cysts
A 35-60% of transfemoral stump compared to normal is considered a ___________ stump
medium transfemoral stump
A physical therapist treats a patient following a lower extremity amputation. The patient is currently one week post-op and has a postoperative rigid dressing. Which of the following is not a benefit of the rigid dressing?
allows for daily wound inspection and dressing changes
Part of the management guidelines for fractures during the period of immobilization is decreasing the effects of immobilization. Which of the following interventions is not appropriate for the said plan of care?
Initiate joint play stretching using grades III and IV with force applied proximal to healing fracture site
A physical therapist is evaluating a 70-year-old female patient who reports the onset of midthoracic pain after working in a garden for several hours. The presence of which of the following history items should increase the therapist’s suspicion of a thoracic compression fracture in the patient?
Smoking and prolonged steroid use
A 29 year old female status post Colles’ fracture is referred to physical therapy. The patient has moderate edema in her fingers and the dorsum of her hand and complains of pain during active range of motion. The most appropriate method to quantify the patient’s edema is:
volumetric measurements
Principles of Fracture Treatment
Reduction, Maintenance of Reduction, Preservation & Restoration of Function
A 65-year-old diabetic male with forefoot gangrene is evaluated for possible amputation. When discussing the amputation levels with the patient, which of the following should be noted to require the greatest increase in energy expenditure for ambulation?
Transfemoral amputation
All of the following describes an Type 3 open fracture as to Gustillo Anderson Classification; except?
No periosteal stripping
A patient sustains a burst fracture of a thoracic vertebra secondary to a hyperflexion injury. The physician’s note indicates the fracture is stable. Which of the following would not be considered appropriate immediate physical therapy management?
active spinal range of motion exercises
A physical therapist provides preoperative instructions to a patient scheduled for lower extremity amputation. Which of the following is the most common cause of lower extremity amputation?
peripheral vascular disease
Fx of distal radius associated w/ dislocation of the ulnar head
Moore’s fx
A patient fell while rock climbing 2 days ago. The fall resulted in a fracture of the right ankle, requiring an open reduction and internal fixation. The patient also sustained a nerve injury that resulted in significant weakness in the muscles in the right C6–C7 myotome. The patient is restricted to non-weight-bearing status on the right lower extremity. Which of the following assistive devices is MOST appropriate for the patient?
wheelchair
fx involves volar displacement & angulation of distal fragment
Smith’s fx
An amputation through the talonavicular and calcaneocuboid joints
Chopart
To measure the transhumeral stump, it should be measured from the tip of the acromion process to the medial femoral condyle
false
A physical therapist instructs a patient rehabilitating from a fractured right ankle to ascend a set of stairs equipped with handrails. The patient indicates that his job requires him to use the stairs frequently and expresses concern that he will be unable to adequately navigate through traffic. The most appropriate location to stand when guarding the patient is:
behind the patient toward the uninvolved side
Which of the following muscles are not to be stressed in training above and below knee amputees?
shoulder elevators and elbow flexors
An amputation through tarsometatarsal joint
Lisfranc
All of the following suggests the disadvantages of an Immediate Post Operative Prosthesis compared with other post surgical dressings, except?
Easy access to incision
