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The Holy Grail (Treatments) > Fractures and Dislocations > Flashcards

Fractures and Dislocations Flashcards

1
Q

Knee Dislocation

A

Multiligament reconstruction

Physiotherapy

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2
Q

Shoulder dislocation

A

Acute: Closed reduction under anaesthetic, sling for 2-3 weeks
Severe acute: Open reduction

Chronic recurrence: Bankart procedure

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3
Q

Proximal Humeral Shaft Fracture

A

1/2 parts: Collar and cuff sling + analgesia, sometimes reduction
3 parts: ORIF

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4
Q

Distal Humeral Shaft Fracture

A

Cast, sling + analgesia

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5
Q

Nightstick Fracture

- Ulnar fracture

A

Conservative (Closed reduction, cast/splint +/- traction)

If necessary: ORIF

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6
Q

Monteggia Fracture

  • Distal ulnar fracture
  • Dislocation of the radial head at elbow
A

ORIF

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7
Q

Galeazzi Fracture Dislocation

  • Radial fracture
  • Dislocation of the ulna at distal radioulnar joint
A

ORIF

Reduce distal radioulnar joint

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8
Q

Colle’s Fracture

  • FOOSH
  • Distal radius- dorsal displacement
A

ORIF

Splintage

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9
Q

Smith’s Fracture

  • FOITH
  • Distal radius fracture- volar displacement
A

ORIF

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10
Q

Barton’s Fracture

- Intra-articular fracture of distal radius with dislocation of radial carpal joint

A

ORIF

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11
Q

Scaphoid Fracture

  • FOOSH
  • Pain in anatomical snuffbox
A 
Minimally displaced: Cast immobilisation
Disal fracture: 6-8 weeks
Middle fracture: 8-12 weeks
Proximal fracture: 12-24 weeks
If blood flow is disrupted: ORIF
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12
Q

Intracapsular Hip Fracture

A

Hemiarthroplasty

THR

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13
Q

Extracapsular Hip Fracture

A

Compression/ dynamic hip screw

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14
Q

Tibial Shaft Fracture

A

Immediate: External fixation
Definite: Intramedullary nail
Minimally displaced (low impact): Closed, long leg cast

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15
Q

Crush Fracture

A

Analgesia

Balloon vertebroplasty

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16
Q

Metatarsal Fracture

A

6-12 weeks in a rigid soled boot

17
Q

Open Fracture

A

Flucloxacillin, Gentamycin and Metronidazole

18
Q

C-spine injuries

A

Firm cervical collar

19
Q

Thoracolumbar spinal fractures

A

Pedicle screws

Fusion/ decompression

20
Q

Low impact pelvic fracture

A

Fluid and blood resuscitation
Pelvic binder
Conservative management (closed reduction and cast)

21
Q

Acetabular pelvic fracture

A

Fluid and blood resuscitation
Pelvic binder
Young: Reduction and rigid fixation
Old: THR

22
Q

Acromioclavicular injury

A

Sling for a few weeks
Physiotherapy
Surgery if chronic pain

23
Q

Proximal humerus fracture

A

Minimally displaced: sling and gradual mobilisation
Displaced: IF
AVN: Hemiarthroplasty

24
Q

Humeral head fractures

A

Humeral brace
IF
Polytrauma: intramedullary nail

25
Q

Olecranon fracture

- curved bony eminence of the ulna

A

ORIF

26
Q

Radial head and neck fracture

A

Minimal: conservative
Displaced: ORIF

27
Q

Elbow dislocation

A

Closed reduction, sling for 3 weeks + exercises

28
Q

Both forearms fracture

A

ORIF
Unstable: MUA and cast
Very unstable: Flexible intramedullary nails

29
Q

Metacarpal fractures

A

Neighbour strapping

K-wire stabilisation

30
Q

Scapholunate dislocation

A

Closed reduction and K-wires

31
Q

Phalangeal fractures

A

Neighbour strapping

K-wires / small screws

32
Q

Peri-lunate dislocation

A

Reduction
Percutaneous pinning
Decompression (carpal tunnel)

33
Q

Mallet finger

A
  • DIP splint (>4weeks)
34
Q

Ankle fracture

A

Stable: walking cast/ boot 6 weeks
Unstable: Reduction and internal fixation

35
Q

Bimalleolar fractures

A

ORIF - wait 2 weeks for swelling to reduce

36
Q

Foot fractures

A

ORIF

37
Q

Toe dislocations

A

Closed reduction and neighbour strapping/ wiring

38
Q

Top fractures

A

1st: Fixed
2-5th minimal: cast
2-5th displaced: k-wires

The Holy Grail (Treatments) (13 decks)

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