Fractures And Its Rehab

Question 1

Collens Fracture

Answer 1

Fragility fracture
In osteoporotic
Forward falling
Wrist forced into supination
Includes aversion fracture of ulnar styloid
Dinner fork deformity

Question 2

Treatment of colles fracture

Answer 2

Undisplaced= immobilisation and 6 weeks plaster
Displaced = closed manipulation and colles cast
Communited = transfixed with 2 K wires, external fixator and locking compression plate

Question 3

Colles fracture complications

Answer 3

Circulatory
Carpal tunnel
Reflex sympathetic dystrophy
TFCC injury
Subluxation of inferior radio ulnar joint
Malunion
Stiffness
Tendon rupture

Question 4

Smith fracture

Answer 4

Volar angulation
Reverse colles
Less common
Garden spade deformity

Question 5

Smith fracture treatment

Answer 5

Conservative = 6 weeks immobilisation and close reduction
Surgical = K wire or plate

Question 6

Barton’s fracture

Answer 6

Associated with dislocation of radio carpal joint
Intra articular fracture
Can be volar or dorsal
Small distal fragments displaced along with carpal

Question 7

Treatment of Barton fracture

Answer 7

Closed reduction and plaster cast
Internal fixation by plate or k wires

Question 8

Rehab for fractures

Answer 8

Hot/ cold
Rom
Retrograde massage
Dexterity exercise
Mobilisation
Compression
Strengthening

Question 9

Most common fractures

Answer 9

Metacarpals
Phalanges

Question 10

Surgeries for fractures

Answer 10

Kirschers wire ( k wires)
Serclage wire
Screw plate nail