Fractures, Compartment Syndrome and Osteoarthritis -Avik

Question 1

What supplies the weight bearing dome of the femoral head?

Answer 1

Medial femoral circumflex A

Question 2

What is the most common location for a stress fx?

Answer 2

tibia

Question 3

What is the most important thing in stress fracture treatment?

Answer 3

activity modification==> slow down the pt

Question 4

What zone is disrupted in growth plate fractures? What can happen if this is disrupted?

Answer 4

hypertrophic zone (proliferative zone of this zone)

if disrupted, can stop growing

Question 5

Which salter harris classifications are likely to cause growth disruption?

Answer 5

IV and V

treat with surgery –> do not

Question 6

how do you treat a type I or II salter harris fx?

Answer 6

closed reduction (conscious sedation) and immobilization

need pre and post X-rays

Question 7

When would you not remanipulate a physeal damage fracture?

Answer 7

after 5-7 days–> more risk for further physeal damage

Question 8

What can happen if the growth plate closes early?

Answer 8

leg length discrepancy

Question 9

What is Volkmann contracture?

Answer 9

compartment syndrome in the upper extremity lead to irreversible contracture and inability to move hand

Question 10

What are the 6 Ps that present with compartment syndrome?

Answer 10

Pain out of proportion
Palpably tense compartment
Pain with passive stretch
BAD:
Paresthesia/hypoesthesia
Paralysis
Pulselessness/pallor