Fx Classification Flashcards

1
Q

clavicle; Group 2, Type I fx

A

lateral third and lateral to CC ligs w/o lig involve = no displacement

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

clavicle; Group 2, Type IIa fx

A

lateral third and medial to CC ligs w/o lig involve = no displacement, most need ORIF

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

clavicle; Group 2, Type IIb fx

A

lateral third and between CC ligs w/ conoid lig involvement and no trapezoid lig involvement = medial frag elevated, most need ORIF

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

clavicle; Group 2, type III fx

A

lateral third and ACJ involvement w/o displacement; can be missed => OA ==> resection arthroplasty

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

clavicle; Group 1 fx

A

fracture in middle third; most common at 80%, most can tx w/ sling

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

clavicle; Group 3 fx

A

proximal third; least common at 5%, most can tx w/ sling

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

clavicle; Group 2 fx

A

distal third; 2nd common at 15%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

ORIF indications for clavicle fx’s

A

clavicle severely shortened, tented, open, associated vascular injury

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

imaging needed for clavicle fx

A

2 view; evaluate for shortening

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

clavicle fx complications

A

nonunion, esp group 2; vascular/nerve injury

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

scapula fx facts

A

uncommon, high energy

85% have associated injuries such as pulmonologists contusion, pneumothorax

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

scapula fx imaging

A

AP/ axillary lateral/ scapular Y/ CXr

CT for intraarticular/glenoid and displaced body fx’s

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

scapula fx complications

A

Rib fx MC, pulm contusion, pneumothorax, vascular/brachial plexus injury

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Ideberg Type I

A

glenoid anterior avulsion fx

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Ideberg Type II

A

glenoid transverse/oblique fx that exits inferiorly

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Ideberg Type III

A

glenoid oblique fx that exits superiorly

17
Q

Ideberg Type IV

A

glenoid transverse fx that exits through scapula body

18
Q

Ideberg Type V

A

type II + IV; glenoid transvers/oblique fx that exits inferiorly and transverse fx that exits through scapula body

19
Q

ORIF indications for scapula fx

A

displaced, unstable, large(>25%) intraarticular or angulated neck fx

20
Q

AC Rockwood I

A

AC lig sprain; tx w/ sling

21
Q

AC Rockwood II

A

AC tear, CC lig intact; tx w/ sling

22
Q

AC Rockwood III

A

AC and CC lig tears w/ less than 100% superior displacement; sling or CC repair if athlete/laborer

23
Q

AC Rockwood IV

A

grade III w/ posterior displacement; Sx for CC lig repair indicated

24
Q

AC Rockwood V

A

Grade III w/ <300% superior displacement; Sx for CC lig repair indicated

25
Q

AC Rockwood VI

A

Grade III w/ inferior displacement; Sx for CC lig repair indicated

26
Q

AC separation complications

A

AC arthritis/DJD; stiffness, associated injury such as pneumothorax, fracture, neurapraxia

27
Q

Surgical indications for AC separations

A

Grade IV-VI, grade II if athlete or laborer