Fx Mx

Question 1

Proximal humerus fx

Answer 1

Immobilization
<10 any angulation
10-12 ; 60 to 75degree
>12 ; 45 degree 2/3 displacement

Question 2

Humerus

Answer 2

20 VV
20 sagittal
3 cm shortening

Question 3

Supracondylar

Answer 3

Gartland I

II : AHM , bisect capitellum, no medial commiunation

Question 4

Medial epicondyle

Answer 4

Less than 5mm displacement

No incarceration

Question 5

Laterla condyle

Answer 5

Less than 2mm LAC
2-4 CRPP
>4 ORPP

Question 6

Olecranon fx

Answer 6

Mini displacement LAC

ORIF FOR displaced Commiunation unstable

Question 7

Radial head

Answer 7

<30 immobilization

>30 crpp

Question 8

Monteggia

Answer 8

LAC for Bado I II III stable

ORIF Bado IV or any unstable RH

Question 9

Bb forearm

Answer 9

<9 : angulation 15 rotation 45 bayonet
>9 : angulation 10 rotation 30
Cast

Question 10

Distal radisu dx

Answer 10

<9 ; less 30 angulation
>9 ; less than 20
> 10 or 20 do close reductions

Question 11

Pelvis fx

Acetabulum

Answer 11

PWB
< 2 mm displacement, I avulsion II wing III ring BED rest ; IV
Acetabulum minimal displacement

Question 12

Proximal femur

Answer 12

Dlebt 
I
Ii
Iii
Iv
<4 yo wire , >4 screw for i ii iii
Iv dhs

Question 13

Femur fx

Answer 13

<6 mo pavlik
6 mo - 6 yrs ; less than 2 cm shortening spica
“0-5”
More than 2 cm ; traction+ delayed spica

5y-11 : wt < 49 + length stable nancy nail
Wt >49 or unstable submusclar plate

> 11
IMM

Question 14

Distal femur

Answer 14

Nondisplaced casting

Displaced crpp vs orif

Question 15

Tibial eminence

Answer 15

I non displaced: cast in extensions
II partial displacement: reduction cast in ext
III complete displacement : orif

Question 16

Tibial tubercle

Answer 16

I cast

II-IV Orif.

Question 17

Patella sleeve

Answer 17

Non displaced cylinder cast

Displaced orif

Question 18

Tibia shaft fx

Answer 18

Long cats toddler ,

50 translations 10 ap lateral angulation

Question 19

Ankle fx

Answer 19

Cast nwb+ close reductiom
Distal fibula , SH I II more THAN 2mm
Distal tibia : SH I II accptable reduction
No varus valgus <10 re,procurvayum <10 <3 mm physeal widening

Crrp for more tham 2yr remaining
Orif less than 2

Question 20

Tillaux

Answer 20

<2 mm close reduction casting

Question 21

Triplane fx

Answer 21

<2 mm close reduction casting