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MSKJaz > # management > Flashcards

# management Flashcards

1
Q

extracapsular hip fractures management =

A

internal fixation with DHS/ compression

if subtrochanteric = pre-op Thomas spling

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2
Q

management of intracapsular hip #

A

THR or hemiarthroplasty

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3
Q

management of extra articular non - distal femur #

A

IM nail

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4
Q

management of extra articular distal femur #

A

plating

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5
Q

management of intraarticular distal femur #

A

anatomical reduction, rigid fixation with plates and screws

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6
Q

management of femoral shaft #

A

femoral nerve block
Thomas splint
if unstable = IM nailing

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7
Q

management of prox tibia intraarticular #

A

temp spanning and ext fixation (if sig soft tissue damage)
anatomical reduction and rigid fix
often TKR

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8
Q

management of prox tibia extraarticular #

A

temp span and ext fixate if sig soft tissue injury

anatomical reduction rigid fixate

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9
Q

management of <50% displaced and <5degree angulation tibial shaft #

A

knee cast

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10
Q

management of comminuted and open tibial shaft #

A

sx stabilisation

IM nailing with plastic Sx assistance or ext fixate

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11
Q

management of extraarticular non distal # of distal tibia

A

IM nail

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12
Q

management of extraarticular distal tibial #

A

plate

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13
Q

management of non displaced stable distal tibial #

A

conservative Rx

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14
Q

management of Pilon #

A

Emergency
early int fix if soft tissue ok, if not = bridging ext fixate with delayed int fix
ORIF
CT for other injuries

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15
Q

management of isolated distal fibular ankle

A

walking cast / splint for 6 weeks

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16
Q

management of distal fibula # with deltoid lig rupture

A

ORIF with plates and screws

mortise AP xray to check for talar shift

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17
Q

management of bimalleolar distal fibula #

A

ORIF with plates and screws

mortise AP xray to check for talar shift

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18
Q

dont thomas splint distal femur supracondylar # because

A

leads to disimpaction of # due to pull of gastroc on distal fragment

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19
Q

management of minimally displaced medial malleolus # of tibia

A

conservative

walking cast / splint for 6wks

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20
Q

management of calcaneal # =

___ should be checked

A

ORIF debated

spinal injury

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21
Q

management of displaced talar fracture

A

closed or open reduction and screw fixation

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22
Q

management of Lisfranc (base of 2nd MT) #

A

CT scan if doubt because xray can be normal

closed/open reduction with fixation with screws

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23
Q

management of base of 5th MT #

A

walking cast/wearing stout boot for 4-6wks

24
Q

management of proximal diaphysis of 5th MT (Jones #)
displaced in active =
non union =
stable =

A

displaced # in active = fixate with one screw
non union = bone grafting and fixation
stable = moon boot

25
Q

1st MT # management

A

fixation

26
Q

management of lesser MT #

A

minimal displacement = treated conservatively with cast

multiple displaced #s = stabilised with k wires

27
Q

management of 2nd MT #

A

cast until pain subsides

28
Q

management of extra art toe #

A

protect in stout boot

open = debride and stabilise with wires

29
Q

management of toe dislocations

A

closed reduction and either neighbour strapping or wiring

30
Q

management of intra art # of base of proximal phalanx of hallux

A

reduction and fixation

if open = debridement and stabilise with wires

31
Q

management of minimally displaced prox humerus #

A

conservative with sling

32
Q

management of persistently displaced prox humerus # =

A

internally fixate

33
Q

management of head splitting # or 3/4 part fracture of proximal humerus

A

arthroplasty considered

34
Q

most common pattern of fracture of proximal humerus

A

surgical neck # with medial displacement of humeral shaft due to pectoralis major pull

35
Q

s dancers get :

A

MT avulsion #

36
Q

`wrist drop and loss of sensation in 1st dorsal web space is due to

A

radial nerve damage

37
Q

management of humeral shaft #

A

functional humeral brace to compress and stabilise
polytrauma = int fix wit hIM nail, plate or screw
non union = plating and bone graft

38
Q

management of intra art distal humerus #

A

ORIF with anatomical reduction and rigid fixation

elbow replacement considered in highly comminuted

39
Q

management of olecranon #

A

ORIF

simple transverse avulsion # = fixed with tension band wiring

40
Q

management of radial head and neck #s

A

min displaced marginal # = conservative
Sx if displaced fragment blocks extension
comminuted = excise +/- replacement

41
Q

management of epicondyle #

A

fixed screw

42
Q

management of coronoid #

A

if large = ORIF with screw

43
Q

management of nightstick #

A

conservative

44
Q

management of ulna and radius together #

A

ORIF with plates and screws
kids w minimal angulation = plaster
very angulated with intact periosteum after reduction and unstable in 1 direction = MUA and plaster

45
Q

management of Monteggia # dislocation (ulnar # with radial head dislocation)

A

ORIF of ulnar #

and once reduced radial head will reduce

46
Q

management of Galeazzi # dislocation (radial # with dislocation of ulna at distal radio ulnar J)

A

ORIF of radial #

and once reduced ulna head will reduce

47
Q

management of Colles # (extra - art distal radius # with dorsal displacement of distal radius)

A

stable min displaced/angulated = plaster
displaced simple = MUA
displaced, comminution = MUA k wiring and ORIF

48
Q

complications of Colles #

A

median nerve compression
EPL rupture
CRPS
loss of grip strength

49
Q

dinner fork deformity =

A

Colles #

50
Q

management of Smith # ( extra art of distal radius # with volar disp)

A

ORIF with plate and screws

51
Q

Smith # = __ failure of radius

Colles = ___ failure of radius

A 
smith = flexion
colles = extension
52
Q

management of intra art radial # with dorsal or volar rim # (Bartons #)

A

ORIF

53
Q

management of comminuted intra art distal radial #

A

externally fixate +/- k wires

54
Q

management of scaphoid #

A 
splint wrist
undisplaced # = plaster cast for 6-12wks
displaced # = special compression screw
non-union = screw fixate and bone graft
4 xrays
55
Q

management of 3rd/4/5th MC #

A

conservative

56
Q

management of 5th MC neck #

A

up to 45 degree angulation tolerated

manipulation with neighbour strapping or k wire stabilisation

57
Q

management of phalangeal #

A

sig displaced/angulated = MUA / digital nerve block
unstable # = k wire / fixate with small screws
interarticular # = k wire or small screws

MSKJaz (28 decks)

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