Management of specific fracture types Flashcards
1
Q
After stabilising a patient what are 2 questions regarding fractures?
A
- Is a cast an option?
- How to stabilise fracture?
2
Q
When is a cast an option?
A
- Below elbow or stifle (no humerus, scapula or femur)
- Must be able to oppose forces (compression)
-simple transverse / non-displaced spiral - Not a toy breed radial fracture
- Short healing time (young)
- NOT CHEAP
3
Q
How can you stabilise fractures?
A
- Below elbow + stifle
- Robert jones bandage
- Short term only
4
Q
What must be done with bandages?
A
- Give sheet of paper = information of what to do
-so much can go wrong
5
Q
What needs to be done with articular fractures?
A
- SURGICAL
6
Q
What are fractures of the femoral head + neck?
A
- capital + capital physeal
- Femoral neck
- Greater trochanter
7
Q
What are fractures of the pelvis?
A
- Sacroiliac junction
- Weight bearing axis
- Acetabulum
8
Q
When can you just cage rest sacroiliac junction fractures?
A
- If 50% or less displacement
- Minimal pelvic narrowing
- non-painful pain relief
= cage rest
9
Q
What animals can present as not always non weight bearing lame with distal humeral condylar fractures?
A
- French bulldogs
- Young dogs
10
Q
In what breeds is distal radial fractures a problem? Tx?
A
- Toy breeds = poor blood supply
- Tx = Need compression plate - may take 6 months +
- May need to TAKE PLATE OUT after
11
Q
How do you diagnose mandibular symphyseal seperations?
A
- Hx = cats after fall
- Clinical exam = mandibular canines misaligned, excess movement, blood clot in the middle where symphysis should be
- Radiographs - for other possible fractures
- CT
12
Q
How do you treat mandibular seperations?
A
- Muzzle
- Wire - metal / PDS
13
Q
How are metacarpal /Mt fractures treated?
A
- Non surgical if only one fractured
- Toggle pinning for Mc/Mt 3/4
14
Q
How are digit fractures managed?
A
- Non surgical = tape to adjacent digit
- Managed with spider external fracture fixation
- Amputate digit if develops non-union
15
Q
A
