Metatarsal Fractures Flashcards

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1
Q

Order of frequency for metatarsal fractures

A

5 - 3 - 2 - 1 - 4

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2
Q

Usually confirms the diagnosis and the sagittal plane is the most important

A

Radiographs

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3
Q

Usually for diagnosing metatarsal base fractures and intra-articular fractures

A

CT Scan

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4
Q

MOI of metatarsal head fractures

A

Direct trauma or Impaction

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5
Q

Vassal Principle

A

Fix the main fracture and the other fractures come together b/c they all share a common soft tissue structure

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6
Q

Typical MOI of metatarsal shaft fractures

A

Direct Trauma
Blunt force
Torsional injuries

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7
Q

Metatarsal base fractures often need what imaging?

A

CT

X-ray, too

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8
Q

Metatarsal base fractures are often associated with what?

A

Tarsometatarsal fracture-dislocation

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9
Q

If unable to treat within first few hours or if soft tissue envelope compromised then what how main days or until what?

A

7 days or swelling reduces

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10
Q

Fixation options for open reduction

A
K-wire
Steinmann Pins
Plate/Screw
Circlage wire
Ex-fix
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11
Q

Fixation options for avulsion fractures

A

Tension band wire
Cross K-wire
Lag Screw
Partially threaded cancellous screw

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12
Q

Fixation options for transverse fractures

A

Tension band wire
K-wire
PT cancellous screw
Plate

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13
Q

Fixation options for oblique fractures

A

K-wire
Plate/Screws
IM pin

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14
Q

Fixation options for spiral fractures

A

Plates/Screws

Screws only if fracture is long enough

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15
Q

Fixation options for comminuted fractures

A

K-wires
Plates/Screws
Ex-fix

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16
Q

Type 1 Stewart

A

Metaphyseal-Diaphyseal junction

-Jones fracture

17
Q

Type 2 Stewart

A

Intra-articular tuberosity without comminution

18
Q

Type 3 Stewart

A

Extra-articular tuberosity fracture

19
Q

Type 4 Stewart

A

Intra-articular, comminuted tuberosity

20
Q

Type 5 Stewart

A

Fracture of the epiphysis

21
Q

Factors influencing Jones fracture outcome (4)

A

Vascular supply
Mechanical Forces
Treatment inconsistencies
Population involved

22
Q

Torg type 1 treatment

A

Same as Jones

23
Q

Torg type 2 treatment

A

Inlay bone graft

IM screw

24
Q

Torg type 3 treatment

A

Inlay bone graft

IM Screw