Msk Flashcards
What is a simple fracture?
One where the skin is intact
What is a compound fracture?
One where the skin is not intact and risks the chances of infection
What is a stress fracture?
One where the bone is fractured due to over use and repetitive stress such as walking too much on metatarsals
What is the dorsalis pedis pulse and where?
It’s on the dorsum of your foot, between medial 1st metatarsal and ex digitorum and ex hallucis longus
Anterior tibial artery
Where is the great saphenous vein on the ankle?
Anterior to medial malleoli
Where is the small saphenous vein in the ankle?
Posterior to lateral malleoli
Why on saphenous cut down can you feel tingling by your little toe?
Saphenous nerve is also there, may damage or compress
Where is your posterior tibial pulse?
Post medial malleoli
What can compartment syndrome lead to?
Ischaemia
What are the 6 ps in compartment syndrome?
Pain Pallor Perishingly cold Paraesthesia Paralysis Pulse less
Why does it hurt so much when you mid fracture the tibia?
Periosteum has a rich blood supply
Subcutaneous
Where are the main perferators of the leg?
Ankle, calf, popliteal
What leads to skin ulcers?
Stagnation - poor nutrient supply - trauma
Why is the acilles tendon injured more in >40?
Degeneration
Poor blood supply
What bones of foot responsible for eversion and inversion?
Subtalar
Calcaneocuboid
What muscles support the medial longitudinal arch?
Peroneus longus
Tibialis posterior
Tibialis anterior
Flexor hallucis longus
What muscles support the lateral longitudinal arch?
Peroneus brevis
What bones make up the lateral longitudinal arch?
Calcareous
Cuboid
Lateral 2 metatarsals
Why in a child might they have flat feet?
Fat pad hasn’t deminished yet
Arch hasn’t finished developing
How can you test sensory deep pain?
Pressure squeeze test
How can you test sensory light touch?
Cotton wool
How can you test sensory pain?
Pin prick
How can you test sensory temperature?
Cold metal object
What is the significance of the anatomical schnuff box?
Radial pulse
Pain over it in a scaphoid fracture