MSK Procedure 8? Flashcards
clinical signs of fractre
pain swelling deformity eccymosis loss of function
importance of evaluation fracture
neurovascular status
most reliable sign of fracture
pain
compound fracture
skin involvement
comminuted fracture
compression, many pieces
spiral fracture
from twisting
greenstick
young kids because bones are softer
worry about open fractures
bacteria
salter fractures
through growth plates
I salter harris
growth plate slips
II salter harris
fracture through metaphysis
III salter harris
though epiphysis
salter harris IV
through epiphysis and metaphysis
salter harris V
compression growth plate
worse salter harris fracture
V
rammed and ruined fracture
salter type V
worry about what with scaphoid fracture
avascular necrosis
colles fracture
distal radius with dorsal displacement
dinner fork deformity
colles
falling on outstretched hand
colles
tri malleolar fracture
lateral malleolus
medial malleolus
posterior tibia
causes of trimalleolar fracture
landing flat on heel from height
Tx tri malleolar fracture
surgery
ORIF
systemic complications of fractures
fat embolism shock thromboembolism exacerbation of underlying disease pneumonia
risk factor pneumonia
immobilization
local late complications fractures
delayed union nonunion malunion joint stiffness contractures myositis ossificans avascular necrosis algodystrophy osteomyelitis
systemic late complications o fractures
gangrene, tetanus, septicemia
fear of mobilizing
osteoarthritis
compartment syndrome
P in facial compartment exceeds the BP
causes compromise of circulation
conditions assoc with compartment
soft tissue injury exercise induced crush injury electrical injury burns animal bites prolonged tourniquet application
Tx compartment syndrome
fasciotomy
fracture blisters
blisters that form over fractures
1-2 days post injury
types of fracture blisters
clear filled
blood filled
Tx fracture blisters
benign neglect
debridement
aspiration
grade I sprain
mild pain, little swelling
minimum or no loss function
grade II sprain
moderate to severe pain
moderate loss of function
grade III sprain
little or no pain from total disruption nerve fibers
require immobilizaiton for months
conditions that benefit from immobilization
fractures, sprains, severe soft tissue injuries reduced joint dislocations inflammatory conditions deep laceration across joint tendon lacerations
benefits of cast
better immobilization in fixed position
less movement
lasts wks-mo
can’t be removed by patient
soft tissue indications for joint injection
bursitis, tendonitis, trigger points ganglion cysts neuroma entrapment syndrome fascitis
joint conditions to inject for
effusion, crystalloid arthropathies
synovitis
inflammatory arthritis
advanced OA
absolute CI for joint injection
local cellulitis acute fracture tendinous sites at high risk for rupture drug allergy septic arthritis
relative CI for joint injections
minimal relief after 2 prev injections underlying coagulopathy on anticoagulation therapy uncontrolled DM osteoporosis inaccessible joint
