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My Flashcards Year 2 > MSK- trauma > Flashcards

MSK- trauma Flashcards

1
Q

scaphoid fracture main symptom

A

pain and tender anatomical snuffbox

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2
Q

scaphoid fracture imaging

A

XRAY- can be invisible- repeat after 10 days/MRI scan

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3
Q

main risk of scaphoid fracture

A

avascular necrosis

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4
Q

most common type of carpal bone fracture

A

scaphoid fracture

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5
Q

distal radius fracture most commonly caused by

A

fall on outstretched hand

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6
Q

colles fracture

A

fracture of distal radius with posterior displacement of distal fragment

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7
Q

smith fracture

A

fracture of distal radius with anterior displacement of distal fragment

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8
Q

complications of colles fractures

A

carpal tunnel syndrome
median nerve injury

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9
Q

colles fracture vs smith fracture- falls

A

colles- fall on outstretched hand
smith- fall on flexed hand

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10
Q

management of colles fracture

A

closed reduction and immobilise wrist with a cast

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11
Q

Bennetts fracture

A

fracture of 1st metacarpal base caused by forced hyperabduction of thumb

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12
Q

boxers fracture

A

fracture of 5th metacarpal neck

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13
Q

boxers fracture first line treatment in closed fractures

A

ulnar gutter splint

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14
Q

management of ulna and radius shaft fractures

A

open reduction and internal fixation

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15
Q

monteggia fracture pattern

A

fracture of proximal third of ulna and dislocation of proximal head of radius

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16
Q

galeazzi fracture pattern

A

fracture of distal third of radius and dislocation of distal radio ulnar joint

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17
Q

greenstick fractures

A

incomplete fracture which occurs in the soft bones of children

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18
Q

nightstick fractures

A

isolated fracture of the ulna shaft

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19
Q

supracondylar fracture

A

one of most common fractures seen in children- FOOSH

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20
Q

supracondylar fracture causes pain where

A

elbow

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21
Q

what is the olecranon responsible for

A

extension of elbow

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22
Q

where is an olecranon fracture pain well localised to

A

the posterior elbow

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23
Q

what do you need to assess in a patient with a supracondylar fracture

A

neurovascular exam- brachial artery, median nerve

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24
Q

what is the most common joint dislocation

A

shoulder dislocation

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25
Q

who is more likely to suffer from a shoulder dislocation

A

younger patients (teenage-30 years)
sporty

26
Q

pelvic fractures in the young caused by

A

RTA or fall from height

27
Q

what classification is used to classify pelvic ring fractures

A

Young-Burgess classification

28
Q

high energy pelvis injuries, if pelvis is only site on injury first line management

A

XRAY first

29
Q

high energy pelvis injuries in poly traumatic patients first line management

A

CT first

30
Q

test of choice in low energy pelvis injuries

A

MRI- sensitive

31
Q

hip fractures risk factors

A

elderly
osteoporosis
smoking, alcohol use
malnutrition
low BMI
impaired vision

32
Q

pelvic XRAY findings for hip fracture

A

loss of contour of Shentons line

33
Q

first line investigation in patients presenting with hip pain with history of trauma

A

XRAY of pelvis and lateral hip

34
Q

intertrochanteric hip fractures management

A

DHI screw

35
Q

subtrochenteric hip fractures management

A

IM nail

36
Q

how are intracapsular hip fractures classified

A

gardens classification

37
Q

gardens classification

A

predicts union and chance of AVN

38
Q

extra capsular fractures of femoral neck types-

A

intertrochenteric and subtrochenteric

39
Q

extra capsular fractures of femoral neck features

A

pain
inability to bear weight
shortened leg
externally rotated leg
bruising around hip joint

40
Q

common complication of total hip replacement

A

posterior hip dislocation

41
Q

intracapsular high function displaced fractures management

A

total hip replacement

42
Q

posterior hip dislocation presentation

A

internally rotated
slightly flexed and adducted

43
Q

anterior hip dislocation internally/externally rotated

A

externally rotated

44
Q

tibial plateau fractures classification

A

Schatzer classification

45
Q

most common type of tibial plateau fracture

A

type II

46
Q

classification for ankle fracture

A

Weber Classification - A, B, C

47
Q

which fracture would you expect to see in a patient who has fell from a height onto the heel

A

calcaneus fracture

48
Q

lisfranc injury aka

A

mid foot injury

49
Q

metatarsal stress fractures common sites

A

2nd metatarsal, followed by 3rd

50
Q

which nerve most important when doing neuromuscular exam for a patient with hip dislocation

A

sciatic nerve

51
Q

meniscal tears common in

A

younger patients- usually sporting injuries

52
Q

meniscal tear best investigation

A

MRI

53
Q

compartment syndrome 4 Ps

A

pain
paraethesia
pallor
pulselessness

54
Q

management of compartment syndrome

A

emergency fasciotomy

55
Q

compartment syndrome what should you do immediately

A

remove cast

56
Q

fat embolism triad

A

resp failure
neurological abnormalities
petechial rash

57
Q

meniscal tear usually result of that type of injury

A

sporting, rotational injury

58
Q

symptoms of meniscal tear

A

locking, clicking and catching
feeling of knee giving way

59
Q

spiral fractures

A

occur during rotational motion

60
Q

comminuted fracture

A

fracture that occurs in more than two places. typically caused by severe trauma including RTA

My Flashcards Year 2 (27 decks)

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