OnlineMedEd: Surgery: Subspecialty - "Ortho Injuries"

Question 1

For a fracture, you need to get ____________ exams.

Answer 1

at least

Make sure the planes are perpendicular to each other.

Question 2

In anterior dislocation of the shoulder, the person usually adopts what arm position?

Answer 2

Abducted and externally rotated (like they’re trying to shake hands)

Question 3

Which nerve is often impinged in anterior dislocations of the shoulder?

Answer 3

Axillary (look for the flat deltoid)

Question 4

What position does the arm take in a posterior dislocation of the shoulder?

Answer 4

Adducted and internally rotated (opposite the anterior way)

Question 5

Colles’ fracture is common in _____________.

Answer 5

older women with osteoporosis

Question 6

Describe the Monteggia fracture?

Answer 6

Monteggia fractures are ulnar fractures with radial dislocations that occur when someone has their arm uplifted (above their head) to block an impact –like the person blocking a police baton.

Question 7

Galeazzi fractures are _______________.

Answer 7

broken radius with displaced ulna (the opposite of Monteggia fractures)

This can occur if someone is blocking a blow with their arm lowered.

Question 8

Describe the presentation and management of scaphoid fracture.

Answer 8

• Presentation: FOOSH with pain in the anatomical snuff box

* Management: initial x-ray (which might be negative), casting, and follow-up x-ray

Question 9

If the knee hurts but is not swollen, then the problem is likely ______________.

Answer 9

in the hip

Question 10

Hip fractures present with _____________.

Answer 10

a shortened and externally rotated leg

Question 11

Based on location of hip fracture, give the treatment indicated.

Answer 11

• Femoral head: prosthetic replacement
• Intratrochanteric: plates
• Shaft: rod

Question 12

Unless you are an athlete (or otherwise need to stress your knee), the recommended treatment for ACL/PCL tears is ______________.

Answer 12

casting

Question 13

Valgus stress results in tear of the __________.

Answer 13

MCL

Question 14

Varus stress results in tear of the ___________.

Answer 14

LCL

Question 15

Hinge casts are for _________________.

Answer 15

MCL/LCL tears

Question 16

Meniscus tear presents with _________ on extension.

Answer 16

pain and clicking

Question 17

Stress fractures of the ankle and foot often present after what types of injury?

Answer 17

Forced marches or “weekend warrior” types who do something that stresses the foot (like hiking, skiing, etc.)

Question 18

Generally, for ankle fractures you should x-ray those who ______________.

Answer 18

cannot walk on it

Question 19

Achilles tendon tears present after ______________.

Answer 19

running (when the person hears a pop)

Question 20

Achilles tendon injuries can be treated with ______________.

Answer 20

surgery or casting

Casting takes longer.