ortho emergenies Flashcards
1
Q
3 important predictors of outcome
A
- mech of injury
- post-injury performance
- elapsed time
2
Q
5 part of Phx
A
- inspection
- gentle palpation
- neural status
- vasc. status
- soft tissue
3
Q
4 reasons to immobilize
A
- releive pain
- safe transport
- prevent further injury
- minimize blood loss
4
Q
3 keys to X-ray
A
- 2 views
- joint above and below injury
- rarely special investigations
5
Q
4 things that need to be described in a fracture
A
- which bone
- which part of bone
- displaced
- fracture morphology
6
Q
4 types of discplacement
A
- angulation
- translation
- rotations
- impaction
7
Q
how to describe angulation
A
varus-valgus
- degrees
8
Q
what is translation
A
- sliding of bone ends
- any direction
- percent terms
9
Q
what is rotation
A
- movement of bone around the long axis
- describe distal in relation to proximal
10
Q
what is impaction
A
- bone ends crushed together
- ## usually cancellous bone
11
Q
when is reduction indicated
A
- not if fracture not displaced
- children remodel
12
Q
4 indications for open reduction
A
- displaced intraarticular
- correct defromtity
- mobilixe the patient
- allow treatment of open wounds
13
Q
adv and dis of open reduction
A
adv - accuracy - rigid - early mobilization dis - anasthetic - infection - intraoperative injury - scarring
14
Q
4 types of immobilization
A
- cast
- traction
- external skeletal
- interal - wires plates screws
15
Q
3 keys to rehab
A
- should start immed
- moves adjacent joints
- regain motion
