Ortho Forearm, wrist, hand Flashcards
Incomplete fracture with cortical disruption and periosteal tearing on the convex side of the fracture (intact periosteum on the concave side) “bowing”
Greenstick fx
Incomplete fracture with wrinkling or bump on the metaphyseal-diaphyseal junction (where the dense bone meets the more porous bone) due to axial loading.
Torus (buckle fx)
Most common site of radial nerve injury
humerus Fx
Tx for humerus fx
sugar tong splint
What fx can potentially cause a median nerve, brachial artery and radial nerve injury?
Supracondylar Fracture
Tx for nondisplaced Supracondylar Fx
splint
Tx for radial head Fx
sling + long arm splint 90 degrees
Tx for nursemaids elbow
supination-flextion technique
How does a nightstick Fx happen?
direct blow
Isolated fractures of the ulna, typically transverse and located in the mid-diaphysis and usually resulting from a direct blow.
Nightstick (ulnar shaft) Fx
Proximal Ulnar shaft Fx with radial head dislocation
Monteggia Fx
“GRUM”: Galeazzi, Radius and Ulnar, Monteggia
What nerve may be injured in a Monteggia Fx?
Radial Nerve (wrist drop)
Tx for Monteggia Fx
ORIF
Distal radial shaft fracture with dislocation of the ulnar-radial joint
Galeazzi Fx
Cubital Tunnel Syndrome effects which nerve?
Ulnar Nerve: tingling and numbness in 1/2 of 3rd, 4th and 5th digits
PE will show what for cubital tunnel syndrome
+tinels sign
+ Fromen’t sign
What is a + froments sign
seen in cubital tunnel syndrome
pt grasps paper between pointer finger and thumb and pt not able to hold paper when paper pulled away by provider
T for cubital tunnel syndrome
wrist immobilization w/sleep, NSAIDS
inflammation of tendon insertion of extensor carpi radialis brevis
Tenis Elbow (Lateral epicondylitis)
inflammation of pronator teres-flexor carpi radialis
Medial Epicondylitis (Golfers elbow)
Lateral epicondylitis Presentation
pain w/gripping, pronating forearm & wrist extension
Medial epicondylitis Px
pain w/ wrist flexion against resistance & worse with pulling activities
MC type of elbow dislocation (opposite of MC shoulder D/L)
Posterior
Pt presents with flexed elbow & marked olecranon prominence
Elbow dislocation
Tx for elbow dislocation
Emergent reduction!! Posterior splint
What nerve injuries must you rule out with an elbow dislocation?
brachial artery & median/ulnar/radial nerve injury