Ortho II Flashcards
True or false: the presentation of a radial-ulnar fracture is usually subtle
False—rarely subtle
What is the usual mechanism of injury with radial-ulnar fractures?
FOOSH!
What is a torus fracture?
Also known as buckle fractures, are incomplete fractures of the shaft of a long bone that is characterised by bulging of the cortex. They result from trabecular compression from an axial loading force along the long axis of the bone. They are usually seen in children, frequently involving the distal radial metaphysis.
What is the treatment for a child with a radial / ulnar fracture?
Cast
What is the treatment for an adult with a radial / ulnar fracture?
Surgical
What is the treatment for a child with a radial / ulnar torus fracture?
Splint
What is the usual mechanism that produces a wrist dislocation?
FOOSH!, or flexed hand as well
What are the views that should be obtained with suspected wrist fractures?
AP and lateral (oblique too per what’s her face)
What is the general treatment for wrist dislocations?
Splint and refer
Usually surgical
What is the usual mechanism that produces a wrist fracture?
FOOSH!
Why is there a risk of avascular necrosis with a scaphoid fracture?
Blood supply runs distal to proximal
What is the imaging modality of choice for diagnosing scaphoid fracture?
MRI
What is the usual mechanism of injury for metacarpal dislocations?
Fist fights
What is the treatment for a metacarpal dislocation?
Reduction, with gutter and splint
What are the complications that may arise from a metacarpal dislocation?
Inability to make a stable grasp
What is the usual mechanism of injury of metacarpal fractures?
Punching stuff
What are the physical exam findings characteristics of metacarpal fractures?
- Shaft palpably bent
- Receding knuckle
What is a boxer’s fracture?
colloquial term for a fracture of one of the metacarpal bones of the hand. Classically, the fracture occurs transversely across the neck of the bone, after the patient strikes an object with a closed fist.
What is the treatment for a boxer’s fracture?
Reduce, and then ulnar gutter splint with the finger extended and MPJ flexed
What motion of the finger cannot be performed if there is a finger dislocation?
“Come Here” motion