Ortho Trauma Flashcards
Four Pex things. Do everytime
Inspect, palate, ROM, neuro vascular
Order of operations. Same everytime
Hx, Pex, labs, imaging
Three types of fixation
None, internal, external
ORIF
Open reduction internal fixation
Tx open fracture
Irrigation, debridement, stabilization.
Five p’s of compartment syndrome
Pain, pallor, paralysis, pulselessness, parasthesis
Earlier detection of compartment
Pain out of proportion to injury. Pain in compartment on passive stretching of digits. Compartment is rock hard, swollen
Ischemic threshold normal muscle
20 mmHg below diastolic BP or 30 below MAP
Tx compartment syndrome.
Big long fasciotomy.
Pathologic fracture often due to…
Metastatic dz
Where do bone cancers met to? What bone is most affected by mets? Why?
Breast, kidney, prostate, thyroid, lung.
Spine. Batsons vertebral plexus.
