Ortho week 1 - childhood fracture Flashcards
what hand sign assesses patient for anterior interosseus nerve (AIN) damage in upper limb fracture ?
AIN = A-OK 👌🏼
what hand sign assesses patient for posterior interosseus nerve (PIN) damage in upper limb fracture ?
PIN = thumbs up 👍🏼
what hand sign assesses patient for median nerve damage in upper limb fracture ?
median = make a fist 👊🏼
what hand sign assesses patient for radial nerve damage in upper limb fracture ?
radial = flat hand ✋🏼
what hand sign assesses patient for ulnar nerve damage in upper limb fracture ?
ulnar = crossed fingers 🤞🏼
where do you assess on the hand for median nerve sensitivity ?
inner side of index finger
where do you assess on the hand for radial nerve sensitivity ?
back of hand between index and thumb
where do you assess on the hand for ulnar nerve sensitivity ?
inner hand pinky finger
what is included in a vascular assessment of the hand ?
- radial pulse
- hand temp
- hand colour
- CRT
which artery may be compromised if the hand is white with no pulse ?
brachial artery
which is the most common paediatric elbow fracture ?
supracondylar fracture
how long is a paediatric fracture supposed to be imobilised for ?
4 weeks for upper limb
6-8 weeks for lower limb
restrict activity during this time
how is a supracondylar fracture managed ?
in theatre fracture reduction and held by K wires and a plaster cast
what are the most common sites of childhood fracture ?
- supracondylar
- distal radius
- wrist buckle
- clavicle
- distal humerus
what is the main difference between adult and childhood fractures ?
childhood fractures heal faster and may remodel with growth
what happens in child vs audit bones when they’re bent ?
child - crack
adult - break completely into separate pieces
what can be used to control displaced fractures if they’re unstable ?
- elastic nails
- moulded plasters
- plates
- wires
