Orthopaedics Flashcards
Effect of the environment on orthopaedic conditions
increase pain due to vibration, PPE (G-suit, harness, helmet) posture, +Gz
Risk of further injury
Physical nature of tasks, ergonomics, anthropometry, uneven surface eg roller, ejections
Effect of the condition on aviation - orthopaedic
Cast external fixation other splinting Functional ability reduced to pain, weakness, decreased ROM and reach, decreased mobility - emergency egress ability to operate controls fully Medication
Internal fixation of fractured femur
Environment vs condition
Condition vs aviation
Environment vs condition
- ejection
- +Gz
- vibration
- ingress/egress
- rudder forces and deflection
Condition vs aviation
- pain
- strength
- mobility
- managing medication
- risk of further injury
TMUFF periods for
Naproxen, dicofenac, ketoprofen
tramadol
opiates
Naproxen, dicofenac, ketoprofen
- Ground trail 7 days
- UAMECR if long term
Tramadol - unfit to fly
Opiates - unfit to fly
aeromedical disposition for orthopaedic conditions
Highly variable condition dependent
TMUFF until pain resolved, casts, external fixates removed and function returned
expect to return to flying if no permanent deficit
Lower back pain aviation on condition
impact of aviation on condition
- vibration, nature of duties eg lifting, prolonged sitting, posture while flying, anthropometry the helicopter hunch, work station ergonomics, +Gz, ejection
Lower back pain condition on aviation
Pain, weakness, decreased ROM, medication
Aeromedical disposition for lower back pain
Military
- TMUFF during workup and exacerbations
- Significant back pain is disqualifying for transfer/recruitment
- Outcome of MEC depend on severity and treatment
CASA
- most cases fit for certificate unless debilitating and any disqualifying medications
injury from ejections
Thoraco-lumbar vertebral crush fractures femoral # mandibular # sternal # cervical flexion injuries Shoulder disloactions lower limb/other injuries on landing
a useful tool for determining the aeromedical disposition of musculoskeletal injuries is A function assessment B goniometer C drip strength measurement D neurocognitive testing
a functional assessment