Orthopaedics Flashcards

1
Q

Effect of the environment on orthopaedic conditions

A

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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Effect of the condition on aviation - orthopaedic

A
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
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Internal fixation of fractured femur
Environment vs condition
Condition vs aviation

A

Environment vs condition

  • ejection
  • +Gz
  • vibration
  • ingress/egress
  • rudder forces and deflection

Condition vs aviation

  • pain
  • strength
  • mobility
  • managing medication
  • risk of further injury
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

TMUFF periods for
Naproxen, dicofenac, ketoprofen
tramadol
opiates

A

Naproxen, dicofenac, ketoprofen

  • Ground trail 7 days
  • UAMECR if long term

Tramadol - unfit to fly
Opiates - unfit to fly

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

aeromedical disposition for orthopaedic conditions

A

Highly variable condition dependent
TMUFF until pain resolved, casts, external fixates removed and function returned
expect to return to flying if no permanent deficit

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Lower back pain aviation on condition

A

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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Lower back pain condition on aviation

A

Pain, weakness, decreased ROM, medication

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Aeromedical disposition for lower back pain

A

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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

injury from ejections

A
Thoraco-lumbar vertebral crush fractures
femoral #
mandibular #
sternal #
cervical flexion injuries
Shoulder disloactions
lower limb/other injuries on landing
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q
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

a functional assessment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly