other local problems

Question 1

DVT

Answer 1

particularly in pelvic and lower limb fractures due to immobilisation, low molecular weight heparin si given to those at risk

Question 2

fracture disease

Answer 2

describes stiffness and weakness caused by fracture and its subsequent splint age in cast, managed with physiotherapy

Question 3

post traumatic osteoarthritis

Answer 3

occurs after trauma

Question 4

complex regional pain syndrome

Answer 4

heightened chronic pain response after injury cases a constant burning or throbbing pain and sensitivity to simulate which is not normally painful (i.e. cold or light touch), can be caused by a peripheral nerve injury (type 2) but this is rare and is usually idiopathic (type 1)

Question 5

name for abnormal pain response to normal stimuli

Answer 5

allodynia

Question 6

management of complex regional pain syndrome

Answer 6

chronic pain specialist

Question 7

infected fracture fixation

Answer 7

• if acute can be managed with antibiotics plus or minus a surgical washout
• if longer than a few weeks can be kept at bay with antibiotics but then metal component should be removed
• if infection causing sepsis or draining sinus then all metal components must be removed and bone derided immediately