Pelvis & Hip Trauma

Question 1

An obturator ring fx w/same side SI widening is known as:

Answer 1

Malgaigne fx

Question 2

An obturator ring fx w/opposite side SI widening is called:

Answer 2

Bucket handle fx

Question 3

The most common complication of a hip fracture is _____, resulting from injury to the femoral circumflex arteries

Answer 3

Avascular necrosis

Question 4

Which fracture has a greater risk of complications? Intracapsular hip fracture (inside the hip capsule) or extracapsular?

Answer 4

Intracapsular (more difficulty healing)

Question 5

Most commonly seen in males age 10-15. Classic presentation is obese male w/hip, groin or knee pain and a limp. Has to do with femoral growth plate. 25% occur bilaterally

Answer 5

Slipped Femoral Capital Epiphysis (SFCE)

Question 6

Radiographic findings include an altered Klein’s line, widened physis and possibly a decreased height of epiphysis

Answer 6

Slipped femoral capital epiphysis (SFCE)

Question 7

The classification system for fractures including the physis (growth plate fx’s) (we learn types 1-5) is called?

Answer 7

Salter-Harris classification

Question 8

Name the Salter-Harris classification: fx through physis and epiphysis

Answer 8

Type 3

Question 9

S-H Classification? Fx through epiphysis, physis, and metaphysis

Answer 9

Type 4

Question 10

Compressive injury to the physis. What type is it in salter-Harris classification?

Answer 10

Type 5

Question 11

A purely cartilaginous fx of the physis (ex: SFCE) is considered type _ in the salter-Harris classification

Answer 11

1

Question 12

This fracture involves the physis and a variably sized metaphyseal fragment (Thurston-Holland fragment). What type is it in the Salter-Harris classification system?

Answer 12

Type 2