Pics

Question 1

Splint for scaphoid fracture

Answer 1

Scaphoid fracture from FOOSH, use thumb spica splint

-splint just in case b/c worried about avascular necrosis

Question 2

Tx of Boxer’s fracture

Answer 2

Reduction and ulnar gutter

-want 4th/5th MCP joints at 90 degrees and wrist slightly extended

Question 3

Name the bones of the wrist

Answer 3

“So long to the pinki, here comes the thumb”

scaphoid, lunate, triquetrum, pisiform

hamate, capitate, trapezoid, trapezium

Question 4

Why are you concerned about scaphoid fractures?

Answer 4

Avascular necrosis given location of radial artery

Question 5

What’s the fracture?

Answer 5

Thumb spica split for scaphoid fracture

Question 6

Where’s the fracture?

Answer 6

Sugar-tong splint for distal radial fracture (from FOOSH or falling directly on wrist)

Question 7

Where’s the fracture?

Answer 7

Volar slab for triquetrum fracture (chip fracture) from hyperextension or hyperflexion of the wrist

Question 8

Where’s the fracture?

Answer 8

Ulnar gutter for boxer’s fracture of the 4th/5th metatarsal

Question 9

Answer 9

Triquetrium (chip) fracture

• mechanism: hyperextension/hyperflexion of wirst
• Tx = volar slab

Question 10

Answer 10

Distal radial fracture from fall on outstretched arm or directly on wrist

-Tx = reduction then sugar tong splint

Question 11

Answer 11

Ulnar gutter splint for Boxer’s fracture of 4th/5th metatarsal

Question 12

Answer 12

Thumb spica for scaphoid fracture

Question 13

Answer 13

Distal radial fracture from FOOSH or fall directly on wrist

-sugar-tong splint

Question 14

Answer 14

Triquetrum/chip fracture

Tx = volar slab