Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

Orthopaedics > Regional Trauma > Flashcards

Regional Trauma Flashcards

1
Q

Why are femoral shaft fractures dangerous

A

1 litre of blood loss
fat embolism
ARDS

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

How do you manage a femoral shaft fracture

A

resuscitation
analgesia- femoral nerve block
splint - THOMAS
if unstable - IM nail

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

How do you manage a distal femur fracture that is extra articular

A

can use thomas splint
if not too distal can IM nail
if very distal - PLATE

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

How do you manage an intra articular distal femur fracture

A

Anatomical reduction, rigid fixation

PLATE AND SCREWS

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

What position do distal femur fractures usually adopt

A

flexed - due to pull of gastrocnemius

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

How do you manage a displaced or angulate phalangeal fracture

A

nerve block and manipulate

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

how do you manage a stable phalangeal fracture

A

strap to adjacent finger

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

how do you manage an unstable phalangeal fracture

A

k wires

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

what is a boxer’s fracture

A

5th metacarpal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

how do you manage a boxers fracture and when do they normally occure

A

strap to adjacent finger, use k wires if rotation

usually a punching injury

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

how do you sustain a scaphoid fracture

A

foosh

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

how do you manage a scaphoid fracturw

A

if displaced use a compression screw

if undisplaced use a simple plaster cast for 6-12 wks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

where is the pain felt in a scaphoid fracture

A

anatomical snuffbox

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

how long can it take for a scaphoid fracture to show on xray

A

2 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

how long can it take for a scaphoid fracture to show on xray

A

2 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is a bartons fracture

A

intra articular radial fracture

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

how do you sustain a bartons fracture

A

fall onto an oustretch and pronated wrist

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

how do you treat a bartons fracture

A

ORIF with plate and screws

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What is a smiths fracture

A

extra articular radial fracture with volar diplacement

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

How do you sustain a smiths fracture

A

FOOSH

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

how do you treat a smiths

A

ORIF with PLATE and screws

very unstable injuries

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

What is a colles fracture

A

extra articular radial fracture within 1 inch of the surface with doral displacement

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

how do you sustain a colles

A

FOOSH

osteoporotic

24
Q

how is a colles treated

A

if minimially displaced - splint and plaster cast

if comminuted - ORIF

25
what complications may occur in a colles
median nerve compression ie carpal tunnel
26
what may a late complication of colles be
rupture of EPL= dinner fork deformity
27
What is a galeazzi fracture
radial fracture with ulnar dislocation at DRUJ
28
how do you treat a galeazzie
ORIF radius
29
What is a monteggia
ulnar fracture with radial dislocation at the radiocapitellar joint
30
how do you trat monteggia
orif of ulna
31
how do you sustain a dual radial and ulanr fracture
direct blow or a lot of force
32
how do you treat a dual fracture
orif with plates and screws - very unstable
33
what is a night stick fracture and how do you sustain it
``` ulnar fracture (lone) direct blow to arm ```
34
how do you treat a nightssticj
consevative
35
how do you treat an olecranon fracture
orif
36
how do you treat a humeral shaft fracture
humeral brace | may need IM nails if polytrauma
37
what can result form a humeral shaft fracture
radial nerve damage --- wrist drop
38
which neck of the humerus i normally fracture
surgical
39
what usually causes a humeral neck fracture
osteoporotic onto shoulder | FOOSH
40
how is a humeral neck fracture treated
sling if minimally displace | if displaced - internal fixation with plates, screws etc
41
what direction is a humeral neck fracture likely to displace
medial | pull of pec minor
42
What is a humeral shaft fracture usually caused by
RTA | or fall
43
what examination is mandatory in pelvic fractures
PR - for sacral tone and to assess for any rectal tears if rectal tear present then it is an open fracture
44
what investigation is usually needed in acetabuler fracture
CT scan - difficult to see on x ray and for surgical planning young people - ORIF old people - THR
45
what x rays are taken for scaphoid fractures
AP, lateral and 2 obliques = 4 total
46
what is mallet finger
avulsion of the extensor tendon from its insterios - results in inability to extend DIP joint
47
treatment of mallet finger
splint holding DIP extended for 4 weeks
48
what do you need to watch out for in punching injuries
a laceration to the finger caused by tooth - needs to be thoroughly washed out in theatre
49
general management of hip fractures
extracapsular - dynamic hipscrew intracapsular - THR or hemiarthroplasty (for more frail, cognitively impaired patients)
50
proximal tibia plateau fracture
surgical management - reduction and rigid fixation with plates and screws many need a total knee replacementq
51
commonest cause of compartment syndrome
tibial shaft fracture
52
tibial shaft fracture
intramedullary nail
53
criteria used to decide which ankle injuries need x ray
ottowa criteria
54
when is deltoid ligamenet rupture suspeted
medial bruising and tenderness
55
treatment of ankle fracture with talar shift
anatomic reduction and rigid internal fixation
56
lisfranc fracture
fracture of the base of the 2nd metatarsal is associated with dislocation of the base of the 2nd metatarsal with or without dislocation of the other metatarsals at the tarso‐metatarsal joints.
57
what is important to remember about lisfranc fractures
easily missed as xray can be normal - do a CT

Orthopaedics (25 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions