Skeletal System II

Question 1

The Scapular Y-view is used to look for ?

Answer 1

1. suspected shoulder dislocations 2.fractures of the scapula

Question 2

In this view, The patient is standing with their arm ABducted and a beam focused through the axilla?

Answer 2

Axillary View

Question 3

Best study for soft tissue

Answer 3

MRI

Question 4

What are the three components that make up the scapular Y view?

Answer 4

1. Spine of scapula 2. Coracoid 3. Body of scapula (slide 20)

Question 5

T/F The humeral head should be in the center of the “Y”.

Answer 5

True

Question 6

What is the best true lateral view of the shoulder?

Answer 6

Axillary View

Question 7

The axillary view can be used to evaluate what two things??

Answer 7

Fractures of: 1. Glenoid 2. Humeral Head

Question 8

Clavicular fracture Usually occurs in the __________ or distal _/_ of the clavicle

Answer 8

midportion ; 1/3

Question 9

Acromioclavicular separation is when the distal clavicle dislocates ________?

Answer 9

Superiorly

Question 10

95% of Shoulder dislocations are with the humeral head dislocated ______from the glenoid?

Answer 10

the humeral head dislocated anteriorly from the glenoid

Question 11

In an anterior shoulder dislocation the Medial aspect of the humeral head is ______and ______to the glenoid

Answer 11

inferior; medial (slide 17)

Question 12

What is the name o the Impaction fracture on the humeral head from the anterior rim of the glenoid rim?

Answer 12

Hill-Sachs fracture

Question 13

What is the third most common site for osteogenic sarcoma?

Answer 13

Humerus is the third most common site for osteogenic sarcoma.

Question 14

Plain films include which three views?

Answer 14

1. AP view 2. Oblique view with elbow extended 3. Lateral view w/ elbow flexed

Question 15

_____ fat pads indicate pathology in the elbow. a. anterior b. posterior c. inferior d. superior

Answer 15

Posterior (Ninas booty has a disease)

Question 16

What view of plain film is best for elbow trauma?

Answer 16

Lateral view (remember the elbow is flexed like the letter “L”- lateral L)

Question 17

What is the most common fracture of the elbow in children?

Answer 17

Supracondylar Fx

Question 18

What is the most common fracture of the elbow in adults?

Answer 18

Radial head fracture

Question 19

Fracture of midportion of the ulna. Caused by a direct blow from a blunt object?

Answer 19

Nightstick fracture (he said we dont need to know it but i dont trust him)

Question 20

Monteggia Fracture

Answer 20

Fracture of the proximal ulna with dislocation of the radial head

Question 21

Galeazzi Fracture: Fracture of the distal _______with dislocation of the ______head from the wrist

Answer 21

Fracture of the distal RADIUS with dislocation of the ULNAR head from the wrist

Question 22

What is a greenstick fracture?

Answer 22

incomplete fracture of the forearm due to flexibility of young bones.

Question 23

Greenstick fractures only occur in whom?

Answer 23

Children

Question 24

DR. G PUM. Good way to remember your fractures

Answer 24

Distal Radius Galeazzi Proximal Ulna Monteggia

Question 25

What are the three plain film views for the hand and wrist?

Answer 25

Plain films include AP, lateral and oblique (slide 36)

Question 26

\_\_\_\_\_\_ fracture is the most common fracture of the wrist?

Answer 26

Colles fracture

Question 27

How are Colles Fracture and Smith fractures similar?

Answer 27

Colles and Smith fx are similar because the distal radius and ulnar styloid are fractured.

Question 28

In a colles fracture, the distal fragment is displaced \_\_\_\_\_\_\_?

Answer 28

Dorsally (slide 38)

Question 29

In a Smith fracture, the distal fragment is angulated towards the ______ surface

Answer 29

Palmer (fall like a retard lol)

Question 30

Compression fracture usually in children, also know as a buckle fracture.

Answer 30

Torus fracture

Question 31

A ______ fracture is the most common fracture of the carpals

Answer 31

scaphoid (navicular)

Question 32

Fracture of which carpal can lead to avascular necrosis and law suits for malpractice.

Answer 32

scaphoid (navicular)

Question 33

Boxer’s fracture

Answer 33

– fx of 5th metacarpal with dorsal angulation

Question 34

Fracture of the 1st metacarpal. Ski pole fracture dislocation.

Answer 34

Bennett and Rolando fractures -Bennett- fx at the base -Rolando-Fracture with 3 fragments (3 syllables Ro-lan-do)

Question 35

Avulsion fracture of the thumb ?

Answer 35

Gamekeeper’s fracture , now called Skiers thumb due to hyperextension of the thumb

Question 36

Volar plate fracture

Answer 36

Avulsion fracture of the middle phalanx on the palmar surface -due to hyperextension