Skeletal System II Flashcards

1
Q

The Scapular Y-view is used to look for ?

A
  1. suspected shoulder dislocations 2.fractures of the scapula
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2
Q

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

A

Axillary View

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3
Q

Best study for soft tissue

A

MRI

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4
Q

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

A
  1. Spine of scapula 2. Coracoid 3. Body of scapula (slide 20)
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5
Q

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

A

True

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6
Q

What is the best true lateral view of the shoulder?

A

Axillary View

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7
Q

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

A

Fractures of: 1. Glenoid 2. Humeral Head

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8
Q

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

A

midportion ; 1/3

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9
Q

Acromioclavicular separation is when the distal clavicle dislocates ________?

A

Superiorly

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10
Q

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

A

the humeral head dislocated anteriorly from the glenoid

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11
Q

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

A

inferior; medial (slide 17)

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12
Q

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

A

Hill-Sachs fracture

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13
Q

What is the third most common site for osteogenic sarcoma?

A

Humerus is the third most common site for osteogenic sarcoma.

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14
Q

Plain films include which three views?

A
  1. AP view 2. Oblique view with elbow extended 3. Lateral view w/ elbow flexed
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15
Q

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

A

Posterior (Ninas booty has a disease)

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16
Q

What view of plain film is best for elbow trauma?

A

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

17
Q

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

A

Supracondylar Fx

18
Q

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

A

Radial head fracture

19
Q

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

A

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

20
Q

Monteggia Fracture

A

Fracture of the proximal ulna with dislocation of the radial head

21
Q

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

A

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

22
Q

What is a greenstick fracture?

A

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

23
Q

Greenstick fractures only occur in whom?

A

Children

24
Q

DR. G PUM. Good way to remember your fractures

A

Distal Radius Galeazzi Proximal Ulna Monteggia

25
Q

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

A

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

26
Q

______ fracture is the most common fracture of the wrist?

A

Colles fracture

27
Q

How are Colles Fracture and Smith fractures similar?

A

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

28
Q

In a colles fracture, the distal fragment is displaced _______?

A

Dorsally (slide 38)

29
Q

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

A

Palmer (fall like a retard lol)

30
Q

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

A

Torus fracture

31
Q

A ______ fracture is the most common fracture of the carpals

A

scaphoid (navicular)

32
Q

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

A

scaphoid (navicular)

33
Q

Boxer’s fracture

A

– fx of 5th metacarpal with dorsal angulation

34
Q

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

A

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

35
Q

Avulsion fracture of the thumb ?

A

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

36
Q

Volar plate fracture

A

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