Skeletal System II Flashcards
The Scapular Y-view is used to look for ?
- suspected shoulder dislocations 2.fractures of the scapula
In this view, The patient is standing with their arm ABducted and a beam focused through the axilla?
Axillary View
Best study for soft tissue
MRI
What are the three components that make up the scapular Y view?
- Spine of scapula 2. Coracoid 3. Body of scapula (slide 20)
T/F The humeral head should be in the center of the “Y”.
True
What is the best true lateral view of the shoulder?
Axillary View
The axillary view can be used to evaluate what two things??
Fractures of: 1. Glenoid 2. Humeral Head
Clavicular fracture Usually occurs in the __________ or distal _/_ of the clavicle
midportion ; 1/3
Acromioclavicular separation is when the distal clavicle dislocates ________?
Superiorly
95% of Shoulder dislocations are with the humeral head dislocated ______from the glenoid?
the humeral head dislocated anteriorly from the glenoid
In an anterior shoulder dislocation the Medial aspect of the humeral head is ______and ______to the glenoid
inferior; medial (slide 17)
What is the name o the Impaction fracture on the humeral head from the anterior rim of the glenoid rim?
Hill-Sachs fracture
What is the third most common site for osteogenic sarcoma?
Humerus is the third most common site for osteogenic sarcoma.
Plain films include which three views?
- AP view 2. Oblique view with elbow extended 3. Lateral view w/ elbow flexed
_____ fat pads indicate pathology in the elbow. a. anterior b. posterior c. inferior d. superior
Posterior (Ninas booty has a disease)
What view of plain film is best for elbow trauma?
Lateral view (remember the elbow is flexed like the letter “L”- lateral L)
What is the most common fracture of the elbow in children?
Supracondylar Fx
What is the most common fracture of the elbow in adults?
Radial head fracture
Fracture of midportion of the ulna. Caused by a direct blow from a blunt object?
Nightstick fracture (he said we dont need to know it but i dont trust him)
Monteggia Fracture
Fracture of the proximal ulna with dislocation of the radial head
Galeazzi Fracture: Fracture of the distal _______with dislocation of the ______head from the wrist
Fracture of the distal RADIUS with dislocation of the ULNAR head from the wrist
What is a greenstick fracture?
incomplete fracture of the forearm due to flexibility of young bones.
Greenstick fractures only occur in whom?
Children
DR. G PUM. Good way to remember your fractures
Distal Radius Galeazzi Proximal Ulna Monteggia
What are the three plain film views for the hand and wrist?
Plain films include AP, lateral and oblique (slide 36)
______ fracture is the most common fracture of the wrist?
Colles fracture
How are Colles Fracture and Smith fractures similar?
Colles and Smith fx are similar because the distal radius and ulnar styloid are fractured.
In a colles fracture, the distal fragment is displaced _______?
Dorsally (slide 38)
In a Smith fracture, the distal fragment is angulated towards the ______ surface
Palmer (fall like a retard lol)
Compression fracture usually in children, also know as a buckle fracture.
Torus fracture
A ______ fracture is the most common fracture of the carpals
scaphoid (navicular)
Fracture of which carpal can lead to avascular necrosis and law suits for malpractice.
scaphoid (navicular)
Boxer’s fracture
– fx of 5th metacarpal with dorsal angulation
Fracture of the 1st metacarpal. Ski pole fracture dislocation.
Bennett and Rolando fractures -Bennett- fx at the base -Rolando-Fracture with 3 fragments (3 syllables Ro-lan-do)
Avulsion fracture of the thumb ?
Gamekeeper’s fracture , now called Skiers thumb due to hyperextension of the thumb
Volar plate fracture
Avulsion fracture of the middle phalanx on the palmar surface -due to hyperextension
