SM_253a: MSK Trauma

Question 1

Open fracture is when _____ and carries risk of _____ and _____

Answer 1

Open fracture is when the skin is violated and carries risk of infection and occult tissue damage

Question 2

Open reduction involves ____ and ____

Answer 2

Open reduction involves making an incision and exposing bone

• No fixation: let the body heal itself (sling, brace, spling, cast)
• External fixation: external instrumentation
• Internal fixation: intramedullary nail (rod), plate/screw construct

Question 3

Hip fractures are treated to _____

Answer 3

Hip fractures are treated to allow mobilization

Question 4

Open fracture treatment involves _____, _____, and _____

Answer 4

Open fracture treatment involves irrigation, debridement, and fixation

Question 5

Open fracture treatment involves irrigation, debridement, and fixation to ____, ____, and ____

Answer 5

Open fracture treatment involves irrigation, debridement, and fixation to reduce infection risk, explore wound, and debride necrotic tissue

Question 6

Compartment syndrome is ____

Answer 6

Compartment syndrome is increased pressure in an enclosed compartment

(if pressure is not released -> ischemia -> permanent tissue damage)

Question 7

Compartment syndrome presents as ____, ____, ____, ____, and ____

Answer 7

Compartment syndrome presents as pain, pallor, paralysis, pulselessness, and parasthesias

(too late if you see all five)

Question 8

Compartment syndrome involves pain ____ to injury, pain in compartment on ____, and ____ compartment

Answer 8

Compartment syndrome involves pain out of proportion to injury, pain in compartment on passive stretching of toes or fingers, and a rock-hard/tense/swollen compartment

Question 9

Compartment syndrome is treated with ______

Answer 9

Compartment syndrome is treated with fasciotomy

(have to release all four compartments in leg to relieve pressure)

Question 10

Pathologic fracture is fracture through _____ bone usually due to _____

Answer 10

Pathologic fracture is fracture through abnormal bone usually due to metastatic disease

(BLT with a kosher pickle: breast, lung thyroid, kidney, prostate)

Question 11

Most common primary cancers that metastasize to bone come from _____, _____, _____, _____, and _____

Answer 11

Most common primary cancers that metastasize to bone come from breast, lung, thyroid, kidney, and prostate

(BLT with a kosher pickle)

Question 12

Most pathologic fractures occur in the ____

Answer 12

Most pathologic fractures occur in the spine