Special Fx Flashcards
Rx: closed reduction and casting if not comminuted; ORIF if comminuted
Colles’ fracture or dinner force deformity or Smith’s fracture
Rx: Closed reduction with thumb spica or ORIF
Bennett’s Fracture
Rx: IM nailing, ORIF, or external fixation
Femoral shaft fracture or Tibial shaft fracture
Q: What fracture is common in post-menopausal women?
Colles’ fracture or dinner force deformity
MOI: Axial loading on a pronated and partially flexed or outstretched arm
Radial head fracture
Diagram: Identify the fracture
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Mallet, drop, or baseball finger
Description: Disruption of extensor mechanism, often associated with avulsion fracture
Mallet, drop, or baseball finger
Description: Fracture of the distal radius with palmar/medical displacement
Smith’s fracture
Description: considered intra-articular and prone to avascular necrosis
Talus fracture
Diagram: Identify the fracture
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Diaphyseal humeral fracture
Diagram: Identify the fracture
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Radial head fracture
MOI: Usually bending force, fall or direct blow
Greenstick fracture
Q: What fracture is common in young men, usually a fall or blow to the back of the hand.
Smith’s fracture
Rx. Immediate ORIF
Perilunate fracture/dislocation
MOI: Fall onto flexed or pronated wrist.
Smith’s fracture
MOI: Usually high energy trauma e.g. MVA, often accompanied by significant soft tissue trauma
Femoral shaft fracture
Rx: Strict immobilization and elevation, then protected WB, possible ORIF
Calcaneal fracture
Diagram: Identify the fracture
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Bennett’s fracture
MOI: Usually high energy trauma
Tibial shaft fracture
MOI: FOOSH or direct blow (MVA)
Monteggia fracture or Galeazzi fracture
MOI: Valgus force with axial loading
Tibial plateau fracture
MOI: Axial loading of a partially flexed thumb
Bennett’s Fracture
MOI: FOOSH, elbow or direct blow
Humeral fracture
Rx: Often closed reduction and immbolization (80%), otherwise ORIF
Humeral fracture
Rx: ORIF and immobilization
Talus fracture
Description: Fracture/dislocaiton of base of 1st metacarpal, can be highly functionally limiting
Bennett’s Fracture
Diagram: Identify the fracture
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Perilunate fracture/dislocation
Q: What is the most commonly fractured long bone?
Tibia(l shaft fracture)
Diagram: Identify the fracture
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Smith’s fracture
Rx: Splint in extension 6 wks, then initiate AROM
Mallet, drop, or baseball finger
Diagram: Identify the fracture
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Colles’ fracture or dinner fork defromity
MOI: fall onto or direct blow to the shoulder
Clavicle fracture
Rx: Closed reduction and casting; ORIF if significant displacement
Boxer’s fracture
Rx: Usually ORIF, rarely closed reduction with casting or early ROM
Radial head fracture
Rx: Usually ORIF or rigid immobilization
Monteggia fracture or Galeazzi fracture
Rx: Functional bracing, ORIF if displaced > 5mm
Tibial plateau fracture
Q: Which fracture is devastating but often missed or misdiagnosed?
Perilunate fracture/dislocation
MOI: Fall onto outstretched hand or FOOSH
Scaphoid fracture or Colles’ fracture or dinner force deformity
Rx: Cast immobilization
Greenstick fracture
Rx: Figure 8 sling for nondisplaced fractures; rarely ORIF if displaced
Clavicle fracture
Description: common in children, periosteal sleeve remains intact
Greenstick fracture
Description: may be diaphyseal (younger), proximal (older), or distal (children)
Humeral fracture
Q: Perilunate fracture/dislocation typically occurs in what population?
Young adults
Description: Transverse fracture of distal radius with dorsal/lateral displacement
Colles’ fracture or dinner force deformity
Description: Fracture of proximal or mid 1/3 ulna with radial head dislocation
Monteggia fracture
Rx: Closed reduction and casting; ORIF and bone grafting if avascular
Scaphoid fracture
Q: Many common fractures are name for what 2 things?
- MOI 2. 1st Dr. to describe the pattern
Description: Fracture of the 4th or 5th metacarpal
Boxer’s fracture
Description: critical lode bearing area, often associated with meniscal and/or ligamentous damage
Tibial plateau fracture
MOI: Axial loading into hyperextension and UD caused by high energy impact.
Perilunate fracture/dislocation
Description: Valgus force impaction of capitellum onto radial head
Radial head fracture
Diagram: Identify the fracture
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Scaphoid fracture
Diagram: Identify the fracture
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Boxer’s fracture
Description: may be related to osteoporosis, metastatic disease, TKA
Femoral shaft fracture
Diagram: Identify the fracture
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Proximal humeral fracture
Q: AVN and non-union are frequent complications of which fracture?
Scaphoid fracture
Description: Fracture of distal 1/3 of radius with distal radioulnar joint distruption
Galeazzi fracture
MOI: Forced flexion of extended DIP
Mallet, drop, or baseball finger
Diagram: Identify the fracture
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Monteggia fracture
MOI: Usually a blow with a clenched fist
Boxer’s fracture
Diagram: Identify the fracture
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Galeazzi fracture
MOI: Fall from height or trauma
Talus fracture
Description: typically affects middle 1/3 of clavicle
Clavicle fracture
MOI: fall from height
Calcaneal fracture
Diagram: Identify the fracture
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Distal humeral fracture
Diagram: Identify the fracture
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Greenstick fracture
Diagram: Identify the fracture
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Clavicle fracture
Diagram: Identify the fracture
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Femoral shaft fracture
Diagram: Identify the fracture
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Tibial plateau fracture
Diagram: Identify the fracture
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Tibial shaft fracture
Diagram: Identify the fracture
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Talus fracture
Diagram: Identify the fracture
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Calcaneal fracture