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
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
Diaphyseal humeral fracture
Diagram: Identify the fracture
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
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
Perilunate fracture/dislocation
Q: What is the most commonly fractured long bone?
Tibia(l shaft fracture)