Tintinalli Board Review Ratio Flashcards
Examination findings of posterior sternoclavicular dislocation
Dysphagia
Stridor when supine
Decreased ROM of ipsilateral arm
Venous congestion
Decreased pulses
Imaging of choice for sternoclavicular dislocation
CT scan
Indications for Thumb Spica
Scaphpoid fractures
Thumb metacarpal fracture
Proximal phalanx fracture
The higher the water temperature, the _____ plaster and fiberglass materials harden
Faster
Water + plaster = exothermic reaction
Type of splint applied to stable ankle sprains or stable lateral malleolus fractures
Medial / Lateral Splint
Ankle stirrup
When is a posterior ankle splint used?
Non-weight bearing ankle fracture
Most frequent site of compartment syndrome
Anterior lower leg
Surgical emergencies needing urgent orthopedic surgery consult
Compartment syndrome
Septic joints
Open fractures
Circulatory compromise due to MSK injury
Irreducible dislocations
Flexor Tenosynovitis
Ulnar Nerve Injury
Claw Hand
Radial Nerve Injury
Wrist Drop
Ok Sign
Median Nerve
Thumb, Hypothenar, 1st and 2nd digit, flexor and pronator muscles of forearm
Jones fracture
Fracture at the base of the fifth metatarsal
Acute pain on lateral foot due to a sudden change in directio with the heel off the ground
sx: edema, ecchymosis, inability to bear weight
Lisfranc injury
Midfoot injury
2nd metatarsal and LIsfranc ligament
Plantar flexion with an axial load
Car accident
Sports injury
Barton’s fracture
Facture of the dorsal or volar rim of distal radius
Management of Barton’s fracture
Sugar Tong Splint
Ortho referral
Also for distal radius and ulnar fractures
Mechanism of sugar tong splint
Prevents:
pronation/supination
wrist flexion and extenion
Immobilizes elbow
Splint for humeral fracture
Coaptation splint
Forearm volar splint
Soft tissue hand or wrist injury
2nd to 5th metacarpal fractures
does not restrict supination or pronation
Most common carpal bone fractured
Scaphoid
Pain elicited on supination or pronation of the hand
Axial pressure directed along the thumb’s metacarpal
Risk for avascular necrosis
Distal radial metaphysis fracture that is dorsally angulated and displaced proximally and distally
Colles’ fracture
FOSH
Dinner fork deformity
Galeazzi Fracture
Fracture of the distal third of the radius in association with a dislocation of the distal radioulnar joint
Reverse Monteggia’s fracture
Monteggia’s fracture
Fracture of the proximal ulna with dislocation of the radial head
