Trauma and Fractures Flashcards
How do you treat a ruptured spleen
Splenic artery embolization or a splenectomy for treatment
What is the implication of removing the spleen
Immune complications
How is it possible to embolise the splenic artery
Spleen has 2 blood supplies (splenic and left gastric) so you can embolise one of them and still maintain the function of the spleen
What are the signs of a Collies fracture
Dinner fork appearance, dorsal angulation, fracture of the distal radius
Which fractures are usually only seen in children
Torus and greenstick fractures as the bones are softer
How can the fat pad of the elbow guide diagnosis
Anterior sail sign – fat pad looks like a sail
Posterior fat pad – shouldn’t be there
Sign of a radial head fracture in adults
Supracondylar fracture in children
What causes a collies fracture
FOOSH
common in the elderly
Which injury commonly occurs alongside a collies fracture
Fracture of the ulnar styloid
How do you describe the angulation of a wrist fracture
If the fracture angles backwards it’s called dorsal angulation
If the fracture angles forward toward the palm of the hand it’s called volar angulation
What is the main complication of a scaphoid fracture
AVN of the scaphoid due to the layout of its blood supply
How does a scaphoid fracture present
Often after falling on outstretched hand
Pain in the anatomical snuffbox
What type of fracture is common after a twisted ankle
Spiral fracture of fibula common
Look for talar shift (indicates whether manipulation is needed)
