Traumatic MSK conditions of LE Flashcards
Dislocation definition
Complete Separation of articular surfaces, not a bone problem
Fracture definition
SOFT TISSUE INJURY complicated by a break in the bone
Open fracture def
Communicates with the environment where the bone fracture ends through a break in the skin or mucosa, more susceptible to infection
2 vies on XR to asses depth of injury
AP. LAteral
PAtterns of Injuries (fractures)
Transverse, Oblique, SPiral, Comminuted
Short oblique fractures vs Spiral fractures
SOF= Combined bending force + Axial loading and angle of Fracture is 30 degrees or more Spiral= Rotational force or Long oblique fractures , angle of fracture is less than 30 degrees
Purpose of Splinting
1 reduce pain
2 Improve circulation
3 allow ease of transport
4 PRevent fat embolism
How to use splints
Immobilize 1 joint above and one joint below
DEfinitive MAnagement
REduction, immobilization and fixation
what to do if iliac wing is broken
check hb,hct,shock
contraindication for pelvic fractures
laparotomy will bleed pt
central dislocation of femur
strong lateral impact to the femur and the head of the femur is driven into th qcetqbulum shttering the acetqbulum into pieces
hip composed of
acetabulum,femoral head,fermoral neck,proximal femur
femur fracture tx ( intertrochanteric)
compression hip screw, imhs
tx for knee fractures (patellar)
tension band wiring
limb saving technique of knee dislocation
pull leg to its original position,popliteal artery might become tethered,check for late thrmbosis 3 days lat
mgt of ankle fracture
malleolar screw + Antiglide plane
DFractures of foot consideration
Soft tissue injury and vascular compromise
Compartment syndrome definition
Excessively high pressure and vascular comrpmise - arteriolar and microvascular circulation suffers => Contractures and loss of function
Classic symptoms of Compartment syndrome
Severe pain, with casts/splints , may have been under a heavy object
TX of compartment syndrome
Emergency fasciotomy
tx for DElayed Compartment syndrome
DONT do FAsciotomy, just drain and treat the skin
