Traumatic MSK conditions of LE

Question 0

Dislocation definition

Answer 0

Complete Separation of articular surfaces, not a bone problem

Question 1

Fracture definition

Answer 1

SOFT TISSUE INJURY complicated by a break in the bone

Question 2

Open fracture def

Answer 2

Communicates with the environment where the bone fracture ends through a break in the skin or mucosa, more susceptible to infection

Question 3

2 vies on XR to asses depth of injury

Answer 3

AP. LAteral

Question 4

PAtterns of Injuries (fractures)

Answer 4

Transverse, Oblique, SPiral, Comminuted

Question 5

Short oblique fractures vs Spiral fractures

Answer 5

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

Question 6

Purpose of Splinting

Answer 6

1 reduce pain
2 Improve circulation
3 allow ease of transport
4 PRevent fat embolism

Question 7

How to use splints

Answer 7

Immobilize 1 joint above and one joint below

Question 8

DEfinitive MAnagement

Answer 8

REduction, immobilization and fixation

Question 9

what to do if iliac wing is broken

Answer 9

check hb,hct,shock

Question 10

contraindication for pelvic fractures

Answer 10

laparotomy will bleed pt

Question 11

central dislocation of femur

Answer 11

strong lateral impact to the femur and the head of the femur is driven into th qcetqbulum shttering the acetqbulum into pieces

Question 12

hip composed of

Answer 12

acetabulum,femoral head,fermoral neck,proximal femur

Question 13

femur fracture tx ( intertrochanteric)

Answer 13

compression hip screw, imhs

Question 14

tx for knee fractures (patellar)

Answer 14

tension band wiring

Question 15

limb saving technique of knee dislocation

Answer 15

pull leg to its original position,popliteal artery might become tethered,check for late thrmbosis 3 days lat

Question 16

mgt of ankle fracture

Answer 16

malleolar screw + Antiglide plane

Question 17

DFractures of foot consideration

Answer 17

Soft tissue injury and vascular compromise

Question 18

Compartment syndrome definition

Answer 18

Excessively high pressure and vascular comrpmise - arteriolar and microvascular circulation suffers => Contractures and loss of function

Question 19

Classic symptoms of Compartment syndrome

Answer 19

Severe pain, with casts/splints , may have been under a heavy object

Question 20

TX of compartment syndrome

Answer 20

Emergency fasciotomy

Question 21

tx for DElayed Compartment syndrome

Answer 21

DONT do FAsciotomy, just drain and treat the skin