UE Ortho Flashcards
scapula fx tx (2)
sling/immobilizer + rehab for 6-12 mo.
surgery indicated for articular surface displacement
neer classification areas (4)
and fracture parts
surgical neck anatomical neck greater tuberosity lesser tuberosity parts 1-4
nerve concern w/ humerus fx & presentation
radial n.
wrist drop
sulcus sign
glenohumeral dislocation
glenohumeral dislocation tx (2) and complication concerns (2)
immediate reduction
shoulder immobilizer 2-4 weeks
axillary n.- test sensation over deltoid
rotator cuff tear if ROM does not return after reduction
Bankart lesion
detachment of anterior inferior labrum from glenoid rim
Hill Sachs lesion
cortical depression of the posterolateral humeral head when humeral head is impacted by anterior rim of glenoid
axillary nerve damage (2)
decreased sensation to lateral aspect of shoulder
decr. deltoid function
nerve concern with supracondylar fx (2)
anterior interosseus nerve: test with OK sign
2 point discrimination to all 5 palmar pads
elbow dislocation diagnosis & tx (2)
plain films are diagnostic
immediate reduction if needed
casting/sling with early mobilization
tx nursemaids elbow (2)
supination with pressure over radial head
hyperpronation with pressure over radial head
Monteggia fx
ulnar (or radial & ulnar) shaft fx w/ dislocation of the radial head
cause of Volkmann’s ischemic contracture (2)
crush injury
tight bandage/cast
Colles fx (2)
dinner fork deformity
outward fall
Smith’s fx
inward fall
wrist fx tx
splinting, reduction, casting 4-6 weeks
Galeazzi fx & treatment
distal radius fx w/ disruption of distal radius & ulna joint
casting in slight pronation
anatomical snuffbox borders
lateral: extensor pollicis brevis + abductor pollicis longus
medial: extensor pollicis longus
scaphoid fx diagnosis and treatment (2)
radiographs may be negative, repeat in 2 weeks
thumb spica cast
surgery for displaced
what UE fx is at highest risk for AVN
proximal aspect of scaphoid
PIP dislocation tx (3)
rule out fracture first w/ plain films
reduction: accentuate deformity first
splinting for 2 weeks
when to give abx for a crush injury
with associated distal phalanx fracture
subungual hematoma tx
nail trephination
jersey finger presentation
most commonly affected
inability to flex DIP joint, pain over volar aspect
ring finger most common
jersey finger tx (2)
surgical repair within 10-14 days to prevent tendon shortening
splint x 6 weeks
mallet finger presentation & tx
inability to extend the DIP joint
extension splint 6-8 weeks
Boutonniere deformity
flexion of PIP
hyperextension at DIP
Swan neck deformity
hyperextension of PIP
flexion of DIP
Boxer’s fx treatment (2)
ulnar gutter cast
surgery if greater than 30 degrees angulation
gamekeeper’s thumb MOI & treatment (2)
injury to MCP joint –> ulnar collateral ligament tear & MCP instability
spica cast
surgery for stener lesion- adductor pollicis interferes with UCL healing
clavicle fx (4) non-displaced and displaced
nondisplaced: figure 8 and sling for 8-12 weeks
displaced: plate & screw
muscle relaxant for pain
refer for F/U
