UE Surgery Flashcards

1
Q

SALTR classifications:

A

1: slipped/separation
2: above
3: lower
4: through (vertical)
5: rammed/ruined

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2
Q

3 tx options for fx

A

splint
cast
surgery (CRPPF, ORIF, External Fixation)

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3
Q

2 major factors of osteomyelitis in open fx…

A

quality of debridement

prophylactic abx

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4
Q

MC site of open fx

A

tibia

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5
Q

MC abx for open fx

A

IV cephazolin

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6
Q

scapula fx is a result of ______ mechanism

A

high energy

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7
Q

scapula fx is commonly associated with…

A

other trauma

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8
Q

2 views for scapula fx eval

A

AP

trans-scapular Y view

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9
Q

how long for scapular fx recovery?

A

6 mo to 1 year

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10
Q

wrist drop in presence of proximal humerus fx indicates…

A

radial nerve injury

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11
Q

a “floating elbow” with proximal humerus fx indicates…

A

forearm fx

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12
Q

in a humeral shaft fx, what is critical to prevent frozen shoulder?

A

early motion

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13
Q

positive sulcus sign, apprehension and relocation tests indicate…

A

GH dislocation

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14
Q

95% of GH dislocations are in which direction?

A

anterior

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15
Q

which radiographic view is best for posterior dislocations?

A

axillary

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16
Q

after immediate reduction, how long swing/swathe for GH dislocation?

A

2-4 weeks

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17
Q

detachment of the anterior inferior labrum from the glenoid rim…

A

bankart lesion

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18
Q

cortical depression of posterolateral humeral head after impact by anterior glenoid rim

A

hills sachs lesion

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19
Q

decreased sensation on lateral aspect of shoulder and decreased deltoid fxn indicates…

A

axillary nerve injury

20
Q

diagnostic for elbow sublux/dislocation

A

plain radiograph

21
Q

what can be found on CT scan in an elbow dislocation?

A

medial condyle fx

22
Q

2 views for forearm fx

A

AP, lateral

23
Q

this is an ulnar shaft fx with dislocation of the radial head…

A

monteggia fx

24
Q

with “isolated” ulnar shaft fx, what must be ruled out?

A

monteggia fx

25
nondisplaced forearm fx tx
splint/casting x 6-8 weeks return to activity 4-6 mo
26
tx for displaced forearm fx
Emergent Reduction + ORIF
27
which wrist fx? dorsal displacement, dinner fork deformity
colle's fx
28
which wrist fx? volar displacement of the hand
smith's fx
29
views for wrist fx
ap, lateral, oblique
30
tx for wrist fx...
splinting/casting 4-6 weeks or surgery
31
this is a distal radial fx with disruption of DRUJ/TFCC
galeazzi fx
32
this is the MC carpal bone fx...
scaphoid fx
33
PE sign for scaphoid fx
TTP anatomic snuffbox
34
X-Ray views for scaphoid fx
AP, lat, scaphoid repeat 10-14 days if negative
35
tx for scaphoid fx
thumb spica cast
36
complication of scaphoid fx...
avascular necrosis of proximal aspect
37
finger fx imaging
ap, lateral, oblique x ray
38
what is more common type of IP dislocation?
dorsal
39
MC finger for jersey finger
ring finger
40
inability to flex DOP joint with pain over volar aspect...
jersey finger/flexor tendon rupture
41
Rupture of the extensor tendon of DIP inability to extend DIP
mallet finger
42
Tx for mallet finger
STAX extension splint x 6-8 weeks
43
tx of boxer's fx
ulnar gutter splint, then cast 3-6 weeks
44
fx to the base of 1st MC with extension into the joint...
bennett's fx
45
injury to MCP joint ulnar collateral ligament tear and instability of MCP
game keeper's thumb/skier's thumb
46
tx for game keeper's thumb
thumb spica splint then cast