Upper and lower fractures Flashcards

1
Q

if 50% of the range of motion can be completed in an active and painless manner during a clinical examination in a bone region, it is considered?

A

stable fanctionally

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

1- splinting for interphalangeal joints typically are rested in?

2-and for carpometacarpal joint in?

A

1- extension
2- flexion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

what is tendon gliding exercises?

A
  1. straight
    2.hook fist
    3.full fist
    4.straight fist
    4.platform position
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Nondisplaced metacarpal fractures are treated with?

A

anteroposterior splint in the
position of protective

wrist= 30 degree flexion
MCP= 70 degree flexion
IP= extension

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Fracture of the fifth metacarpal is?

A

boxer’s fracture

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

for metacarpal fracture rehabilitation list when we do
immobilization
mobilization
healing

A

immobilization= 4-6 weeks intraarticular , 3-4 weeks extraarticular

mobilization= +3-4 weeks
healing= 8 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

phalangeal fractures are more stable than metacarpal fractures
true or false?

A

false, metacarpal more stable because of the intrinsic muscles

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

what is the buddy tapping?

A

injured digit to the non-injured digit adjacent to the torn or compromised collateral ligament

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

what is ORIF?

A

open reduction and internal fixation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

6 weeks of long arm
thumb spica casting for?

A

scaphoid fracture

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Monteggia fracture
dislocation is?

A

fracture of the ulna with a dislocation of the radial head

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

A fracture of the radius with a disruption/dislocation of the distal radioulnar
joint is called?

A

Galeazzi fracture dislocation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

what is Phase I: (Weeks 0–2) for forearm fractures?

A

Patient is placed into a splint
Protected Sutures or staples are removed at week two.
Elevation of extremity for Edema control
ROM of fingers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Active and active-assisted ROM of elbow, forearm, and wrist
No repetitive forearm twisting
2-3 kg weight/Non weight bearing to which phase for forearm fracture rehab?

A

Phase II: (Weeks 2–6)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Lifting and twisting restricted till union has been achieved
Work on regaining preoperative motion if not already achieved

this Phase III: (>6 and Beyond) of forearm fracture rehab
true or false?

A

true

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

The most common associated fractures
include the radial head is?

A

coronoid process of
the ulna, and the olecranon

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

elbow dislocation,
fractures include the radial head, coronoid
process of the ulna
is termed as?

A

the terrible triad

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

nonoperative measures could be used with olecranon fracture
true or false?

A

true

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

N. Axillaris can be injured with?

A

Humerus Proximal Fx

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Healing 6-8.w for Diaphyseal/Shaft Humerus Fx

healing for 8-12.w for humeus proximal fx

true or false?

A

false, 6-8 w for proximal humerus fx

      8-12w for diaphyseal/shaft 
      humerus fx
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Radials nerve is injured in Diaphyseal/Shaft Humerus Fx
true or false?

A

true

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q
  • N. Medialis, ulnaris, radialis
  • A. Brachialis
  • CRPS Volkmann ischemic contracture
  • Healing 8-12 w.
  • Shoulder int/ext. rot & wrist motions are forbidden

are seen in?

A

Distal Humerus Fx

23
Q

stable isolated malleolus fractures can be treated by bracing

unstable ankle fractures treated in an operative manner

true or false?

A

true

24
Q

weightbearing distal tibial articular surface. Result of a high-energy mechanism is?

A

pilon fracture

25
Q

Chip and avulsion fractures are the most common fractures followed by talar neck fractures in?

A

Talus fracture

26
Q

progressive mobilization,
* restoration of full ROM,
* strengthening,
* gait training,
* proprioceptive training
are ?

A

evidence of bone union

27
Q

The tarsometatarsal (TMT) joint complex is

A

Lisfranc joint

28
Q

Prevention of the plantarflexion contracture is also a common, especially in the NWB patient
true or false?

A

true

29
Q

what are the 3 phases of a fracture?

A

phase one: 1-6 weeks protection
phase two: 6-8 weeks mobilization
phase three: 8-12 weeks function

30
Q

superficial hematoma on the inguinal ligament or on the scrotum or thigh is?

A

Destot sign

31
Q

how to treat hemodynamic instability?

A

stop bleeding, blood and fluid supplementation should be done

32
Q

mechanical instability is treated with?

A

open reduction and internal fixation

33
Q

These joint reaction forces
can reach 8 times the body weight in some cases
is referring to which joint?

A

hip joint

34
Q

Conservative
* Open reduction internal fixation (ORIF)
* Percutaneous fixation
* Total hip replacement

can be treated for?

A

acerebellar fractures

35
Q
  • Death
  • Infection
  • nerve injury
  • thrombus embolism
  • Vascular injury
  • Secondary fracture
    displacement
    are related to early or late complications for acetabular fracture?
A

early

36
Q

heterotopic ossification
* Osteonecrosis (3-4%)
* Posttraumatic
degenerative arthritis
* Deep Vein Thrombosis
(DVT)
* Posterior dislocation
* femoral neck fracture

are for late complication for acetabular fracture
true or false?

A

true

37
Q

for pelvic fracture immobilization for 12 weeks
for acetabular fracture immobilization for 6-8 weeks

true or false?

A

true

38
Q

femoral head fracture results from?

A

osteonecrosis

39
Q

fracture Between the trochanter minor and the 1/3 proximal
end of the femur is?

A

Subtrochanteric Femur

40
Q

Most of the femoral neck is?

A

intracapsular hematoma

41
Q

Functional limitations, stiffness, antalgic walking, difficulty in descending and ascending the stairs
are complications of?

A

femoral shaft fractures

42
Q

Increases extensor strength by increasing the leverage of the quadriceps muscle results in?

A

patella fracture

43
Q

Extension splint or plaster applied to?

A

In Fractures that are not displaced by straight leg lifting

44
Q

In patients who cannot do straight leg lift, in patients with 2-3 mm gap between the fracture parts; Stabilized by ORIF

true or flase?

A

true

45
Q

partial patellectomy and tendon repair is done in?

A

multi part fractures of patella

46
Q

-In the first 2 weeks, 30 knee flexions are added, and every next week 15 is added,90 knee flexion should be achieved in the first 6 weeks.

this done with?

A

patella fractures

47
Q

AVOID closed kinetic knee extension exercises for the first 6 weeks in patella fractures
true or false?

A

false, opened kinetic knee

48
Q

compartment syndrome may
accompany in?

A

tibia Plateau Fractures and tibial shaft fracture

49
Q

he knee joint is loaded by
approximately 220-350% of body weight
true or false?

A

true

50
Q

900 knee flexion should be gained within 4 weeks for?

A

tibia plateau fractures

51
Q

nonunion, loss of knee
extension, instability, angular deformity,
traumatic arthritis, osteonecrosis, infection
are complications for patella fracture?
true or false?

A

false, complications of plateau fractures

52
Q

The vast majority of tibia fractures is?

A

conservative

53
Q

In the first weeks postop for tibial shaft fracture the affected extremity should?

A

be positioned above the level of the hip