Upper and lower fractures Flashcards
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?
stable fanctionally
1- splinting for interphalangeal joints typically are rested in?
2-and for carpometacarpal joint in?
1- extension
2- flexion
what is tendon gliding exercises?
- straight
2.hook fist
3.full fist
4.straight fist
4.platform position
Nondisplaced metacarpal fractures are treated with?
anteroposterior splint in the
position of protective
wrist= 30 degree flexion
MCP= 70 degree flexion
IP= extension
Fracture of the fifth metacarpal is?
boxer’s fracture
for metacarpal fracture rehabilitation list when we do
immobilization
mobilization
healing
immobilization= 4-6 weeks intraarticular , 3-4 weeks extraarticular
mobilization= +3-4 weeks
healing= 8 weeks
phalangeal fractures are more stable than metacarpal fractures
true or false?
false, metacarpal more stable because of the intrinsic muscles
what is the buddy tapping?
injured digit to the non-injured digit adjacent to the torn or compromised collateral ligament
what is ORIF?
open reduction and internal fixation
6 weeks of long arm
thumb spica casting for?
scaphoid fracture
Monteggia fracture
dislocation is?
fracture of the ulna with a dislocation of the radial head
A fracture of the radius with a disruption/dislocation of the distal radioulnar
joint is called?
Galeazzi fracture dislocation
what is Phase I: (Weeks 0–2) for forearm fractures?
Patient is placed into a splint
Protected Sutures or staples are removed at week two.
Elevation of extremity for Edema control
ROM of fingers
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?
Phase II: (Weeks 2–6)
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?
true
The most common associated fractures
include the radial head is?
coronoid process of
the ulna, and the olecranon
elbow dislocation,
fractures include the radial head, coronoid
process of the ulna
is termed as?
the terrible triad
nonoperative measures could be used with olecranon fracture
true or false?
true
N. Axillaris can be injured with?
Humerus Proximal Fx
Healing 6-8.w for Diaphyseal/Shaft Humerus Fx
healing for 8-12.w for humeus proximal fx
true or false?
false, 6-8 w for proximal humerus fx
8-12w for diaphyseal/shaft
humerus fx
Radials nerve is injured in Diaphyseal/Shaft Humerus Fx
true or false?
true
- 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?
Distal Humerus Fx
stable isolated malleolus fractures can be treated by bracing
unstable ankle fractures treated in an operative manner
true or false?
true
weightbearing distal tibial articular surface. Result of a high-energy mechanism is?
pilon fracture
Chip and avulsion fractures are the most common fractures followed by talar neck fractures in?
Talus fracture
progressive mobilization,
* restoration of full ROM,
* strengthening,
* gait training,
* proprioceptive training
are ?
evidence of bone union
The tarsometatarsal (TMT) joint complex is
Lisfranc joint
Prevention of the plantarflexion contracture is also a common, especially in the NWB patient
true or false?
true
what are the 3 phases of a fracture?
phase one: 1-6 weeks protection
phase two: 6-8 weeks mobilization
phase three: 8-12 weeks function
superficial hematoma on the inguinal ligament or on the scrotum or thigh is?
Destot sign
how to treat hemodynamic instability?
stop bleeding, blood and fluid supplementation should be done
mechanical instability is treated with?
open reduction and internal fixation
These joint reaction forces
can reach 8 times the body weight in some cases
is referring to which joint?
hip joint
Conservative
* Open reduction internal fixation (ORIF)
* Percutaneous fixation
* Total hip replacement
can be treated for?
acerebellar fractures
- Death
- Infection
- nerve injury
- thrombus embolism
- Vascular injury
- Secondary fracture
displacement
are related to early or late complications for acetabular fracture?
early
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?
true
for pelvic fracture immobilization for 12 weeks
for acetabular fracture immobilization for 6-8 weeks
true or false?
true
femoral head fracture results from?
osteonecrosis
fracture Between the trochanter minor and the 1/3 proximal
end of the femur is?
Subtrochanteric Femur
Most of the femoral neck is?
intracapsular hematoma
Functional limitations, stiffness, antalgic walking, difficulty in descending and ascending the stairs
are complications of?
femoral shaft fractures
Increases extensor strength by increasing the leverage of the quadriceps muscle results in?
patella fracture
Extension splint or plaster applied to?
In Fractures that are not displaced by straight leg lifting
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?
true
partial patellectomy and tendon repair is done in?
multi part fractures of patella
-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?
patella fractures
AVOID closed kinetic knee extension exercises for the first 6 weeks in patella fractures
true or false?
false, opened kinetic knee
compartment syndrome may
accompany in?
tibia Plateau Fractures and tibial shaft fracture
he knee joint is loaded by
approximately 220-350% of body weight
true or false?
true
900 knee flexion should be gained within 4 weeks for?
tibia plateau fractures
nonunion, loss of knee
extension, instability, angular deformity,
traumatic arthritis, osteonecrosis, infection
are complications for patella fracture?
true or false?
false, complications of plateau fractures
The vast majority of tibia fractures is?
conservative
In the first weeks postop for tibial shaft fracture the affected extremity should?
be positioned above the level of the hip
