upper extremity fractures Flashcards

1
Q

which type of Upper extremity fracture has problems with non union and malunion due to a poor blood supply

A

scaphoid fractures

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2
Q

blood supply to the proximal part of the scaphoid comes from

A

more distal area

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3
Q

when is surgery indicated for a distal radial fracture

A

if intra-articular or displacement is severe

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4
Q

2 features of a distal radial fracture

A

can be reduced closed

heal in a cast in 6 weeks

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5
Q

if a distal radial fracture doesnt heal well

A

can develop post traumatic osteoarthritis

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6
Q

majority of radial fractures are

A

extra articular and can be reduced in a closed way

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7
Q

forearm fractures need what type of reduction

A

anatomic to preserve range of motion

the fracture of “necessity”

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8
Q

distal humeral fractures are often

A

intra-articular

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9
Q

most common complication of a distal humeral fracture is

A

stiffness

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10
Q

For early motion what do you need for a humeral fracture to fix

A

open reduction and internal fixation

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11
Q

when you have a displaced intra-articular fracture you must

A

ORIF

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12
Q

where should the screw heads be?

A

buried in cartilage to avoid injuring the joint

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13
Q

For an elderly patient with a distal humeral fracture

A

just replace the elbow

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14
Q

humeral shaft fracture is associated with what nerve injury

A

a radial nerve injury

- most heal without surgery in a splint

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15
Q

how do you treat clavicular fractures?

A

in a sling -

only symptom management

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16
Q

to diagnose a dislocation at the glenohumeral joint what type of xray is needed?

A

ALWAYS a lateral

TRANS-AXILLARY

17
Q

do you treat a sternoclavicular injury

A

no unless posteriorly displaced and compressing trachea or great vessels