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Y5 - T+O > upper limb fractures > Flashcards

upper limb fractures Flashcards

1
Q

which pole is at risk in a scaphoid fracture

A

proximal

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1
Q

cause of scaphoid fracture

A

FOOSH

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2
Q

on Ex of scaphoid fracture

A

tender over anatomical snuffbox

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3
Q

Ix for scaphoid fracture

A

AP, lateral and scaphoid view

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4
Q

what do you do if no xray evidence of fracture but high index of suspicion

A

cast and re image in 10 days

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5
Q

MX of scaphoid fracture

A

non displaced –> strict immobilisation in cast / splint
displaced –> ORIF and screw

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6
Q

contents of anatomical snuffbox

A

radial artery, radio nerve and cephalic vein

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7
Q

complications of scaphoid fracture

A

avascular necrosis and non union

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8
Q

what is a colles fracture

A

extraarticular fracture of the distal radius with dorsal angulation of the distal segment

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9
Q

deformity in a colles fracture

A

dinner fork deformity

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10
Q

mechanism of colles

A

FOOSH

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11
Q

what is a bartons fracture

A

distal radial fracture with associated dislocation of the radio-carpal joint

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12
Q

3 features looked for on Xray of distal radius

A

radial height, volar tilt and radial inclinicaton

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13
Q

what should radial height be

A

11mm (radius should always be longer than ulnar otherwise get radial deviation and prominence of the ulnar head)

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14
Q

what should the volar tilt be

A

11 degrees when looking on from a lateral view

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15
Q

what should the radial inclination be

A

22 degrees (line perpendicular to long axis of radius to styloid

16
Q

complications of a distal radial fracture

A

malunion or median nerve palsy

17
Q

Mx of distal radial fracture

A

closed reduction and immobilisation in a below elbow backstab cast and then repeat xray at 1 week

18
Q

what deformity do you get in a smiths fracture (volar angulation of the distal segment)

A

garden spade

19
Q
A

Y5 - T+O (11 decks)

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