Week 6

Question 1

what are the two types of intracapsular hip fracture

Answer 1

subcapital
transcervical

Question 2

what are the four types of extracapsular hip fracture

Answer 2

basicervical
intertrochanteric
reverse oblique
subtrochanteric

Question 3

what operation would we choose for an elderly woman with dementia living in a nursing home who has a hip fracture

Answer 3

hermiarthroplasty

Question 4

blood supply to femoral head

Answer 4

intramedullary artery of shaft of femur
medial and lateral circumflex branches of profunda femoris
artery of ligamentum teres

Question 5

what would be the operation of choice for a fit and active 50 year old with an undisplaced intracapsular hip fracture?

Answer 5

compression hip screw

Question 6

what would be the operation of choice for a subtrochanteric hip fracture

Answer 6

intramedullary nail

Question 7

what would be the operation of choice for a intertrochanteric hip fracture

Answer 7

dynamic hip screw

Question 8

what would be the operation of choice for a young fit person with a displaced intracapsular hip fracture

Answer 8

total hip replacement

Question 9

AMPLE in blunt trauma presentation

Answer 9

Allergies
Medications
Past medical history
Last meal
Events leading up to injury

Question 10

dealing with open fracture

Answer 10

direct pressure if bleeding
reduce dislocation
cover
stabilise
neurovascular status
antibiotics within 3hrs (IV co-amoxiclav)
tetanus vaccine?

Question 11

what are the 4 P’s of compartment syndrome

Answer 11

Pain
Paraesthesia
Pallor
Pulselessness

Question 12

which nerve is most at risk in wrist fractures

Answer 12

median

Question 13

what is a torus fracture

Answer 13

the bone creases rather than breaks.
only in kids
very stable injury

Question 14

how can you test if a kid’s median, radial and ulnar nerves are fine

Answer 14

play rock paper scissors

Question 15

what is the usual management for buckle fractures and greenstick fractures

Answer 15

splint
(possibly a cast)

Question 16

what is the most common type of salter harris fracture

Answer 16

type II

Question 17

salter harris type I

Answer 17

completely transversely through physis

Question 18

salter harris type II

Answer 18

transversely through physis but exits through metaphysis

Question 19

what type of fracture is gartland classification for

Answer 19

supracondylar fractures of the humerus

Question 20

gartland classification IIa and IIb

Answer 20

IIa - no rotational deformity
IIb - may have a bit of rotation deformity

Question 21

toddlers fractures management

Answer 21

above knee soft cast

Question 22

most common sites for NAI

Answer 22

femur, humerus, tibia

Question 23

if physis injuries aren’t anatomically reduced what can happen

Answer 23

malunion or non-union

Question 24

diagnostic Ps of compartment syndrome

Answer 24

PAIN
Paraesthesia
Pallor
Paralysis
Poikilothermia
Pulse (last clinical sign)

Question 25

femoral shaft fracture usual management

Answer 25

intramedullary nailing

Question 26

intracapsular types of hip fracture

Answer 26

subcapital
transcervical

Question 27

extracapsular types of hip fracture

Answer 27

basicervical
intertrochanteric
reverse oblique
subtrochanteric

Question 28

in a basicervical hip fracture, would the lesser trochanter still be in tact

Answer 28

yes