Week 6 Flashcards
what are the two types of intracapsular hip fracture
subcapital
transcervical
what are the four types of extracapsular hip fracture
basicervical
intertrochanteric
reverse oblique
subtrochanteric
what operation would we choose for an elderly woman with dementia living in a nursing home who has a hip fracture
hermiarthroplasty
blood supply to femoral head
intramedullary artery of shaft of femur
medial and lateral circumflex branches of profunda femoris
artery of ligamentum teres
what would be the operation of choice for a fit and active 50 year old with an undisplaced intracapsular hip fracture?
compression hip screw
what would be the operation of choice for a subtrochanteric hip fracture
intramedullary nail
what would be the operation of choice for a intertrochanteric hip fracture
dynamic hip screw
what would be the operation of choice for a young fit person with a displaced intracapsular hip fracture
total hip replacement
AMPLE in blunt trauma presentation
Allergies
Medications
Past medical history
Last meal
Events leading up to injury
dealing with open fracture
direct pressure if bleeding
reduce dislocation
cover
stabilise
neurovascular status
antibiotics within 3hrs (IV co-amoxiclav)
tetanus vaccine?
what are the 4 P’s of compartment syndrome
Pain
Paraesthesia
Pallor
Pulselessness
which nerve is most at risk in wrist fractures
median
what is a torus fracture
the bone creases rather than breaks.
only in kids
very stable injury
how can you test if a kid’s median, radial and ulnar nerves are fine
play rock paper scissors
what is the usual management for buckle fractures and greenstick fractures
splint
(possibly a cast)
what is the most common type of salter harris fracture
type II
salter harris type I
completely transversely through physis
salter harris type II
transversely through physis but exits through metaphysis
what type of fracture is gartland classification for
supracondylar fractures of the humerus
gartland classification IIa and IIb
IIa - no rotational deformity
IIb - may have a bit of rotation deformity
toddlers fractures management
above knee soft cast
most common sites for NAI
femur, humerus, tibia
if physis injuries aren’t anatomically reduced what can happen
malunion or non-union
diagnostic Ps of compartment syndrome
PAIN
Paraesthesia
Pallor
Paralysis
Poikilothermia
Pulse (last clinical sign)
