PCE app workshop these cards are to be used alongside the powerpoint

Question 1

Comment Components

Answer 1

Location?
Fracture Orientation?
Open or closed? (Only mention if it is open)
Simple or comminuted? (Only mention if comminuted)
Intra-articular?
Displacement and/or angulation

Question 2

Slide 6 ?FB
There is a small radiopaque foreign body projected within the posteromedial soft tissues adjacent to the base of the middle phalanx.

Answer 2

slide 6
There is a small radiopaque foreign body projected within the posteromedial soft tissues adjacent to the base of the middle phalanx.

Question 3

slide 7 Fall. Not using arm. ?#
There is a minimally displaced supracondylar fracture with subtle posterior angulation of the distal fracture fragment. Elevation of the anterior and posterior fat pads demonstrates a significant joint effusion.

Answer 3

slide 7
There is a minimally displaced supracondylar fracture with subtle posterior angulation of the distal fracture fragment. Elevation of the anterior and posterior fat pads demonstrates a significant joint effusion.

Question 4

slide 8 Foosh. Obvious deformity. ?#
There are comminuted transverse fractures involving the distal radial and ulna metaphyses with posterolateral displacement (approximately ½ shaft’s width) and angulation of the distal fracture fragments. The distal radius fracture has intra-articular extension.

Answer 4

There are comminuted transverse fractures involving the distal radial and ulna metaphyses with posterolateral displacement (approximately ½ shaft’s width) and angulation of the distal fracture fragments. The distal radius fracture has intra-articular extension.

Question 5

Slide 9 Fall. ?# ?Dislocation.
The humeral head resides in a sub-coracoidal position in keeping with an anterior glenohumeral joint dislocation. The acromioclavicular joint is well preserved.

Answer 5

The humeral head resides in a sub-coracoidal position in keeping with an anterior glenohumeral joint dislocation. The acromioclavicular joint is well preserved.

Question 6

Slide 10 RROM. Pain following fall. Rule out fracture.
No bony injury. The glenohumeral joint is congruent. The acromioclavicular joint remains undisrupted.

Answer 6

Slide 10 RROM. Pain following fall. Rule out fracture.
No bony injury. The glenohumeral joint is congruent. The acromioclavicular joint remains undisrupted.

Question 7

Slide 11 Inversion injury. Tenderness & swelling. ?#
There is a minimally displaced avulsion fracture arising from the tip of the lateral malleolus with overlying soft tissue swelling and a small tibiotalar joint effusion. In addition, there is an undisplaced transverse fracture at the base of the fifth metatarsal.

Answer 7

There is a minimally displaced avulsion fracture arising from the tip of the lateral malleolus with overlying soft tissue swelling and a small tibiotalar joint effusion. In addition, there is an undisplaced transverse fracture at the base of the fifth metatarsal.

Question 8

Slide 12 Twisting injury. Pain at lateral aspect. Unable to WB.
A small fracture fragment is seen adjacent to the lateral aspect of the proximal tibial metaphysis. Appearances are in keeping with a Segond fracture.

Answer 8

Slide 12 Twisting injury. Pain at lateral aspect. Unable to WB.
A small fracture fragment is seen adjacent to the lateral aspect of the proximal tibial metaphysis. Appearances are in keeping with a Segond fracture.

Question 9

Slide 13 Punched wall. Rule out fracture.
No bony injury. Normal bone and joint appearances.

Answer 9

No bony injury. Normal bone and joint appearances.

Question 10

Slide 14 Football injury following tackle. Pain in Midfoot. Cannot WB
There is widening at the base of the first and second metatarsals in keeping with a subtle Lisfranc injury.

Answer 10

Slide 14 Football injury following tackle. Pain in Midfoot. Cannot WB
There is widening at the base of the first and second metatarsals in keeping with a subtle Lisfranc injury.

Question 11

Slide 15 Fall. Pain in left hip. Renal patient.
There is a minimally displaced but comminuted intertrochanteric fracture involving the left neck of femur.

Answer 11

There is a minimally displaced but comminuted intertrochanteric fracture involving the left neck of femur.

Question 12

Slide 16 Marathon runner. Pain for 2 weeks. ?Cause.
There is callous formation surrounding the midshaft of the second metatarsal in keeping with a healing stress fracture.

Answer 12

Slide 16 Marathon runner. Pain for 2 weeks. ?Cause.
There is callous formation surrounding the midshaft of the second metatarsal in keeping with a healing stress fracture.

Question 13

Slide 17 FOOSH. ASB Tenderness. ?Scaphoid #
There is a minimally displaced oblique fracture involving the distal pole of the scaphoid.

Answer 13

There is a minimally displaced oblique fracture involving the distal pole of the scaphoid.

Question 14

Slide 18 Limping and crying. ?Toddler’s fracture.
There is a subtle buckle fracture involving the anterolateral aspect of the proximal metaphysis of the fibula. (Very tough one – well done if you spotted it!)

Answer 14

There is a subtle buckle fracture involving the anterolateral aspect of the proximal metaphysis of the fibula. (Very tough one – well done if you spotted it!)

Question 15

Slide 19 FOOSH. Tender distal radius. ?#
There is a buckle fracture involving the dorsal aspect of the distal radial metaphysis. (Again very tough one. See how the very subtle buckle fractures occur at the metaphysis on both this case and the previous one? Review this area carefully when you produce radiographs of children…because your red dot will help this subtle ones get spotted!)

Answer 15

There is a buckle fracture involving the dorsal aspect of the distal radial metaphysis. (Again very tough one. See how the very subtle buckle fractures occur at the metaphysis on both this case and the previous one? Review this area carefully when you produce radiographs of children…because your red dot will help this subtle ones get spotted!)