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GK PANCE > Ortho Forearm, wrist, hand > Flashcards

Ortho Forearm, wrist, hand Flashcards

1
Q

Incomplete fracture with cortical disruption and periosteal tearing on the convex side of the fracture (intact periosteum on the concave side) “bowing”

A

Greenstick fx

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2
Q

Incomplete fracture with wrinkling or bump on the metaphyseal-diaphyseal junction (where the dense bone meets the more porous bone) due to axial loading.

A

Torus (buckle fx)

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3
Q

Most common site of radial nerve injury

A

humerus Fx

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4
Q

Tx for humerus fx

A

sugar tong splint

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5
Q

What fx can potentially cause a median nerve, brachial artery and radial nerve injury?

A

Supracondylar Fracture

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6
Q

Tx for nondisplaced Supracondylar Fx

A

splint

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7
Q

Tx for radial head Fx

A

sling + long arm splint 90 degrees

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8
Q

Tx for nursemaids elbow

A

supination-flextion technique

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9
Q

How does a nightstick Fx happen?

A

direct blow

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10
Q

Isolated fractures of the ulna, typically transverse and located in the mid-diaphysis and usually resulting from a direct blow.

A

Nightstick (ulnar shaft) Fx

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11
Q

Proximal Ulnar shaft Fx with radial head dislocation

A

Monteggia Fx

“GRUM”: Galeazzi, Radius and Ulnar, Monteggia

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12
Q

What nerve may be injured in a Monteggia Fx?

A

Radial Nerve (wrist drop)

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13
Q

Tx for Monteggia Fx

A

ORIF

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14
Q

Distal radial shaft fracture with dislocation of the ulnar-radial joint

A

Galeazzi Fx

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15
Q

Cubital Tunnel Syndrome effects which nerve?

A

Ulnar Nerve: tingling and numbness in 1/2 of 3rd, 4th and 5th digits

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16
Q

PE will show what for cubital tunnel syndrome

A

+tinels sign

+ Fromen’t sign

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17
Q

What is a + froments sign

A

seen in cubital tunnel syndrome

pt grasps paper between pointer finger and thumb and pt not able to hold paper when paper pulled away by provider

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18
Q

T for cubital tunnel syndrome

A

wrist immobilization w/sleep, NSAIDS

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19
Q

inflammation of tendon insertion of extensor carpi radialis brevis

A

Tenis Elbow (Lateral epicondylitis)

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20
Q

inflammation of pronator teres-flexor carpi radialis

A

Medial Epicondylitis (Golfers elbow)

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21
Q

Lateral epicondylitis Presentation

A

pain w/gripping, pronating forearm & wrist extension

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22
Q

Medial epicondylitis Px

A

pain w/ wrist flexion against resistance & worse with pulling activities

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23
Q

MC type of elbow dislocation (opposite of MC shoulder D/L)

A

Posterior

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24
Q

Pt presents with flexed elbow & marked olecranon prominence

A

Elbow dislocation

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25
Q

Tx for elbow dislocation

A

Emergent reduction!! Posterior splint

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26
Q

What nerve injuries must you rule out with an elbow dislocation?

A

brachial artery & median/ulnar/radial nerve injury

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27
Q

Complication with scaphoid Fx

A

avascular necrosis

28
Q

anatomical snuffbox tenderness w/ what Fx?

A

scaphoid Fx

29
Q

Scaphoid Fx Tx

A

thumb spica

30
Q

Scapholunate dissociation tx

A

radial gutter splint

31
Q

dinner fork deformity

A

colles fracture

32
Q

dorsal posterior angulation in wrist fracture

A

colles fracture (dinner fork Deformity)

33
Q

Diagnosis for Colles and Smith FX

A

Lateral X ray so you can differentiate between Colles and Smith

34
Q

garden spade deformity

A

smith fx

35
Q

ventral anterior angulation of this wrist fracture

A

smith fracture (garden spade deformity)

36
Q

complication of colles Fx

A

extensor pollicus longus tendon rupture

37
Q

complication of smith fracture

A

Median nerve injury: can develop into carpal tunnel syndrome

38
Q

Tx for colles and smith fx

A

sugar tong splint/cast

ORIF if unstable or communited

39
Q

piece of pie sign

A

lunate dislocation

40
Q

lunate D/L

A

lunate doesn’t articulate with capitate or radius

41
Q

tx for lunate dislocation

A

unstable: ORIF

42
Q

what is the most serious carpal fracture

A

lunate fracture

43
Q

kienbocks disease

A

avascular necrosis of lunate bone

44
Q

sudden blow to tip of an extended finger with forced flexion

A

mallet (baseball) finger

45
Q

entensor tendon avulsion

A

mallet (baseball) finger

46
Q

inability to straighten the distal finger (flexed at DIP joint)

A

mallet (baseball) finger

47
Q

Tx for mallet finger

A

splint the DIP in uninterrupted extension x 6 weeks

48
Q

finger flexed @ PIP joint & hyperextended @ DIP joint

A

Boutonneire deformity

49
Q

finger hyperextended @PIP joint & flexed @ DIP joint

A

Swan neck deformity

50
Q

sprain or tear of ulnar collateral ligament of the thumb–> instability of MCP joint

A

Gamekeepers (skiers) thumb

51
Q

difff between skiers thumb and gatekeepers thumb

A

skiers thumb: acute

gamekeepers: chronic hyperabduction injury

52
Q

thumb far away from other digits especially with valgus stress

A

gamekeepers thumb

53
Q

tx for gamekeepers thumb

A

thumb spica

54
Q

Fracture of the neck of 5th metacarpal

A

boxer’s Fx

55
Q

Tx for boxer’s Fx

A

ulnar gutter splint

56
Q

intraarticular fracture through the base of the 1st metacarpal (MCP) bone

A

bennet’s fracture

57
Q

comminuted Bennett’s fracture

A

Rolando’s fracture

58
Q

SALTR Harris classification

A

S: Same

A: Above

L: Lower

T: Through

R: Rammed

59
Q

SALTR HARRIS classification is used for which fractures?

A

growth (epiphyseal) plate fractures

60
Q

MC SALTR HARRIS Fx

A

Type II: growth plate fx + fx of metaphysis (good prognosis)

61
Q

de quervain tenosynovitis

A

stenosing tenosynovitis of the abductor pollicus longus (APL) and extensor pollicus brevus (EPB)

62
Q

pain along radial aspect of wrist radiating to forearm

A

de quervain tenosynovitis

63
Q

+ finkelstein test

A

pain w/ulnar deviation or thumb extension

64
Q

Tx for de quervain tenosynovitis

A

thumb spica splint

65
Q

Obtain repeat radiographs in 2 weeks for what fracture?

A

scaphoid fx

66
Q
A

GK PANCE (26 decks)

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