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Flashcards in Cortext Week 6 Deck (46):
1

What reflex is absent in spinal shock?

Bulbocavernous reflex - contraction of anal sphincter with either squeeze of penis glands, tapping mons pubis or pulling on urethral catheter

2

With incomplete spinal injuries - what do peruanal sensation, voluntary anal contraction and big toe flexion indicate?

Corticospinal motor and spinothalamic tracts

3

What syndrome can occur with hyperextension injury in cervical spine with osteoarthritis?

Central cord syndrome

4

What type of pelvis fracture occurs with side impact where one half of pelvis is displaced medially, fractures through the pubic rami or ischium are accompanied by a sacral compression fracture or SI joint disrutoion?

Lateral compression fracture

5

What pelvic fracture occurs due to axial force on one hemipelvis where the affected hemipelvis is displaced superiorly, the leg on affected side will appear shorter?

Vertical shear force

6

What is antother term for anteroposterior compression pelvic injury?

Open book fracture

7

What type of pelvic fractures do elderly get?

Minimally displaced lateral compression injuries

8

What is the most common humeral neck fracture pattern?

Surgical neck fracture with medial displacement of humeral shaft due to pull of pectoralis major muscle

9

How are patella nad quadricep tendon tears treated?

Surgically

10

Which way of dislocatgion is more common in the shoulder?

Anterior

11

What dislocation of shoulder occurs after excessive external rotation force or a fall onto back of shoulder?

aNterior

12

What is another term for detatchment of anterior glenoid labrum and capsule in anterior shoulder dislocation?

Bankart lesion

13

What is another term for the posterior humeral head impacting on the anterior glenoid producing an impaction fracture of the posterior head?

Hill-Sachs lesion

14

Name a clinical sign of anterior shoulder dislocation?

Loss of rounded shoulder and loss of sensation in regimentl badge area.

15

How is shoulder dislocation diagnosed>

X-ray

16

What is mainstay of treatment for anterior dislocaiton of shoulder/

Closed reduction under sedation

17

What dislocation of shoulder will happen on an adducted and internally rotated arm?

Posterior

18

What is injured after a fall onto the point of a shoulder?

AC joint

19

How are most AC fractures treated?

Conservatively

20

What nerve is affected in wrist drop and loss of sensation in first dorsal web space?

Radial

21

Who do supracondylar fractures usually occur in?

Children

22

What occurs after a fall onto the point of elbow with contraction of triceps muscle?

Olecranon fracture

23

How are monteggia fractures treated?

ORIF

24

What is a Colles fracture?

Extra-articular fracture of distal radius within an inch of the articular surface and with dorsal displacement or angulation

25

Name a local late complication of colles fracture?

Rupture of extensor pollicis longus tendon

26

What is another name for flexion fracture of radius?

Smiths

27

What is a volarly displaced or angulated extra-articular fracture of the distal radiuswhich usually occurs after falling onto back of flexed wrist?

Smiths

28

How should all smiths fractures be treated?

With ORIF - highly unstable injuries

29

What are the names of intra-articular fractures of distal radius involving the dorsal or voalr rim, where the carpalk bones of the wrist joint sublux?

Bartons

30

What is an avulsion of extensor tendon from its insertion into terminal phalynx and is caused by forced flexion of the extended DIPJ, often from ball sport?

Mallet finger

31

How are 3rd, 4th and 5th metacarpals treated?

Conservatorly

32

What normally fracutres in a punching injury?

5th metacarpal

33

How are extracapsular hip fractures managed?

Dynamic hip screw

34

How much blood loss can occur with femoral shaft frac=tures?

1.5 litres

35

What tibial plateu fracture will valgus force cause?

Lateral

36

What is used to fix tibial plataeu fractures?

Plates and screws

37

What is name for distal tibial fracture/

Pilon

38

What is the name of the fracture of the base of the 2nd metatarsal associated with dislocation of the base of 2nd metatarsal with or without dislocation of others?

Lis franc

39

What is the periosteium like in childrens bones?

Much thicker and bendier

40

What Salterharris class is pure physeal seperation?

1

41

What Salter Harris class are msot common?

2

42

What class of Salter Harris are intraarticular/

3 and 4

43

What are bucjkle and greenstick fractures?

Childrens distal radius fractures

44

If the patient is unable to make ok sign - what nerves and muscles are affected?

;oss of FPL, FDP and median nerve

45

In children less than 2 with femur shaft fractures - what splint is ued?

Gallows traction

46

Who are undisplaced spiral fractures of tibial shaft common in?

Toddlers