Deformities & Fancy named stuff Flashcards

1
Q

Floating Palate (Horizontal)

A

Horizontal maxillary fracture, separating the
teeth from the upper face

Fracture line passes through the alveolar ridge,
lateral nose and inferior wall of the maxillary sinus

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2
Q

SLAP Lesion

A

Superior Labral Anterior Posterior (SLAP) tears
- Insertion of long head of biceps brachii tendon
- MOI : FOOSH
- Uncommonly associated with shoulder
instability

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3
Q

Floating Maxilla (Pyramidal)

A

Pyramidal fracture
Fracture arch passes through the posterior
alveolar ridge, lateral walls of maxillary sinuses,
inferior orbital rim and nasal bones
Uppermost fracture line can pass through the
nasofrontal junction or the frontal process of the maxilla

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4
Q

Galeazzi Fracture

A

Fracture distal Radius + Distal Radioulnar
dislocation
- MOI: FOOSH with elbow in flexion
- Mainly children (aged 9-12 y/o); 7% of adults
forearm fractures

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5
Q

Floating Face (Transverse)

A

Craniofacial disjunction
Transverse fracture line passes through
nasofrontal suture, maxillo-frontal suture, orbital
wall, & zygomatic arch/zygomaticofrontal suture
Involvement of the zygomatic arch: Risk of the
temporalis muscle impingement

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6
Q

Jefferson’s Fracture

A

Burst fracture of the Atlas (C1)
- Can be 4 parts (picture), 3 parts or 2 parts.
- MOI: Axial load (ie: Diving in shallow water)

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7
Q

Bankart Fracture

A

Fracture of anteroinferior glenoid
- MOI: Complication of anterior GH dislocation

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8
Q

Hangman’s Fracture

A

Traumatic spondylolisthesis of the Axis (C2):
Fracture of bilateral pars interarticularis
- MOI: Hyperextension + Distraction

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9
Q

What are the 3 LeFort Fracture Classifications

A

I. Floating Palate (Horizontal)
II. Floating Maxilla (Pyramidal)
III. Floating Face (Transverse)

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10
Q

Hill-Sachs lesion

A

Posterolateral humeral head depression
fracture (Impaction)
- MOI: Following anterior glenohumeral
dislocation

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11
Q

Monteggia Fracture

A

Fracture of Ulnar shaft + Radial head dislocation
- MOI: FOOSH
- Mainly in children (aged 4-10 y/o)

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12
Q

Bankart Lesion

A

Anteroinferior aspect of the glenoid labrum
- MOI: Anterior shoulder dislocation
- Frequently associated with a Hill-Sachs lesion

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13
Q

MUGGER

A

MU
Monteggia: Ulnar Fx w/dislocation of radial head
MonteggiA : A is proximal, bones affected proximally

GR
Galeazzi: Radius fx w/dislocation of the distal radioulnar joint
GaleaZzi: Z is distal, bones affected distally

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14
Q

Colles Fracture

A

Fracture of distal radius with dorsal angulation
and impaction
- MOI: FOOSH

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15
Q

Cyclist’s Palsy

A

Entrapment of Ulnar nerve in Guyon’s canal
- MOI: Handlebar compression in cyclist,
ganglion cyst or hook of hamate fracture

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16
Q

Bennet Fracture

A

Fracture base of 1st metacarpal
- Often displaced due to retraction of abductor
pollicis longus
- MOI: Forced thumb Abduction

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17
Q

Smith’s Fracture

A
  • Fracture of distal radius with volar angulation
    of the distal fragment
  • MOI: Fall on flexed wrist
18
Q

Boxer’s Fracture

A

Fracture of the neck of the 5th metacarpal
- Most common type of metacarpal fracture
- MOI: Impaction injury for a direct blow with a
clenched fist

19
Q

Mallet Finger

A

Avulsion of extensor tendon at the level of the
DIP
- May be combined with an avulsion fracture
- MOI: Sudden flexion in sport or crush injury
- Inability to extend DIP and resting in slight flex

20
Q

Rolando Fracture

A

3 parts or comminuted intra-articular fracture
of the base of 1st metacarpal
- Often displaced due to retraction of abductor
pollicis longus
- MOI: Axial blow to a partially flexed thumb

21
Q

Dupuytren’s Contracture

A

Firm nodularity on the palmar surface of the
hand with combining cords of soft tissue on the
webs and digits
- Progressive condition that causes shortening
and thickening of the fibrous tissues of the palmar
fascia
- No known reason or MOI

22
Q

Jersey Finger

A

Avulsion of flexor digitorum profundus at the
level of DIP
- MOI: Sudden hyperextension of actively flexed
finger
- Most commonly on 4th digit

23
Q

De Quervain’s Tenosynovitis

A

Stenosing tenosynovitis of first extensor tendon
compartment of the wrist (dorsal)
- Involves:
Abductor pollicis longus tendon
Extensor pollicis brevis tendon
- 2nd most common entrapment tendonopathy
- More common in females
- MOI: Overuse (Lifting infants, Secretarial
workers, Nursing workers)

24
Q

Spondylolisthesis

A
  • Bilateral fracture of pars interarticularis causing
    slippage of one vertebra relative to the one below
  • MOI: can be genetic or due to hyperextension
    of L-Spine (Gymnastic, football and weight lifting)
25
Q

Lisfranc Injury

A

Lisfranc ligament: Medial cuneiform to the base
of the 2nd metatarsal on the plantar aspect of the foot
- MOI: Direct crush injury or indirect load onto a
plantarflexed foot
- Most common type of dislocation involving the
foot

26
Q

Swan Neck deformity:

A

Presentation: hyperextension PIP + Flexion DIP
- Muscle imbalance
- MOI: Rheumatoid arthritis, Spasticity (Stroke,
Cerebral palsy) or Untreated mallet finger

27
Q

Bowler’s Thumb

A

Traumatic neuropathy by chronic frictional
irritation of the digital ulnar nerve
- MOI: Long term pressure on the ulnar digital
nerve of the thumb

28
Q

Spondylolysis

A

Unilateral OR Bilateral Pars interarticularis
stress fracture
- MOI: Repeated micro trauma

29
Q

Bunionette

A
  • Bony prominence at the 5th metatarsal head
  • MOI: narrow/restrictive footwear or genetic
    predisposition
30
Q

Legg-Calvé-Perthes Disease

A
  • Idiopathic osteonecrosis of the femoral
    epiphysis in children
  • Diagnosis of exclusion
  • No clear predisposing factors
  • Most commonly: Children will present with
    atraumatic hip pain or limp
31
Q

Maisonneuve Fracture

A

Fracture of proximal fibula + unstable ankle
injury (Torn tibiofibular syndesmosis, torn deltoid
ligament and/or fracture of medial malleoli)
- MOI: Pronation + External rotation of ankle

32
Q

True or False, Hangman’s fracture is a unilateral pars interticularis fracture and is cause by an axial load

A

False (bilateral fx + MOI: Hyperextension & distraction)

33
Q

True or False, a Smith’s fracture is a flexion fracture of the radius

A

True

34
Q

Boutonniere Finger

A

Presentation: Flexion PIP + Extension DIP
- Rupture of central slip of extensor digitorum
tendon
- MOI: Inflammatory arthritis or trauma
(unspecified)

35
Q

Bunion

A

Hallux valgus deformation; Bony prominence at
the 1st metatarsal head
- MOI: narrow/restrictive or heeled footwear
- Most common foot deformity; most common
in female

36
Q

Mallet Toe

A
  • Presentation: Flexion of DIP
  • MOI: tight shoes causing tightening of flexor
    digitorum longus
37
Q

True or False, a galeazzi injury affects the distal radius+ulna

A

True

38
Q

Claw Toe

A
  • Presentation: Ext MTP + Flex PIP + Flex DIP
  • MOI: tight shoes or high heels
39
Q

Hammer Toe

A

Presentation: Ext MTP + Flex PIP + Ext DIP
- MOI: Rheumatoid arthritis, Stroke, tight shoes

40
Q

True or False, Bennett’s fx results from an axial blow to a partially flexed thumb

A

False (Rolando fx)