Fracture Management Flashcards

1
Q

what can cause an open fracture

A

spike of fractured bone poking out
laceration of the skin from a tearing or penetrating injury

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2
Q

what describes the degree of contamination in open fractures

A

gustilo classification

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3
Q

investigation of open fractures

A

x-ray: AP and lateral

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4
Q

prophylaxis used in an open fracture

A

IV co-amoxiclav

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5
Q

prophylaxis used in an open fracture in penicillin allergic patient

A

co-trimoxazole + metronidazole

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6
Q

what is another prophylaxis for open fractures

A

tetanus vaccine

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7
Q

what is the difference between adult and childrens bones

A

have a physis between the metaphysis and epiphysis

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8
Q

what is a physis

A

a growth plate

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9
Q

what is a greenstick fracture

A

incomplete fracture

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10
Q

what is torus fracture

A

crease of the bone and the periosteum

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11
Q

what is a plastic deformation

A

bad bend which stays bent, but isn’t obviously fractured

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12
Q

what is used to grade growth plate fractures

A

salter harris classification

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13
Q

how many grades are in the salter harris classification

A

grade 1-5

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14
Q

grade 1 salter harris

A

fracture passes transversely though the physis, separating the epiphysis from the metaphysis

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15
Q

grade 2 salter harris

A

fracture passes transversely though the physis and exits through towards the metaphysis (away from the joint)

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16
Q

grade 3 salter harris

A

fracture crosses the physis and exits through the epiphysis at the joint space (towards the joint)

17
Q

grade 4 salter harris

A

longitudinal fracture through both the physis and the metaphysis

18
Q

grade 5 salter harris

A

crush injury to the growth plate

19
Q

fixation of an epiphyseal fracture

A

K wires and screws

20
Q

fixation of a diaphyseal fracture

A

flexible nails

21
Q

fixation of metaphyseal fractures

A

K wires