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Flashcards in Fractures Deck (28):
1

What are the different types of fractures involving the epiphiseal plate?

T1- Straight through
T2- across => up
T3- up => across
T4- Straight up
T5- crush involving whole width of plate

2

The healing of which fractures are prevented by synovial fluid?

Weight bearing surfaces
Talar Dome
Tibial plateau

3

What are the traits of Anterior Shoulder Dislocations?

Anterior most common. Force to upraised arm
Obvious on physical
Reduce
Axillary n neuropraxia

4

What are the traits of Posterior Shoulder Dislocations?

Forced internal roation
Seizures, tonic type (tongue biting/cheekchewing)
ROM abn. Cant clap in front

5

What are the traits of Inferior Shoulder Dislocations?

Rare
Abducted shoulder, force applied downward
Brach plexus injuries

6

What are the traits of Shoulder Fracture?

Sling w/ early mobilization
Articular surface intact
Fall on outstretched arm
Surgical or anatomic neck

7

What are the traits of Spiral Fracture of humerus?

Impact- transeverse
Complications
-Radial nerve danger; Callus?
-Wrist drop?
-during healing
Vascular Damage
Humeral Brace

8

What are the traits of Distal humerus fracture?

Unstable fracture
Sling. Surgical reduction
Radial and ulnar nerve danger

9

What are the traits of elbow dislocation?

Need quick reduction!
Elbow flexion; Sling

10

What are the traits of Olecranon process fracture?

Painful to extend against resistance

11

What are the traits of Prox radial Dislocation?

Nursemaid's elbow
Easy to reduce
Can be done at home for chronic sublux

12

What are the traits of Radius-ulnar frcture?

May need to complete the fracture. Done under sedation. Casting. Sometimes need to pin

13

What are the traits of wrist dislocation?

Mech: Fall on flexed hand. Need surgical reduction and fixation. lunate keeps slipping out.

14

What are the traits of a Scaphoid fracture.

Radial styloid impacts this. Risk of avascular necrosis. Snuffbox tenderness

15

What are the traits of Metacarpal Dislocation?

hard to grasp. Need repair of dorsal ligmaments. Common in "amature punch"

16

What are the traits of Finger dislocation?

Classic Physical
X-ray easy Dx

17

What is the gen principle of reducing a dislocation?

Put joint in position it was dislocated in, then pull traction, release. Splint

18

What are the traits of Finger fractures?

Bayonette Frac
Screw fixation
Thumb fracture is 100% disability.
Ulnar collateral ligament

19

What are the traits of pelvic disloction?

Open book dislocation
Pelvic Binders
Ischial Ring, Iliac wing
Assist with ADLs => Walker

20

What are the traits of Hip dislocation?

Foot internal rotation
Lateral view on XR
PAIN
Fall from height
Avasc necrosis possible
Propofol => Reduce

21

What are the traits of Hip Fracture?

Direct trauma, insuff
Caput or Neck fixation
Shortened ext rot leg
PAIN CONTROL
Find reason and other injuries.

22

What are the traits of femur shaft fracture?

Direct traum, osteoporotic, mid shaft, Patella Cephalad, spasm of quad. PAIN w/ Motion. Traction splint

23

What are the traits of Knee dislocation?

Reduction, Assess for circulation

24

What are the traits of Patellar dislocations?

Prompt reduction, no XR, push dn on tibia=> put patella back
Crutches PT

25

What are the traits of Tib Fib Fractures?

Tap on top of Tibia should transmit to bottom.

26

What nerve can be affected infibular fracture?

Peroneal Nerve

27

What are the traits of Ankle fractures?

Mech: Torsion or direct axial load. skin integrity. Dislocation. XR Mandatory
Interosseus membrane

28

What are the traits of Foot fractures?

Calcaneal frac from jumping off wall. Disabling.
Stress Fractures. Runners