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Flashcards in Fractures (core) Deck (25)
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1

What types of clavicle fractures are likely to be operated on?

Distal one third

2

What are the Gustilo and Anderson classification for?

Open fracture severity

2

What are the common fractures at the elbow in kids?

Lateral condyle

Pulseless supracondylar fracture

3

In what position is a pulseless subcondylar fracture fixed?

Extension at elbow

3

What is a galeazzi fracture?

Shaft of radius and dislocation of distal radioulnar joint

4

What are the 4 steps to managing a fracture?

First aid

EMST/ATLS guidelines

Initial stabilisation - assessment, analgesia, prevent complications (reduction, splint, treat wound)

Definitive Management

5

What are the Ottawa ankle rules? What are they for?

Tenderness over 6cm of the lower posterior border of the tibia, fibula or malleoli

Tenderness base of the 5th metatarsal

Tenderness of the navicular

Unable to fully weight bear 

 

To determine whether an X-ray is required for an ankle injury

6

What is the problem with displaced #NOF?

They have a higher rate of avascular necrosis

8

What is a Colles fracture? When does it commonly occur?

Fracture of distal radius and ulna

Secondary to a FOSH

8

What is a Barton's fracture? 

# of distal radius

9

What is a Weber fracture?

Fracture of the lateral malleolus of the fibula

10

How do you communicate the details of a fracture?

Mechanism of injury

Fracture description 

Displacement

Articular involvement

Soft tissue damage

12

What are some clinical signs that are useful in assessing a pulseless subcondylar fracture?

Pulse

Sats

Colour

Cap refill

14

What are the 3 rules for looking for elbow fractures

Look for fat pad posteriorly and anteriorly - indicative of damage 

line through the Radial head points to the capitellum

Anterior humeral line dissects the centre of capitellum

 

15

What is a Bowers fracture?

# of 5th metacarpal

16

How do you test the function of the radial, median and ulnar nerve?

Radial - "thumbs up"

Median - "ok sign"

Ulnar - "make a star"

17

What is the rule of 2's of xray?

2 views

2 joints

2 times

18

What is the difficulty with humoral neck fractures?

The rotator cuff muscles can displacement the bone

19

What are the rules for fracture healing times?

An UL fracture in kids takes 3-4 weeks to heal

LL limb fractures take double the time to heal

Adults take double the time to heal cf to kids

20

What is a Monteggia fracture?

Dislocation of the proximal radioulnar joint in association with a fracture

21

What is the difference between a subluxation and dislocation?

A subluxation is a partial dislocation

 

A dislocation is complete disruption of the joint

22

What is a Biers' block?

Use of a tourniquet to occlude outflow of the forearm and inject a large of ligocaine to anaesthetise the forearm

23

In what planes does displacement occur?

Linear and rotational in the coronal and sagittal plane

24

What is the immediate management of an open fracture?

ABCDE

Take picture

IM analgesia

Wash with copious amounts of saline

Reduce

Dress

Splint

Image

IV Abx and tetanus

Ortho referral

25

What types of #NOFs are there?

Intracapsular

- Subcapital

- Transcervical

- Basicervical - base of femoral neck

Extracapsular