MSK - Fractures Flashcards Preview

â–º Med Misc 43 > MSK - Fractures > Flashcards

Flashcards in MSK - Fractures Deck (12):
1

How do you describe a fracture?

Site?
Open or closed?
Types of fracture
Describe the deformity (angulation, displacement, rotation)
Impaction?
Joint involvement?


2

Types of fracture

•Hairline
•Greenstick
•Simple transverse
•Simple oblique
•Simple spiral
•Comminuted (multifragmantary)
•Crush

3

How may fractures be managed?

•Initial management (analgesia, IV antibiotics, tetanus prophylaxis, )
•Reduction
•Immobilisation/ fixation (splints, plaster cast, Internal fixation, External fixation)

4

(8) Cx of fractures

- Infection;
- haemorrhage (expected blood loss depends on which bone is injured);
- compartment syndrome;
- injuries to adjacent structures (nerves and vessels);
- avascular necrosis (if there is loss of blood supply to a bony fragment (e.g. head of femur);
- complications related to healing of fracture (non-union, delayed union, malunion);
- complex regional pain syndrome;
- epiphyseal fusion (may occur in growth plate injuries in children)

5

Cx of management of fractures

− Infection of devices

− Complications of immobilisation
o DVT/ PE
o Respiratory tract: collapse; pneumonia
o Urinary tract infection

− Complications of surgery

6

Can you see scaphoid fractures on initial imaging?

Not always

7

Complication of osteoporosis in fractues

There may be bone loss with fractures in osteoporotic bones which leads to difficulty maintaining reduction

8

What does a fat-fluid level in a joint or a fat pad sign indicate?

A fat-fluid level in a joint or a fat-pad sign may indicate the presence of a fracture not seen on initial bone views

9

Posterior dislocation of the glenohumeral joint may be more likely missed on initial assessment because:

as it is associated with less obvious deformity on clinical examination and more subtle radiological abnormalities.

Anterior dislocation is more common

10

Suspicions of serious underlying cause in joint/limb pain

If worse or particularly severe at night should

If pain at rest.

11

What may mask signs of inflammation in infection?

Steroids

12

If you find a sacral fracture, what else should you also look for?

associated disruption of the pelvic girdle

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