MSKtrauma

Question 1

What is the minimum number of orders for a MSK injury?

Answer 1

Minimum of 2 views taken at 90 degrees to one another

Question 2

How many views are required when evaluating joints for suspected trauma?

Answer 2

Three views- AP, lateral, and oblique

Question 3

What type fracture may not be seen on early acute phase radiographs

Answer 3

Nondisplaced

Question 4

If you don’t see a fracture on a film but clinical signs indicate a fracture what should you do?

Answer 4

Treat consecutively and get a follow-up x-ray in 7-10 days

Question 5

What can a fracture extending into the articular cartilage lead to in the future?

Answer 5

Arthritis

Question 6

If you suspect a skull fracture, what is the ideal modality for imaging?

Answer 6

CT scan

Question 7

What type skull fracture looks like a spider web?

Answer 7

Depressed skull fracture

Question 8

What artery is typically lacerated with an epidural hematoma?

Answer 8

Middle meningeal artery

Question 8

What artery is typically lacerated with an epidural hematoma?

Answer 8

Middle meningeal artery

Question 9

For an AC joint injury > ____ mm should be considered abnormal.

Answer 9

8 mm

Question 9

After you have manipulated a shoulder dislocation what should you do?

Answer 9

Obtain an xray after manipulation of the shoulder

Question 9

What type of compression is a deformity of the posterior lateral aspect of humeral head?

Answer 9

Hill Sacs compression

Question 9

In an anterior dislocation where does the head of the humerus lie?

Answer 9

Head of humerus lies under coracoid process

Question 10

What is the name for a fracture of the glenoid?

Answer 10

Bankart’s lesion

Question 11

What is the most common type of shoulder dislocation?

Answer 11

Anterior dislocation

Question 12

What is a common elbow fracture in an adult?

Answer 12

radial head fracture

Question 13

What does the sail sign indicate?

Answer 13

Elbow fracture, look for displaced fat pad

Question 14

What type fracture can ossification centers in peds be confused for?

Answer 14

avulsion fractures

Question 15

What is a common fracture of the elbow in a pediatric patient?

Answer 15

suprcondylar fracture of the distal humerus

Question 16

What is a common elbow fracture in an adult?

Answer 16

radial head fracture

Question 17

What usually indicate an injury in the wrist?

Answer 17

Abnormally wide spaces

Question 18

What type fracture can ossification centers in peds be confused for?

Answer 18

avulsion fractures

Question 19

How far apart are the joint spaced in the wrists in adults?

Answer 19

1-2 mm wide

Question 20

What are narrow joint spaces in the wrist probably due to?

Answer 20

Probably artifacts from projection or degenerative changes

Question 21

What is the worst classification of Salter Harris?

Answer 21

Type 5, fusion of growth growth plate

Question 22

What is a type I Salter Harris injury?

Answer 22

An injury to the growth plate

Question 23

What is a helpful modality for hip fractures?

Answer 23

MRI

Question 25

What is a type III Salter Harris injury ?

Answer 25

Through epiphysis that goes through into the epiphyseal plate.

Question 26

Where is there damage in a gamekeepers fracture?

Answer 26

Injury to ulnar collateral ligament

Question 27

3 standard views with ankle trauma?

Answer 27

AP view lateral view mortice view

Question 29

What is a type IV Salter Harris injury ?

Answer 29

Through metaphysis that goes through into the epiphysis.

Question 32

Three views for a foot x-ray?

Answer 32

AP, lateral and oblique

Question 33

What is when there is a compression deformity of the posterior lateral aspect of humeral head.

Answer 33

Hill Sacs

Question 34

What is visible with a tibial plateau fracture?

Answer 34

Fluid fat level

Question 35

What movement causes a Weber A injury?

Answer 35

Inversion

Question 36

What movement causes a Weber B injury?

Answer 36

Eversion

Question 37

What is the fracture name for when there is an oblique fracture of the distal fibula (usually hear a snap)?

Answer 37

Weber B

Question 38

What is the fracture name when you have an avulsion fragment straight across the fibula due to a tug?

Answer 38

Weber A

Question 39

Describe the fracture: straight line, 90° to longitudinal axis

Answer 39

transverse fracture

Question 40

due to rotational force - S-shape

Answer 40

Spiral fracture

Question 41

along bone length

Answer 41

longitudinal fracture

Question 42

rotational force - doesn’t circulate around bone

Answer 42

oblique fracture

Question 43

> 1 fracture line, > 2 bone fragments

Answer 43

comminuted fracture

Question 44

telescoping of fragment into another

Answer 44

impacted fracture

Question 45

incomplete with intact cortical side flexed

Answer 45

greenstick fracture

Question 46

failure of one cortical surface

Answer 46

stress fracture

Question 47

separation at site of attachment of ligament or tendon

Answer 47

avulsion fracture

Question 48

ends of fracture are separated

Answer 48

displaced fracture

Question 49

fragments remain in alignment & position

Answer 49

non-displaced fracture

Question 50

fragment displaced below level of surface of bone

Answer 50

depressed fracture

Question 51

disrupts continuity through whole bone

Answer 51

complete fracture

Question 52

cortex buckles/cracks - no loss of continuity

Answer 52

incomplete fracture

Question 53

bone exposed outside integument

Answer 53

open fracture

Question 54

bone contained inside integument

Answer 54

closed fracture

Question 55

displacement of bone from normal - articulating surfaces lose contact

Answer 55

dislocation

Question 56

displacement - articulating surfaces partially lose contact

Answer 56

subluxation