Flashcards in Ortho Deck (88)
what does ortho not include?
Osteoporosis (except associated fractures)
what should always be first in a trauma eval?
what should you look for a trauma eval?
Lacerations / Punctures
DNVF (distal neurovascular function)
Isolated areas of Tenderness
i very high trauma, you should look at what else besides the affected joint?
joints above and below
how do you treat open fractures until surgery?
what are important prophylaxis in trauma accidents?
tetanus and abx prophylaxos
A disruption in the continuity of a bone
how many view do you need for an x-ray?
at least 2 views at 90 degrees from one another
do all mal or nonunions need to be fixed?
not necessarily, if it is painless and functional
what are big complications of LE fractures?
what is between the epiphysis and metaphysis?
physeal plate of cartilage
The skin overlying the fracture site is intact – no vector for entry of foreign objects / bacteria
Skin is disrupted overlying the site of the fracture (something could have gone in or out) not a scratch
what to mention when describing a fracture
open vs. closed
when do open fractures need to be treated?
OR within 4-8 hours (ideally less than 6)
What does initial OR treatment for an open fracture include?
+/- skin closure
repair of vascular / nerve injuries (if possible)
what abx do you give for open fractures?
1st generation cephalosporins
for a larger wound/ soft tissue damage what abx should you consider?
what abx is good for farm injuries
what is a common infection w/ a tennis show injury
what is an open type I injury
low energy MOI
often inside out (not penetrating)
bone pops out then slides back in
less than 1 cm in length
what type fracture are open type 1 typically?
transverse or show oblique fractures
What is an open type II?
Greater than 1 cm
more of a crush type injury
what is an open type III fracture?
greater than 10 cm
significant soft tissue injury
what is an open type III a fracture
adequate bone coverage of reamining tissue
what is an open type III b fracture?
bone exposure that requires a flap or graft
What is an open type IIIc fracture?
circulatory compromise requiring vascular repair or reconstruction to reperfusion of the limb
A “bulge” in the cortex of the bone
Does go all the way thru
only seen in children
when do torus fractures hurt?
day it happens, not anymore