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Flashcards in Ortho Deck (88)
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1

what does ortho not include?

Skull
Mandible
Ribs
Sternum
Osteoporosis (except associated fractures)

2

what should always be first in a trauma eval?

airway

3

what should you look for a trauma eval?

Deformities
Wounds
Lacerations / Punctures
Joint Pain/Swelling
DNVF (distal neurovascular function)
Isolated areas of Tenderness
Laxity

4

i very high trauma, you should look at what else besides the affected joint?

joints above and below

5

how do you treat open fractures until surgery?

Sterile dressings

6

what are important prophylaxis in trauma accidents?

tetanus and abx prophylaxos

7

A disruption in the continuity of a bone

fracture

8

how many view do you need for an x-ray?

at least 2 views at 90 degrees from one another

9

do all mal or nonunions need to be fixed?

not necessarily, if it is painless and functional

10

what are big complications of LE fractures?

DVTs/ PEs

11

what is between the epiphysis and metaphysis?

physeal plate of cartilage

12

The skin overlying the fracture site is intact – no vector for entry of foreign objects / bacteria

closed fracture

13

Skin is disrupted overlying the site of the fracture (something could have gone in or out) not a scratch

open fracture

14

what to mention when describing a fracture

open vs. closed
type
displacement
angulation
location
other

15

when do open fractures need to be treated?

OR within 4-8 hours (ideally less than 6)

16

What does initial OR treatment for an open fracture include?

I&D
+/- Fixation
+/- skin closure
repair of vascular / nerve injuries (if possible)

17

what abx do you give for open fractures?

1st generation cephalosporins

18

for a larger wound/ soft tissue damage what abx should you consider?

add aminoglycoside

19

what abx is good for farm injuries

penicillin

20

what is a common infection w/ a tennis show injury

pseudomonas

21

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

22

what type fracture are open type 1 typically?

transverse or show oblique fractures

23

What is an open type II?

Greater than 1 cm
greater injury
more of a crush type injury

24

what is an open type III fracture?

greater than 10 cm
significant soft tissue injury
high energy
closely contaminated

25

what is an open type III a fracture

adequate bone coverage of reamining tissue

26

what is an open type III b fracture?

bone exposure that requires a flap or graft

27

What is an open type IIIc fracture?

circulatory compromise requiring vascular repair or reconstruction to reperfusion of the limb

28

A “bulge” in the cortex of the bone
Does go all the way thru
only seen in children

Torus fracture

29

when do torus fractures hurt?

day it happens, not anymore

30

what view are torus fractures seen most easily on

lateral