ortho Flashcards
how to do an intra-articular shoulder hematoma block
- identify defect just below acromion
- using a spinal needle (has to be long enough!) advance until you get blood back easily (think central line)
- 10-20 cc 1% lido into the space
open joint: mgmt
Tdap
Ancef
ortho (?CT)
Jones vs pseudo-Jones
Jones: 5th metatarsal shaft
pseudo: 5th metatarsal base
5 atraumatic causes of compartment syndrome
ischemia-reperfusion coagulopathy animal/insect bites IVDA prolonged limb compression
5 Ps of compartment syndrome
pain (out of proportion) paresthesias pallor paralysis pulselessness
definition of elevated compartment pressure
DBP - compartment pressure is 30 or less
Legg-Calve-Perthes
pre-pubescent boy w/AVN of the femoral head > hip brace
SCFE
obese adolescent boy w/progressive limp, loss of internal hip rotation when flexed, and knee pain > surgical fixation
mallet finger
can’t extend the DIP (basketball player who jams his finger) > splint in hyperextension to avoid swan neck deformity
Boutonniere deformity
can’t extend the PIP
Jersey finger
can’t fold the finger over (grabbed a jersey and ripped the profundus tendon)
trigger finger
painless locking/snapping of a finger during flexion due to mismatched size of flexor tendons and surrounding pulley system
posterior fat pad
adult: radial head fx
kid: supracondylar fx
median, radial, and ulnar nerve motor testing
median – OK sign
radial – wrist/thumb extension
ulnar – finger abduction
most common nerve injury seen w/humeral shaft fractures
radial nerve
