Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

Ortho-Rheum > Orthopaedic Trauma Day 4 > Flashcards

Orthopaedic Trauma Day 4 Flashcards

(85 cards)

Start Studying
1
Q

what is the most common long bone fracture?

A

tibia shaft fracture

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

what must be done when a patient presents with a tibia shaft fracture? (3)

A

investigate for open wounds
evaluate for compartment syndrome
NV exam

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

what is the treatment for a tibia shaft fracture? (2)

A

immediate reduction at bedside
intermedullary nail

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

what are 4 risks for tibia shaft fractures?

A

open
compartment syndrome
fat emboli
nonunion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

identify

A

tibia shaft fracture

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

very common injury that occurs with twisting

A

ankle fractures

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

what is the lateral malleolus ankle fracture classification based on?

A

based on fracture site at the distal fibula

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

lateral malleolus fracture that occurs below the syndesmosis and is typically non-operative

A

weber A

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

lateral malleolus fracture that occurs at the level of the syndesmosis and treatment depends on stability

A

weber B

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

lateral malleolus fracture that occurs above the syndesmosis and is typically operative due to instability and disruption of he syndesmosis

A

weber C

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

what classification of lateral malleolus ankle fracture is most important and why?

A

weber B
need to determine whether surgery is needed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

fracture that occurs below the syndesmosis and is usually an isolated stable fracture without instability

A

lateral malleolus fracture weber A

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

a patient presents with swelling, ecchymosis, and pain to their lateral ankle over the distal fibula. Dx?

A

lateral malleolus fracture weber A

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

what is the treatment for a lateral malleolus fracture weber A?

A

immobilization in high boot (WBAT) x 6-8 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

what surgical treatment may be needed for a lateral malleolus fracture weber A depending on displacement?

A

ORIF (open reduction internal fixation)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

identify fracture and treatment

A

lateral malleolus fracture weber A
immobilization in high boot (WBAT) x 6-8 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

identify fracture and treatment

A

lateral malleolus fracture weber A + displacement
ORIF

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

fracture that occurs at the level of syndesmosis and must be evaluated for stability with gravity or manual stress exam

A

lateral malleolus fracture weber B

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

how do you know if a lateral malleolus fracture weber B is stable?

A

no medial or lateral clear space widening with stress exam

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

an increased medial clear space >5mm in a lateral malleolus fracture weber B indicates injury to what?

A

deltoid ligament injury

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

an increased lateral clear space or decreased tibiofibular overlap in a lateral malleolus fracture weber B indicates injury to what?

A

syndesmosis injury

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

what is the treatment for a stable lateral malleolus fracture weber B? (2)

A

high fracture boot +WBAT
f/u w/ WB xrays to confirm stability

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

what is the treatment for an unstable lateral malleolus fracture weber B? (2)

A

splint NWB
+ ORIF (open reduction internal fixation)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

identify

A

lateral malleolus fracture weber B

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
identify what is the possible associated injury?
lateral malleolus fracture weber B + medial clear space widening possible deltoid ligament injury
26
identify stable or unstable? what is the possible associated injury?
lateral malleolus fracture weber C unstable possible deltoid ligament injury (d/t medial clear space widening)
27
identify stable or unstable?
lateral malleolus fracture weber B stable
28
fracture that occurs above the syndesmosis and is commonly associated with disruption of the syndesmosis
lateral malleolus facture weber C
29
what is the treatment for a lateral malleolus fracture weber C? (2)
splint NWB ORIF (open reduction internal fixation)
30
identify
lateral malleolus fracture weber C
31
a medial malleolus and fibula fracture
bimalleolar ankle fracture
32
identify
bimalleolar ankle fracture
33
what is the treatment for a bimalleolar ankle fracture? (2)
splint NWB ORIF (open reduction internal fixation)
34
medial malleolus + fibula + posterior malleolus fracture
trimalleolar fracture
35
what is the treatment for a trimalleolar fracture? (2)
splint NWB ORIF (open reduction internal fixation)
36
identify
trimalleolar fracture
37
involves the proximal 1/3 fibula and is associated with a medial malleolus fracture or deltoid ligament injury
maisonneuve fracture
38
what should an isolated medial malleolus fracture raise suspicion for?
maisonneuve's injury (1/3 proximal fibula fracture)
39
a patient presents with medial ankle pain and proximal leg pain. what are they suspicious for?
maisonneuve fracture
40
identify
maisonneuve fracture
41
identify stable or unstable? treatment?
lateral malleolus fracture weber C unstable reduce, splint NWB, ORIF
42
weight bearing articular surface of the distal tibia in which the talus gets forced into the distal tibia causing an intra-articular fracture
pilon fracture
43
what are the 2 treatment options for a pilon fracture?
ORIF OR External fixation with delayed ORIF + NWB x 12 weeks
44
what should we evaluate for in a pilon fracture? (3)
low back pain (L1 fx) post traumatic arthritis compartment syndrome
45
identify
pilon fracture
46
midfoot injury with disruption of lisfranc ligament leading to disruption of TMT joint complex
lisfranc fracture
47
a patient presents with plantar bruising, swelling throughout midfoot, TTP over TMT joints, and inability to BW. what are they suspicious for?
lisfranc fracture
48
what is the treatment for a lisfranc fracture? (2)
splint NWB ORIF (open reduction internal fixation)
49
how are lisfranc fractures misdiagnosed?
as foot sprain
50
identify
lisfranc fracture
51
identify
lisfranc fracture
52
what imaging is helpful to identify extent of lisfranc injury and for surgical planning?
CT
53
what should we look for in a negative xray/subtle lisfranc fracture?
fleck sign from 2nd metatarsal
54
identify
fleck sign indicating lisfranc fracture
55
what is the most common tarsal fracture?
calcaneus fracture
56
what should we assess if a patient has a calcaneus fracture? (3)
lumbar spine femur pelvis
57
calcaneus fracture fragment usually displaces with variable comminution, resulting in heel shortening and valgus deformity
intra-articular fracture of calcaneus
58
what is a common occurrence with calcaneus fractures?
fracture blisters
59
what is the treatment for a calcaneus fracture? (2)
well padded splint NWB ORIF
60
a patient presents with swelling and bruising on his hindfoot and has difficulty with WB. what is the patient suspicious for?
calcaneus fracture
61
identify
calcaneus fracture
62
extra-articular fracture of the calcaneus, that results from avulsion of bifurcate ligament
anterior process fracture
63
what is the treatment for a calcaneus anterior process fracture?
WBAT in fracture boot x 4 weeks
64
identify
anterior process fracture
65
what does a tongue type fracture require?
Urgent ortho eval
66
Achilles and calcaneus avulsion with strong contraction of the gastroc-soleus muscles
tongue type fracture
67
a patient presents with a posterior heel with skin breakdown/tenting. what are they suspicious for?
tongue-type fracture
68
what is the treatment for a tongue type fracture? (3)
split in plantar flexion position NWB ORIF
69
identify
tongue type fracture
70
what is the most common fractured metatarsal in adults?
5th metatarsal
71
what is the least common fractured metatarsal in adults?
1st metatarsal
72
in which metatarsal are stress fractures most common? what imaging detects it?
2nd metatarsal MRI
73
which zone/fracture is one that occurs in the articular surface for metatarso-cuboid joint?
zone 1 / avulsion fracture
74
which zone/fracture is one that occurs in the articulation of 4th and 5th MT?
zone 2 / jones fracture
75
which zone/fracture is one that extends 1.5cm distal to the tuberosity?
zone 3 / dancer's (stress) fracture
76
what are 2 treatment options for a zone 1 5th metatarsal fracture? (2)
fracture boot x 4-6 weeks OR hard soled shoe WBAT x 4-6 weeks
77
identify
5th metatarsal zone 1 fracture
78
why is there poor healing in a zone 2 5th metatarsal fracture? (jones)
blood supply in area
79
what is the conservative treatment for a zone 2 5th metatarsal fracture (jones)?
fracture boot NWB x 6-8 weeks, then WBAT in boot x 4 weeks
80
what is the operative treatment for a zone 2 5th metatarsal fracture (jones)?
surgical screw with 2 weeks NWB, then WB in boot x 4-6 weeks
81
identify
zone 2 5th metatarsal fracture (jones)
82
commonly associated with stress fracture, has a length healing time of 20 weeks, and can cause a cavus foot (high arch)
zone 3 5th metatarsal fracture
83
what is the conservative treatment for a zone 3 5th metatarsal fracture (stress/dancer)?
NWB x 6-8 weeks, then WB
84
what is the surgical treatment for a zone 3 5th metatarsal fracture (stress/dancer)?
surgical screw + 2 weeks NWB, then WB in boot x 4-6 weeks
85
identify
zone 3 5th metatarsal fracture (stress/dancers)

Ortho-Rheum (27 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions