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Flashcards in Regional fractures 2 Deck (23):
1

who do proximal humerus fractures occur in and why

mostly the elderly
osetoperotic fracture

2

risks of a proximal humeral fracture

brachial plexus injury
AVN and non union in comminuted fractures

3

treatment for proximal humerus fractures

elderly - conservative
head splitting - arthroplasty
young px and displaced - internal fixation

4

what is the risk of a humeral shaft fracture

radial nerve in spiral groove - usually neuroprexia

5

what can a humeral shaft fracture tolerate

substantial angulation without loss of function

6

treatment of a humeral shaft fracture

conservative
IF only is non-union, pathological, polytrauma, open fracture, high energy, not tolerating brace

7

what are distal humeral fractures likely to be and what is the treatment

intra articular
ORIF

8

what is a elbow fracture called

olecranon

9

what can cause a radial head fracture

elbow dislocation

10

how are radial head fractures treated

minimally displaced marginal fractures - conservatively
displaced with large fragments - fix
comminuted fracture - exercise +/- replacement

11

what is common in a forearm fracture

if one diaphysial is fractured then high chance of the other one also being fractured

12

if its just the radius fractures what should be suspected

dislocation of radioulnar joint - Galaezz fracture dislocation

13

is it is just the ulna fractured then what should be suspected

dislocation of the radial head - monteggia fracture dislocation

14

what is the treatment of forearm fractures

if fracture in both arms - ORIF
is mont/gal - treat fractured arm and once bone reduced the head or distal ulna will reduce

15

what does a direct blow to the ulna cause and how is this treated

isolated ulna fracture - nightstick fracture - treat conservatively

16

what is a colles fracture and what are its features

fracture of distal radius - extra articular, dorsal angulation and dorsal displacement

17

what is the treatment of a colles fracture

stable and minimally displaced/angulated - POP (plaster of paris)
displaced simple fracture - manipulation under anaesthetic
displaced comminution - MUA, k wiring, orif

18

what can a colles fracture cause

median nerve compression, EPL rupture, CRPS, loss of grip strength

19

what is a smiths fracture

opposite of colles. fall back onto hand. extra articular. volar displacement. angulation

20

treatment for smiths fracture

v unstable. orif

21

what is a barton fracture

intra articular. volar or dorsal rim fracture leading to subluxation of carpus.

22

treatment for barton

orif

23

treatment for comminuted fracture with small fragments

ex fixation +/- k wires