"Special" Fractures Flashcards Preview

PTRS 746 Exam 1 > "Special" Fractures > Flashcards

Flashcards in "Special" Fractures Deck (72):
1

Q: Many common fractures are name for what 2 things?

1. MOI 2. 1st Dr. to describe the pattern

2

Description: Disruption of extensor mechanism, often associated with avulsion fracture

Mallet, drop, or baseball finger

3

MOI: Forced flexion of extended DIP

Mallet, drop, or baseball finger

4

Rx: Splint in extension 6 wks, then initiate AROM

Mallet, drop, or baseball finger

5

MOI: Fall onto outstretched hand or FOOSH

Scaphoid fracture or Colles' fracture or dinner force deformity

6

Rx: Closed reduction and casting; ORIF and bone grafting if avascular

Scaphoid fracture

7

Q: AVN and non-union are frequent complications of which fracture?

Scaphoid fracture

8

MOI: Axial loading into hyperextension and UD caused by high energy impact.

Perilunate fracture/dislocation

9

Rx. Immediate ORIF

Perilunate fracture/dislocation

10

Q: Perilunate fracture/dislocation typically occurs in what population?

Young adults

11

Q: Which fracture is devastating but often missed or misdiagnosed?

Perilunate fracture/dislocation

12

Description: Fracture of the 4th or 5th metacarpal

Boxer's fracture

13

MOI: Usually a blow with a clenched fist

Boxer's fracture

14

Rx: Closed reduction and casting; ORIF if significant displacement

Boxer's fracture

15

Description: Fracture/dislocaiton of base of 1st metacarpal, can be highly functionally limiting

Bennett's Fracture

16

MOI: Axial loading of a partially flexed thumb

Bennett's Fracture

17

Rx: Closed reduction with thumb spica or ORIF

Bennett's Fracture

18

Description: Transverse fracture of distal radius with dorsal/lateral displacement

Colles' fracture or dinner force deformity

19

Q: What fracture is common in post-menopausal women?

Colles' fracture or dinner force deformity

20

Rx: closed reduction and casting if not comminuted; ORIF if comminuted

Colles' fracture or dinner force deformity or Smith's fracture

21

Description: Fracture of the distal radius with palmar/medical displacement

Smith's fracture

22

Q: What fracture is common in young men, usually a fall or blow to the back of the hand.

Smith's fracture

23

MOI: Fall onto flexed or pronated wrist.

Smith's fracture

24

Description: Fracture of proximal or mid 1/3 ulna with radial head dislocation

Monteggia fracture

25

MOI: FOOSH or direct blow (MVA)

Monteggia fracture or Galeazzi fracture

26

Rx: Usually ORIF or rigid immobilization

Monteggia fracture or Galeazzi fracture

27

Description: Fracture of distal 1/3 of radius with distal radioulnar joint distruption

Galeazzi fracture

28

Description: Valgus force impaction of capitellum onto radial head

Radial head fracture

29

MOI: Axial loading on a pronated and partially flexed or outstretched arm

Radial head fracture

30

Rx: Usually ORIF, rarely closed reduction with casting or early ROM

Radial head fracture

31

Description: may be diaphyseal (younger), proximal (older), or distal (children)

Humeral fracture

32

MOI: FOOSH, elbow or direct blow

Humeral fracture

33

Rx: Often closed reduction and immbolization (80%), otherwise ORIF

Humeral fracture

34

Description: common in children, periosteal sleeve remains intact

Greenstick fracture

35

MOI: Usually bending force, fall or direct blow

Greenstick fracture

36

Rx: Cast immobilization

Greenstick fracture

37

Description: typically affects middle 1/3 of clavicle

Clavicle fracture

38

MOI: fall onto or direct blow to the shoulder

Clavicle fracture

39

Rx: Figure 8 sling for nondisplaced fractures; rarely ORIF if displaced

Clavicle fracture

40

Description: may be related to osteoporosis, metastatic disease, TKA

Femoral shaft fracture

41

MOI: Usually high energy trauma e.g. MVA, often accompanied by significant soft tissue trauma

Femoral shaft fracture

42

Rx: IM nailing, ORIF, or external fixation

Femoral shaft fracture or Tibial shaft fracture

43

Description: critical lode bearing  area, often associated with meniscal and/or ligamentous damage

Tibial plateau fracture

44

MOI: Valgus force with axial loading

Tibial plateau fracture

45

Rx: Functional bracing, ORIF if displaced > 5mm

Tibial plateau fracture

46

Q: What is the most commonly fractured long bone?

Tibia(l shaft fracture)

47

MOI: Usually high energy trauma

Tibial shaft fracture

48

Description: considered intra-articular and prone to avascular necrosis

Talus fracture

49

MOI: Fall from height or trauma

Talus fracture

50

Rx: ORIF and immobilization

Talus fracture

51

MOI: fall from height

Calcaneal fracture

52

Rx: Strict immobilization and elevation, then protected WB, possible ORIF

Calcaneal fracture

53

Diagram: Identify the fracture

Q image thumb

Mallet, drop, or baseball finger

54

Diagram: Identify the fracture

Q image thumb

Scaphoid fracture 

55

Diagram: Identify the fracture

Q image thumb

Perilunate fracture/dislocation

56

Diagram: Identify the fracture

Q image thumb

Boxer's fracture

57

Diagram: Identify the fracture

Q image thumb

Bennett's fracture

58

Diagram: Identify the fracture

Q image thumb

Colles' fracture or dinner fork defromity

59

Diagram: Identify the fracture

Q image thumb

Smith's fracture

60

Diagram: Identify the fracture

Q image thumb

Monteggia fracture

61

Diagram: Identify the fracture

Q image thumb

Galeazzi fracture

62

Diagram: Identify the fracture

Q image thumb

Radial head fracture

63

Diagram: Identify the fracture

Q image thumb

Diaphyseal humeral fracture

64

Diagram: Identify the fracture

Q image thumb

Proximal humeral fracture

65

Diagram: Identify the fracture

Q image thumb

Distal humeral fracture

66

Diagram: Identify the fracture

Q image thumb

Greenstick fracture

67

Diagram: Identify the fracture

Q image thumb

Clavicle fracture

68

Diagram: Identify the fracture

Q image thumb

Femoral shaft fracture

69

Diagram: Identify the fracture

Q image thumb

Tibial plateau fracture

70

Diagram: Identify the fracture

Q image thumb

Tibial shaft fracture

71

Diagram: Identify the fracture

Q image thumb

Talus fracture

72

Diagram: Identify the fracture

Q image thumb

Calcaneal fracture