Special Fx Flashcards

(72 cards)

1
Q

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

A

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

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2
Q

Rx: Closed reduction with thumb spica or ORIF

A

Bennett’s Fracture

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2
Q

Rx: IM nailing, ORIF, or external fixation

A

Femoral shaft fracture or Tibial shaft fracture

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3
Q

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

A

Colles’ fracture or dinner force deformity

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4
Q

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

A

Radial head fracture

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4
Q

Diagram: Identify the fracture

A

Mallet, drop, or baseball finger

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6
Q

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

A

Mallet, drop, or baseball finger

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7
Q

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

A

Smith’s fracture

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7
Q

Description: considered intra-articular and prone to avascular necrosis

A

Talus fracture

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7
Q

Diagram: Identify the fracture

A

Diaphyseal humeral fracture

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8
Q

Diagram: Identify the fracture

A

Radial head fracture

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9
Q

MOI: Usually bending force, fall or direct blow

A

Greenstick fracture

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10
Q

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

A

Smith’s fracture

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11
Q

Rx. Immediate ORIF

A

Perilunate fracture/dislocation

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11
Q

MOI: Fall onto flexed or pronated wrist.

A

Smith’s fracture

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11
Q

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

A

Femoral shaft fracture

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11
Q

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

A

Calcaneal fracture

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11
Q

Diagram: Identify the fracture

A

Bennett’s fracture

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12
Q

MOI: Usually high energy trauma

A

Tibial shaft fracture

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13
Q

MOI: FOOSH or direct blow (MVA)

A

Monteggia fracture or Galeazzi fracture

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14
Q

MOI: Valgus force with axial loading

A

Tibial plateau fracture

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16
Q

MOI: Axial loading of a partially flexed thumb

A

Bennett’s Fracture

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16
Q

MOI: FOOSH, elbow or direct blow

A

Humeral fracture

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17
Q

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

A

Humeral fracture

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18
Rx: ORIF and immobilization
Talus fracture
20
Description: Fracture/dislocaiton of base of 1st metacarpal, can be highly functionally limiting
Bennett's Fracture
21
Diagram: Identify the fracture
Perilunate fracture/dislocation
22
Q: What is the most commonly fractured long bone?
Tibia(l shaft fracture)
22
Diagram: Identify the fracture
Smith's fracture
24
Rx: Splint in extension 6 wks, then initiate AROM
Mallet, drop, or baseball finger
24
Diagram: Identify the fracture
Colles' fracture or dinner fork defromity
25
MOI: fall onto or direct blow to the shoulder
Clavicle fracture
27
Rx: Closed reduction and casting; ORIF if significant displacement
Boxer's fracture
27
Rx: Usually ORIF, rarely closed reduction with casting or early ROM
Radial head fracture
29
Rx: Usually ORIF or rigid immobilization
Monteggia fracture or Galeazzi fracture
29
Rx: Functional bracing, ORIF if displaced \> 5mm
Tibial plateau fracture
30
Q: Which fracture is devastating but often missed or misdiagnosed?
Perilunate fracture/dislocation
31
MOI: Fall onto outstretched hand or FOOSH
Scaphoid fracture or Colles' fracture or dinner force deformity
33
Rx: Cast immobilization
Greenstick fracture
34
Rx: Figure 8 sling for nondisplaced fractures; rarely ORIF if displaced
Clavicle fracture
36
Description: common in children, periosteal sleeve remains intact
Greenstick fracture
37
Description: may be diaphyseal (younger), proximal (older), or distal (children)
Humeral fracture
38
Q: Perilunate fracture/dislocation typically occurs in what population?
Young adults
40
Description: Transverse fracture of distal radius with dorsal/lateral displacement
Colles' fracture or dinner force deformity
41
Description: Fracture of proximal or mid 1/3 ulna with radial head dislocation
Monteggia fracture
42
Rx: Closed reduction and casting; ORIF and bone grafting if avascular
Scaphoid fracture
43
Q: Many common fractures are name for what 2 things?
1. MOI 2. 1st Dr. to describe the pattern
45
Description: Fracture of the 4th or 5th metacarpal
Boxer's fracture
46
Description: critical lode bearing area, often associated with meniscal and/or ligamentous damage
Tibial plateau fracture
47
MOI: Axial loading into hyperextension and UD caused by high energy impact.
Perilunate fracture/dislocation
49
Description: Valgus force impaction of capitellum onto radial head
Radial head fracture
50
Diagram: Identify the fracture
Scaphoid fracture
51
Diagram: Identify the fracture
Boxer's fracture
52
Description: may be related to osteoporosis, metastatic disease, TKA
Femoral shaft fracture
53
Diagram: Identify the fracture
Proximal humeral fracture
55
Q: AVN and non-union are frequent complications of which fracture?
Scaphoid fracture
57
Description: Fracture of distal 1/3 of radius with distal radioulnar joint distruption
Galeazzi fracture
58
MOI: Forced flexion of extended DIP
Mallet, drop, or baseball finger
59
Diagram: Identify the fracture
Monteggia fracture
60
MOI: Usually a blow with a clenched fist
Boxer's fracture
61
Diagram: Identify the fracture
Galeazzi fracture
62
MOI: Fall from height or trauma
Talus fracture
63
Description: typically affects middle 1/3 of clavicle
Clavicle fracture
64
MOI: fall from height
Calcaneal fracture
66
Diagram: Identify the fracture
Distal humeral fracture
67
Diagram: Identify the fracture
Greenstick fracture
68
Diagram: Identify the fracture
Clavicle fracture
69
Diagram: Identify the fracture
Femoral shaft fracture
70
Diagram: Identify the fracture
Tibial plateau fracture
71
Diagram: Identify the fracture
Tibial shaft fracture
72
Diagram: Identify the fracture
Talus fracture
73
Diagram: Identify the fracture
Calcaneal fracture