Special Fx Flashcards Preview

PTRS 746 Exam 1 Combined and Randomized > Special Fx > Flashcards

Flashcards in Special Fx Deck (72):
1

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

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

2

Rx: Closed reduction with thumb spica or ORIF

Bennett's Fracture

2

Rx: IM nailing, ORIF, or external fixation

Femoral shaft fracture or Tibial shaft fracture

3

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

Colles' fracture or dinner force deformity

4

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

Radial head fracture

4

Diagram: Identify the fracture

Q image thumb

Mallet, drop, or baseball finger

6

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

Mallet, drop, or baseball finger

7

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

Smith's fracture

7

Description: considered intra-articular and prone to avascular necrosis

Talus fracture

7

Diagram: Identify the fracture

Q image thumb

Diaphyseal humeral fracture

8

Diagram: Identify the fracture

Q image thumb

Radial head fracture

9

MOI: Usually bending force, fall or direct blow

Greenstick fracture

10

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

Smith's fracture

11

Rx. Immediate ORIF

Perilunate fracture/dislocation

11

MOI: Fall onto flexed or pronated wrist.

Smith's fracture

11

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

Femoral shaft fracture

11

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

Calcaneal fracture

11

Diagram: Identify the fracture

Q image thumb

Bennett's fracture

12

MOI: Usually high energy trauma

Tibial shaft fracture

13

MOI: FOOSH or direct blow (MVA)

Monteggia fracture or Galeazzi fracture

14

MOI: Valgus force with axial loading

Tibial plateau fracture

16

MOI: Axial loading of a partially flexed thumb

Bennett's Fracture

16

MOI: FOOSH, elbow or direct blow

Humeral fracture

17

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

Humeral fracture

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

Q image thumb

Perilunate fracture/dislocation

22

Q: What is the most commonly fractured long bone?

Tibia(l shaft fracture)

22

Diagram: Identify the fracture

Q image thumb

Smith's fracture

24

Rx: Splint in extension 6 wks, then initiate AROM

Mallet, drop, or baseball finger

24

Diagram: Identify the fracture

Q image thumb

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

Q image thumb

Scaphoid fracture 

51

Diagram: Identify the fracture

Q image thumb

Boxer's fracture

52

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

Femoral shaft fracture

53

Diagram: Identify the fracture

Q image thumb

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

Q image thumb

Monteggia fracture

60

MOI: Usually a blow with a clenched fist

Boxer's fracture

61

Diagram: Identify the fracture

Q image thumb

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

Q image thumb

Distal humeral fracture

67

Diagram: Identify the fracture

Q image thumb

Greenstick fracture

68

Diagram: Identify the fracture

Q image thumb

Clavicle fracture

69

Diagram: Identify the fracture

Q image thumb

Femoral shaft fracture

70

Diagram: Identify the fracture

Q image thumb

Tibial plateau fracture

71

Diagram: Identify the fracture

Q image thumb

Tibial shaft fracture

72

Diagram: Identify the fracture

Q image thumb

Talus fracture

73

Diagram: Identify the fracture

Q image thumb

Calcaneal fracture