Sporting Fractures Flashcards
(17 cards)
What is the general approach to managing a deformity?
Look, Feel, Move, Crepitus, Stuck
Steps include assessing visual deformity, palpating for bone continuity, moving gently, checking for crepitus, and stabilizing if stuck.
What is the anatomical/safety position for the arm?
Arm across chest, elbow at 90 degrees, thumb pointing to head; leg bent 15 degrees
This position helps in stabilizing injuries.
What type of injury is a sternoclavicular dislocation associated with?
High energy trauma
More common in children due to physis.
What are some potential complications of a sternoclavicular dislocation?
Injury to brachial plexus, neck vessels, and trachea
These injuries can lead to serious complications.
What should you watch for in an acromioclavicular dislocation?
Skin tenting
Indicates potential tear of coracoclavicular ligaments.
What is a common presentation of a shoulder dislocation?
Squared off shoulder
May be accompanied by a fracture.
Which nerve is most at risk during a shoulder dislocation?
Axillary nerve
It wraps around the neck of the humerus.
What is a potential risk of relocating a shoulder dislocation in the field?
Iatrogenic fracture to the neck of the humerus
Consideration of analgesia and proper technique is essential.
What is ‘lixatio erectus’?
Downward dislocation of the humeral head that cannot be reduced
Requires open reduction in theatre.
Who is most likely to experience a proximal humerus fracture?
Older people or those experiencing high energy trauma
Management includes analgesia and transport to hospital.
What should be done for a mid-shaft humerus fracture?
Perform neurovascular exam pre and post manipulation
Use a Benecast, box splint, or KTD off-label.
What is the risk associated with distal humerus fractures?
High risk for brachial vessel and nerve injury
These injuries typically require surgical management.
How should forearm fractures be managed?
Do not manipulate, immobilise in current position
This minimizes further injury.
What is a pelvic fracture?
Pelvic ring injury
Commonly associated with motorsports and cycling accidents.
What distinguishes an acetabular injury from a pelvic fracture?
Acetabular injuries involve dislocations and fractures of the acetabulum
Dashboard injuries are a common cause.
What common injury can occur from a dashboard impact?
Damage to the wall of the acetabulum by the head of femur
Not always associated with high energy impact.
What is a common neurological complication of acetabular injuries?
Sciatic nerve damage
Symptoms include foot drop, altered sensation, and weak dorsiflexion.
