Trauma emergencies Flashcards

1
Q

Most common injury to ankle

A

Ankle inversion (damage to anterior talofibular, calcaneofibulr and posterior talofibular ligaments

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2
Q

Ottawa ankle rules

A
  • Pain in the malleolar zone + (any one of the following)
  • Bone tenderness along distal 6cm posterior tibia
  • Bone tenderness along distal 6cm posterior fibula
  • Tenderness at tip of medial or lateral malleolus
  • Inability to bear weight for four steps
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3
Q

Sprains vs strains

A

Sprains: ligamentous injury
Strains: muscle or tendon

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4
Q

Salter-Harris type 1

A

Through the growth plate

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5
Q

Salter-Harris type 2

A

Through the growth plate and metaphysis

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6
Q

Salter-Harris type 3

A

Through the growth plate and the epiphysis

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7
Q

Salter-Harris type 4

A

Through metaphysis, growth plate, and epiphysis

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8
Q

Salter-Harris type 5

A

Crush injury of the growth plate

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9
Q

Treatment of distal radius fracture

A
<15degree deviation acceptable
Non displaced extra-articular fracture
Sugar tong splint 2-3 weeks
Short arm cast additional 2-3 weeks
(Interval radiographs every 7-10 days for first week)
"AAOS EMC5"
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10
Q

Compartment syndrome

A

Most often in lower extremities

  • Due to compromised blood flow due to increased pressure in the closed tissue space.
  • Immediate threat to viability of tissues and nerves
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11
Q

Presentation of compartment syndrome

A

6P’s
Pain out of proportion with passive motion
Pallor
Pulselessness
Paresthesias
Paralysis
Poikilothermic (inability to regulate temperature)

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