UE Fracture Flashcards Preview

PHTH 550: Orthopaedic Rehabilitation > UE Fracture > Flashcards

Flashcards in UE Fracture Deck (27):
1

where on the clavicle are you most likely to fracture?:

middle third (80%)

2

common deformity from clavicular # involves the medial part moving ___ and the lateral part moving ___

up
down

3

what is the most common way to treat a clavicular #?

sling and swathe for 4-6 weeks

4

how are scapular #s usually treated?

sling and swathe for at least 2-3 weeks

5

when are proximal humerus #s considered displaced?

if the fragment's moved more than 1cm or angled farther than 45degrees

note 85% prox hum #s are undisplaced

6

describe the three typical displacements of humeral shaft #s and which muscles pull them this way

surgical neck - proximal pulled into ABD and ER by rotator cuff, distal pulled into ADD by pecs

below pecs above delts - prox pulled into ADD by pecs, distal pulled ABD by delts

below delts - prox pulled ABD by delts, distal pulled ADD by biceps/triceps

7

how are the vast majority of shaft #s treated? even ones 3cm off and 30 degrees rotated?

conservative with coaptation splint or hanging cast

8

how are distal humerous #s usually managed?

splinting - posterior elbow for 90 degrees, posterior long arm for slight flexion

9

what is standard management of a olecranon #? what about a radial head #?

olecranon - long arm cast at 45 or 90 flexion for 3 weeks if non-displaced, if displaced a posterior elbow splint following fixation
radial head - simple sling if non-displaced, surgery if displaced

10

what is a nightstick #? how is it usually managed?

ulnar shaft # - sugar tong splint for 7-10d, then sling for 8wks

11

what is a monteggia #?

prox 1/3 ulna # with dislocation of radial head

12

what is a galeazzi #?

prox 1/3 radius # with dislocation of distal radioulnar jt

13

how are most F/A #s managed?

long arm cast at 90 degrees

14

what is the most common type of distal F/A #?

colles - distal radius # with dinner fork deformity (distal part of radius dorsal)

15

what type of # gives a garden spade deformity?

Smith's #

16

how long are F/A #s usually immobilized?

if a stable fixation of radial head, how soon can one start AAROM?

4-6wks immobilized

if stable, no pron/sup for 3 weeks, AAROM everywhere else ok

17

which part of the schaphoid is most prone to avascular necrosis?

the proximal part

18

pain (in general or when resisting pronation/supination in handshake position), tenderness to palpation in which region of the wrist can indicate a scaphoid #?
what about axial compression of which metacarpal?

anatomical snuff box, first metacarpal

19

how long will a proximal scaphoid # need to be immobilized for?

12-24 weeks!!

20

what causes most metacarpal/phalangeal #s?

punching or hitting

21

what is mallet finger?

cannot extend DIP

22

what are the 5 diagnostic Ps?

pain
pallor
pulseless
paralysis
paresthesia

23

for an undisplaced greater tuberosity #, what 3 things does one have to keep in mind and when can STR training start?

no ER or ABD AA-ROM for 6 weeks, PROM can start after about a week, and do not push EOR in IR

can start isometrics at 6-8wks, RT at 12wks

24

are there any contraindications to humeral shaft # treatment once ok'd by MD?

no

25

how soon can a stable metacarpal/finger # be doing AA-ROM?

within 72 hours to try and prevent contraction

26

what is contraindicated with olecranon # for first 6-8 once out of cast?

can do PROM only except flexion up to 90 degrees but not beyond

27

when can a supracondylar # patient be given AAROM?

after 1-2 wks (remove and replace splint)