Upper and lower fractures

Question 1

if 50% of the range of motion can be completed in an active and painless manner during a clinical examination in a bone region, it is considered?

Answer 1

stable fanctionally

Question 2

1- splinting for interphalangeal joints typically are rested in?

2-and for carpometacarpal joint in?

Answer 2

1- extension
2- flexion

Question 3

what is tendon gliding exercises?

Answer 3

1. straight
   2.hook fist
   3.full fist
   4.straight fist
   4.platform position

Question 4

Nondisplaced metacarpal fractures are treated with?

Answer 4

anteroposterior splint in the
position of protective

wrist= 30 degree flexion
MCP= 70 degree flexion
IP= extension

Question 5

Fracture of the fifth metacarpal is?

Answer 5

boxer’s fracture

Question 6

for metacarpal fracture rehabilitation list when we do
immobilization
mobilization
healing

Answer 6

immobilization= 4-6 weeks intraarticular , 3-4 weeks extraarticular

mobilization= +3-4 weeks
healing= 8 weeks

Question 7

phalangeal fractures are more stable than metacarpal fractures
true or false?

Answer 7

false, metacarpal more stable because of the intrinsic muscles

Question 8

what is the buddy tapping?

Answer 8

injured digit to the non-injured digit adjacent to the torn or compromised collateral ligament

Question 9

what is ORIF?

Answer 9

open reduction and internal fixation

Question 10

6 weeks of long arm
thumb spica casting for?

Answer 10

scaphoid fracture

Question 11

Monteggia fracture
dislocation is?

Answer 11

fracture of the ulna with a dislocation of the radial head

Question 12

A fracture of the radius with a disruption/dislocation of the distal radioulnar
joint is called?

Answer 12

Galeazzi fracture dislocation

Question 13

what is Phase I: (Weeks 0–2) for forearm fractures?

Answer 13

Patient is placed into a splint
Protected Sutures or staples are removed at week two.
Elevation of extremity for Edema control
ROM of fingers

Question 14

Active and active-assisted ROM of elbow, forearm, and wrist
No repetitive forearm twisting
2-3 kg weight/Non weight bearing to which phase for forearm fracture rehab?

Answer 14

Phase II: (Weeks 2–6)

Question 15

Lifting and twisting restricted till union has been achieved
Work on regaining preoperative motion if not already achieved

this Phase III: (>6 and Beyond) of forearm fracture rehab
true or false?

Answer 15

true

Question 16

The most common associated fractures
include the radial head is?

Answer 16

coronoid process of
the ulna, and the olecranon

Question 17

elbow dislocation,
fractures include the radial head, coronoid
process of the ulna
is termed as?

Answer 17

the terrible triad

Question 18

nonoperative measures could be used with olecranon fracture
true or false?

Answer 18

true

Question 19

N. Axillaris can be injured with?

Answer 19

Humerus Proximal Fx

Question 20

Healing 6-8.w for Diaphyseal/Shaft Humerus Fx

healing for 8-12.w for humeus proximal fx

true or false?

Answer 20

false, 6-8 w for proximal humerus fx

      8-12w for diaphyseal/shaft 
      humerus fx

Question 21

Radials nerve is injured in Diaphyseal/Shaft Humerus Fx
true or false?

Answer 21

true

Question 22

• N. Medialis, ulnaris, radialis
• A. Brachialis
• CRPS Volkmann ischemic contracture
• Healing 8-12 w.
• Shoulder int/ext. rot & wrist motions are forbidden

are seen in?

Answer 22

Distal Humerus Fx

Question 23

stable isolated malleolus fractures can be treated by bracing

unstable ankle fractures treated in an operative manner

true or false?

Answer 23

true

Question 24

weightbearing distal tibial articular surface. Result of a high-energy mechanism is?

Answer 24

pilon fracture

Question 25

Chip and avulsion fractures are the most common fractures followed by talar neck fractures in?

Answer 25

Talus fracture

Question 26

progressive mobilization, * restoration of full ROM, * strengthening, * gait training, * proprioceptive training are ?

Answer 26

evidence of bone union

Question 27

The tarsometatarsal (TMT) joint complex is

Answer 27

Lisfranc joint

Question 28

Prevention of the plantarflexion contracture is also a common, especially in the NWB patient true or false?

Answer 28

true

Question 29

what are the 3 phases of a fracture?

Answer 29

phase one: 1-6 weeks protection phase two: 6-8 weeks mobilization phase three: 8-12 weeks function

Question 30

superficial hematoma on the inguinal ligament or on the scrotum or thigh is?

Answer 30

Destot sign

Question 31

how to treat hemodynamic instability?

Answer 31

stop bleeding, blood and fluid supplementation should be done

Question 32

mechanical instability is treated with?

Answer 32

open reduction and internal fixation

Question 33

These joint reaction forces can reach 8 times the body weight in some cases is referring to which joint?

Answer 33

hip joint

Question 34

Conservative * Open reduction internal fixation (ORIF) * Percutaneous fixation * Total hip replacement can be treated for?

Answer 34

acerebellar fractures

Question 35

* Death * Infection * nerve injury * thrombus embolism * Vascular injury * Secondary fracture displacement are related to early or late complications for acetabular fracture?

Answer 35

early

Question 36

heterotopic ossification * Osteonecrosis (3-4%) * Posttraumatic degenerative arthritis * Deep Vein Thrombosis (DVT) * Posterior dislocation * femoral neck fracture are for late complication for acetabular fracture true or false?

Answer 36

true

Question 37

for pelvic fracture immobilization for 12 weeks for acetabular fracture immobilization for 6-8 weeks true or false?

Answer 37

true

Question 38

femoral head fracture results from?

Answer 38

osteonecrosis

Question 39

fracture Between the trochanter minor and the 1/3 proximal end of the femur is?

Answer 39

Subtrochanteric Femur

Question 40

Most of the femoral neck is?

Answer 40

intracapsular hematoma

Question 41

Functional limitations, stiffness, antalgic walking, difficulty in descending and ascending the stairs are complications of?

Answer 41

femoral shaft fractures

Question 42

Increases extensor strength by increasing the leverage of the quadriceps muscle results in?

Answer 42

patella fracture

Question 43

Extension splint or plaster applied to?

Answer 43

In Fractures that are not displaced by straight leg lifting

Question 44

In patients who cannot do straight leg lift, in patients with 2-3 mm gap between the fracture parts; Stabilized by ORIF true or flase?

Answer 44

true

Question 45

partial patellectomy and tendon repair is done in?

Answer 45

multi part fractures of patella

Question 46

-In the first 2 weeks, 30 knee flexions are added, and every next week 15 is added,90 knee flexion should be achieved in the first 6 weeks. this done with?

Answer 46

patella fractures

Question 47

AVOID closed kinetic knee extension exercises for the first 6 weeks in patella fractures true or false?

Answer 47

false, opened kinetic knee

Question 48

compartment syndrome may accompany in?

Answer 48

tibia Plateau Fractures and tibial shaft fracture

Question 49

he knee joint is loaded by approximately 220-350% of body weight true or false?

Answer 49

true

Question 50

900 knee flexion should be gained within 4 weeks for?

Answer 50

tibia plateau fractures

Question 51

nonunion, loss of knee extension, instability, angular deformity, traumatic arthritis, osteonecrosis, infection are complications for patella fracture? true or false?

Answer 51

false, complications of plateau fractures

Question 52

The vast majority of tibia fractures is?

Answer 52

conservative

Question 53

In the first weeks postop for tibial shaft fracture the affected extremity should?

Answer 53

be positioned above the level of the hip