wrist/arm fractures

Question 1

colles fracture

Answer 1

FOOSH
dinner fork deformity

Question 2

colles fracture features

Answer 2

1. transverse fracture of radius
2. 1 inch proximal to the radio-carpal joint
3. dorsal displacement + angulation

Question 3

Smiths fracture

Answer 3

volar angulation of distal radius fragment

garden spade deformity
(reverse colles )

Question 4

cause of smiths fracture

Answer 4

falling backwards onto the palm of an outstretched hand or falling with wrists flexed

Question 5

Bennett’s fracture

Answer 5

intraarticular fracture of the 1st carpometacarpal joint

Question 6

bennetts fracture on xray + cause

Answer 6

triangular fragment at ulnar base of metacarpal

impact on flexed metacarpal, caused by fist fights

Question 7

monteggia’s fracture

Answer 7

dislocation of the proximal radioulnar joint in assoc with an ulna fracture

Manchester United (ulna fracture)

FOOSh with forced pronation

Question 8

Galeazzi fracture

Answer 8

radial shaft fracture with assoc dislocation of distal radioulnar joint

Glasgow Rangers(radial fracture)

direct blow

Question 9

Pott’s fracture + cause

Answer 9

bimalleolar ankle fracture

cause = forced foot eversion

Question 10

Bartons fracture + cause

Answer 10

distal radius fracture (Colles/Smiths) with assoc radiocarpal dislocation

cause = fall onto extended + pronated wrist