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12 Cards in this Set
- Front
- Back
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What treatment for minimally displaced proximal humerus fracture
results in the best outcome? |
Early physical therapy and motion
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Outcomes have been shown to be significantly worse if what associated injury is present?
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Rotator cuff tear
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What are the two components of the general treatment algorithm for a two—part surgical neck fracture?
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Reduce
Assess stability |
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If unstable after reduction, what are the three treatment options?
|
Closed reduction and percutaneous pinning (CRPP)
lntramedullaiy (IM) nailing Open reduction and internal fixation (ORIF) |
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What two structures are especially at risk with CRPP?
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Axillary nerve
Posterior humeral circumflex artery |
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What condition is a relative contraindication to use of an IM nail?
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Osteoporosis
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For a four-part proximal humerus fracture, which structure must be
protected with ORIF? |
Anterior humeral circumflex artery
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Why?
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Minimize risk of avascular necrosis
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What is the treatment for avascular necrosis with collapse?
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Hemiarthroplasty
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If treating a four-part fracture with a hemiarthroplasty, should cement be used or not?
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Yes
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What two factors have been shown to be associated with good surgical outcomes?
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Early surgery (<14 days)
Anatomic reduction of tuberosity (10 mm below superior surface of head) |
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What salvage option exists if tuberosity nonunion develops?
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Reverse shoulder prosthesis
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