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40 Cards in this Set
- Front
- Back
Injury? |
Barton's Fracture
ORIF |
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Name fracture
Treatment? |
Bennett's fracture: base of 1st metacarpal
1. If intra-articular, requires anatomic reduction; splint & follow-up w/ortho w/in 24-48 h for likely ORIF |
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Name fracture?
Treatment? |
Galeazzi fracture
Monteggia & Galeazzi generally require ORIF for definitive repair; consult ortho |
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What injury?
What treatment? |
1. Reduce under IV sedation in ED
2. Gentle, firm traction on forearm w/elbow in slight flexion while pushing anteriorly on posteriorly displaced olecranon 3. Can place pt prone on cart w/elbow flexed over edge of cart & apply downward traction on forearm 4. Gently flex elbow after reduction to confirm stability 5. Place in padded posterior splint w/elbow at 90 deg & sling for 1-5 d then begin ROM if stable injury 6. Orthopedic follow-up 1-2d |
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Injury?
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Barton's fx with volar tilt therefore Smith's with garden spade deformity
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Injury?
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Galeazzi fx
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Injury?
Treatment? |
Boxer's fracture
* Fx of neck of little finger metacarpal * If associated laceration from teeth, Rx Abx and leave wound open * Up to 40 deg angulation OK if a good ROM is maintained * Excessive angulation or rotation: needs closed reduction; splint & follow-up w/Ortho 24-48 h |
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Injury?
Treatment? |
Colles' fracture
# Displaced fx: consult ortho # After hematoma block, fx reduced via longitudinal traction & volar pressure, then splinted in mild flexion & ulnar deviation # Surgery may be required for irreducible or intra-articular fxs, esp in young pt |
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Injury
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Hill Sach's deformity
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Injury?
Treatment? |
Midshaft humerus fracture
# Hanging arm cast or sugar tong splint # Functional cast brace can be applied at 7-10 d # Unreducible fxs may require ORIF; consult ortho # Radial nerve injury: * For nerve damage that occurs at time of injury, surgical exploration is not warranted; careful observation; wrist extension splint to prevent wrist flexion contracture * For nerve injury that occurs at time of reduction, surgical exploration ASAP |
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Injury?
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Medial epicondyle fracture
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Injury?
Treatment? |
Boutaneirre extensor tendon injury. Extensor tendon injuries of digits treat by splinting in extension. Forced flexion at PIP causing tear of extensor tendon at the PIP. (flexor tendons usually require surgical repair).
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Injury?
Treatment? |
Mallet Finger
Forced flexion at DIP. Rupture of extensor tendon at base of distal phalanx. Splint DIP in extension for 6-8 weeks |
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Injury?
Treatment? |
Essex-Lopresti fx
radial head fx w/ dislocation of the distal radial ulnar joint and disruption of the interosseous membrane. Splint initially f/u w/ ortho for likely ORIF |
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Management of phalanx fractures of hand?
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DISTAL PHALANX FRACTURE: transverse, angulated or intra-articular
1. Consult ortho for possible ORIF FRACTURES OF SHAFT OF MIDDLE & PROXIMAL PHALANX 1. Good AP & lateral X-Ray of individual digit essential to eval; attempt closed reduction, then buddy tape & place in clamdigger splint; early ortho follow-up; displaced fxs may require surgical repair INTRA-ARTICULAR PHALANX FRACTURES 1. Require anatomic reduction & may necessitate surgery; intra-articular avulsion fx of volar base of phalanx often results in subluxation of joint due to disruption of volar plate; operative repair indicated if fx involves >15% of joint surface |
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Management of amputated digit?
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Place in saline soaked gauze. Place in bag. Then place in second bag with ice.
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Flexor tendon injuries open and closed management?
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ORIF usually
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Injury?
Management? |
Ulnar Collateral Ligament tear (Gamekeeper's thumb)
Incomplete tear: thumb spica complete: surgeon consult |
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Injury?
Management? |
Rolando's fracture
Comminuted intrarticular fracture of the thumb at the base of the metacarpal. Tx with thumb spica. Ortho consult? Prognosis is worse than Bennentt's fx |
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Injury
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Scaphoid fx
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Injury?
Management? |
Scaphoid fracture
Thumb Spica with close f/u |
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Injury?
Mechanism? Tx? |
Triquetral fracture (second most common carpal fracture)
Direct blow to the bone or impingement. Volar Splint (antecutibal fossa to second palmar crease) |
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Injury?
Complication? Common radiographic sign |
Lunate dislocation
Avascular necrosis (Kienbock's disease) Pie-shaped lunate |
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Injury?
Tx? |
Scapholunate disassociation
Radial gutter splint and ortho consult |
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Injury?
Tx? |
Perilunate carpal dislocation
Reduction w/ ortho consult |
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Injury?
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Scapholunate disassociation
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Injury?
Tx? |
Smith's fracture (garden spade)
Watch for median nerve injury. Closed reduction with long arm or sugar-tong spling. Ortho f/u |
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Injury?
Tx? |
Long arm splint for simple fx
If displaced >50% or angulated >10deg call ortho possible ORIF |
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Injury?
Tx? |
Monteggia fracture dislocation
Reduction, long arm splint, ORIF |
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Injury?
Complication? Tx? |
Olecranon fracture
Commonly see ulnar nerve injuries. For fx w/ >2mm displacement ORIF |
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Injury type?
Managment? |
Non displaced put in posterior arm splint. If displaced even a small amount will need ortho consult
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Injury?
Tx? |
Medial epicondylar fx
Common in children (little leaguer's elbow) Non displaced - post arm splint with arm in pronation Displaced with articular surface involvement call ortho |
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Injury?
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Lateral epicondylar fx
Rare |
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Injury
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Medial epicondylar fracture
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What's wrong with this x ray
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Posterior fat pad sign always bad
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Injury
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Monteggia fx
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Injury?
Complications |
Anterior shoulder dislocation
Bankart lesion Hill-Sach's deformity |
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Injury?
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Post shoulder dislocation
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Injury?
Tx? |
Posterior shoulder dislocation
Traction/Reduction |
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Another name for a torus fracture is?
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A buckle fracture
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