Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
12 Cards in this Set
- Front
- Back
|
A boxer's fracture is a fracture that is isolated to where?
|
the distal 5th metacarpal
|
|
|
What is the most common metacarpal fracture?
|
boxer's fracture
|
|
|
A boxer's fracture is often associated with what?
|
maladaptive personality traits aka someone punches something or someone and they don't use correct form
|
|
|
How does the pt usually present with a boxer's fracture?
|
painful swollen distal hand pain on the ulnar side
|
|
|
Why do you want to obtain a good history in someone who presents with a boxer's fracture?
|
because such cases often have legal ramifications
|
|
|
In a boxer's fracture, classically the 5th knucke will be what when the hand is placed in a closed fist?
|
not be visible
|
|
|
What is the work-up for a boxer's fracture?
|
-pre-reduction x-ray
-set in splint if there is less than 70* of volar angulation -post reduction x-ray - |
|
|
A boxer's fracture with any what has to be referred to an orthopedic for follow-up?
|
any degree of malrotation
|
|
|
The boxer's fracture pt without any malrotation, and/or volar angulation less than 70 degrees may be treated with what?
|
hematoma block
|
|
|
What is a hematoma block?
|
when a local anesthetic is injected directly into the fracture hematoma
|
|
|
After the hematoma block, what are the next steps in the tx of a boxer's fracture?
|
-fracture is manually reduced
-4th and 5th digets are buddy-taped OR -ulnar gutter splint is applied |
|
|
What are indications for orthopedic referral in a boxer's fracture?
|
-any malrotation
-volar angulatin >70* |
