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6 Cards in this Set

  • Front
  • Back
Unstable spinal fractures
Jefferson bit off a Hangman's Tail
- Jefferson # (top hat - axial load to back of head - C1 ant/post arch #)
- Bilateral facet dislocation (hyperflexion w/disruption of all lig.)
- Odontoid (blunt trauma - flxn/extn - Type II waist and III body)
- Atlanto-axial subluxation (RA, Lupus, Down syn)
- Hangman's # (hyperextension- C2 bilateral pedicle/pars interacticularis # with axial load)
- Teardrop # (flexion - anterior vert body #)
Distal radius fractures
Distal Radius: FOOSH
Colles (hand extnd) - distal fragment displaced proximally and dorsally
Smith (hand flxd) - distal fragment displaced proximally and volarly
Barton (either volar or dorsal but dislocation is significant)
Describing fractures
OLD ACID
- open vs closed
- location (bone, anatomic orientation/landmarks, segment)
- degree (complete vs incomplete)
- articular extension
- comminution/pattern (transverse, oblique, spiral, linear/longitudinal, segmental, comminuted, buckle/torus, greenstick, compression, distraction/avulsion)
- intrinsic bone quality
- displacement (distal rel. to prox. in long axis), angulation (direction apex rel. to long axis), rotation (distal rel. to prox.)
Forearm fractures
Ulnar - nightstick (direct blow)
Radial - (direct or FOOSH)
#-dislocation: MUGR
- Monteggia = prox. ulnar # with radial head dislocation (elbow - post. interosseus n. risk)
- Galezzie = distal. radial # with dist. RU jnt dislocation (wrist - ulnar and ant. interosseus n. risk)
Salter-Harris
SALTR
S - straight
A - above plate
L - lower than plate
T - transverse through plate
R - rammed plate
Carpal fractures
bones = Some Lovers Try Positions That They Can't Handle
- scaphoid - FOOSH (snuff box, scaphoid tubercle, thumb axial load tenderness)
- lunate - FOOSH
- triquetrum - twist/hyperextn - avulsion; direct blow - body #
- pisiform - fall onto hypothenar eminence
- trapezium - direct blow to thumb, dorsiflxn impact
- trapezoid - index axial load
- capitate - forced dorsiflxn
- hamate - interrupted swing (bat, golf, racquet)