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6 Cards in this Set
- Front
- Back
Unstable spinal fractures
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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 #) |
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Distal radius fractures
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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) |
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Describing fractures
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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.) |
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Forearm fractures
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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) |
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Salter-Harris
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SALTR
S - straight A - above plate L - lower than plate T - transverse through plate R - rammed plate |
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Carpal fractures
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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) |