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12 Cards in this Set

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DeQuarvians Syndrome
Overuse (hammering, repetitive occupation) minimal trauma
Clinical: Tenderness over first dorsal compartment of the hand. + Finkelstein’s test.
Finkelstein Test: Utilized to assess for DeQuervain’s syndrom
Volkmann's ischemia
- involved with compartment syndrom
- after a fx, an area is deprived of blood, and muscle dies and becomes fibrous tissue
- often no nerve injury, so sensory loss is not noted
Scaphoid Fx
- tenderness and swelling in the anatomical snuffbox
- : XR, bone scan
Management: Fx may not be visible for 2-4 weeks. Ensure a repeat XR if scaphoid fx is suspected.
Worry about AVN with what fx's
- 5th metatarsal
- scaphoid
- hip
Bennetts Fx
Fracture-dislocation that occurs at the carpometacarpal joint of the thumb. Most frequent of all thumb fractures.
Hx: Usually from punching something or someone
Clinical: 1st metacarpal is usually dislocated proximally.
Waddells sign
When they are faking!
● Abnormal tenderness (superficial or nonanatomic)
● Simulation (axial loading or rotation)
● Distraction (sitting SLR)
● Regional weakness or sensory c/o’s
● Overreaction
Monteggia's fracture
displaced fracture of the proximal third of the ulna, with radial head subluxation or dislocation.
-**Paralysis of the deep branch of the radial nerve is quite common with these fractures, as is nonunion and recurrent dislocation or subluxation of the radial head
-This fracture requires complete rupture of the annular ligament. Most patients will have anterior dislocation of the radial head with anterior angulation of the distal ulna fragment
Cauda Equina Syndrome
Saddle anesthesia, bowel and/or bladder dysfunction, leg weakness (esp. bilat.)
● Another excuse to do a DRE
● >72 hrs may result in permanent neurological deficits
Slipped Capital Epiphysis
 FEMORAL NECK SLIDES SUPERIOR AND ANTERIOR ON FEMORAL HEAD THROUGH PHYSIS
 EARLY TEENAGERS (at time of growth spurt)
 BOYS>GIRLS
 OVERWEIGHT
 BLACK>WHITE
 >50% BILATERAL IN NEXT 1-1.5 YEARS
 Symptoms include: Groin Pain, anteromedial thigh pain and knee pain
Jones fx
- • transverse fracture through the base of the fifth metatarsal 10 to
20 mm distal to the proximal part of the metatarsal
• This fracture is frequently complicated by nonunion or malunion
• Area carries its own blood supply so you have to treat it carefully
Charcot foot has several distinct characteristics.
• Marked destruction of joint surfaces is evident with collapse of joint spaces, often accompanied by dislocations of one or more joints.
• Calcification or bony debris is present in the periarticular soft tissues.
• Pain is minimal or considerably less than would be expected given the degree of destruction.
Parts of bone
Epiphysis: end of a long bone, wider than the shaft.
Metaphysis: lies between epiphysis or physis (growth plate in children) and
diaphysis. The “flare” of the bone.
Diaphysis: shaft of a long bone.