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;
34 Cards in this Set
- Front
- Back
|
Your H&P should attempt to ascertain the _____ of injury.
|
mechanism
|
|
|
Radiographs should be obtained if fracture OR ________ is suspected.
|
dislocation
|
|
|
Radiographs should be obtained _______ reduction & immobilization of a fx or dislocation.
|
AFTER
|
|
|
What are some types of fractures?
|
open, closed, greenstick, transverse, spiral, comminuted, oblique, segmental
|
|
|
________ is an incomplete fracture in a long bone of a child
|
greenstick
|
|
|
Describe a type I salter harris fx.
|
Fracture thru the physis only.
|
|
|
Describe a type II salter harris fx.
|
fx thru the metaphysis
|
|
|
Describe a type III salter harris fx.
|
fx thru the epiphysis
|
|
|
Describe a type IV salter harris.
|
transverse fx
|
|
|
Describe a type V salter harris fx.
|
squash!
|
|
|
________ is the amount the pieces of a fracture have moved from their normal location.
|
displacement
|
|
|
A fracture may be ______ or non______.
|
displaced or non-displaced
|
|
|
Describe an open fx.
|
the bone breaks & pierces the overlying skin (osteomyelitis more common)
|
|
|
An open fx requires _______.
|
surgery!
|
|
|
What does ORIF stand for?
|
open reduction internal fixation
|
|
|
What are some types of fractures that you do NOT want to miss?
|
-colles fx
-smith fx -scaphoid fx -boxer's fx -nightstick fx -supracondylar fx -hip/pelvic -cervical -lisfranc fx |
|
|
What is a colle's fracture?
|
an extension fx of the radius
|
|
|
What is a smith's fx?
|
a flexion fx of the radius
|
|
|
What is a lisfranc fx?
|
mid-foot fx
|
|
|
What is there a high incidence of with scaphoid fractures?
|
avascular necrosis
|
|
|
How should a scaphoid fx be treated?
|
thumb spica w/prolonged immobilization
|
|
|
What is a boxer's fx?
|
fx of the 5th metacarpal bone
|
|
|
T or F: a boxer's fx may heal with or without reduction and splinting
|
TRUE
|
|
|
How do you splint a boxer's fx?
|
splint in 70 to 90 degrees of flexion using an ulnar gutter splint or a cast for six weeks
|
|
|
Refer to orthopedics if rotation or angulation of more than ____ degrees.
|
70
|
|
|
How do you treat a LisFranc fx?
|
sprains with an otherwise stable tarsal-metatarsal joint can be managed w/immobilization. Non-anatomic alignment requires ORIF
|
|
|
How should finger dislocations be treated?
|
reduction
|
|
|
How should a dislocated shoulder be treated?
|
several methods of reduction
|
|
|
What is a nursemaid's elbow?
|
subluxation of the radial head --> the radial head slips out from under the annular ligament
|
|
|
What is a nursemaid's elbow generally caused by?
|
sudden traction of the forearm that extends and pronates the elbow
|
|
|
A nursemaid's elbow is most common in _______.
|
children 1-4 y/o
|
|
|
How should you tx a nursemaid's elbow?
|
reduction
|
|
|
What are three keys while attempting reduction?
|
1- knowledge of anatomy
2- analgesia & sedation 3- slow & gentle procedure |
|
|
Following reduction, the joint should be _______.
|
splinted & proper f/u mandatory
|
