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28 Cards in this Set

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Aviator's fracture
Vertical fracture of neck of talus with subtalar dislocation and backward displacement of the body.
From forced dorsiflexion.
Barton's fracture
Intraarticular fracture-dislocation of the wrist. Complicated and unstable.
Dorsal Barton's fracture
Oblique intraarticular fracture of dorsal rim of distal radius with displacement of the carpus along the fracture fragment
Volar Barton's fracture
Wedge-shaped articular fragment sheared off of volar surface of radius, displaced volarly. Rare.
Bennett's fracture
Oblique fracture through base of first metacarpal with dislocation of radial portion of the articular surface. From direct force to end of metacarpal. Tenderness along medial base of thumb.
Boxer's fracture
Fracture of neck of 4th or 5th metacarpal, from punching fixed object.
Bosworth's Fracture
Fracture/dislocation of ankle, fibula becomes trapped behind tibia. Rare. External rotation force to foot.
Chauffer's fracture
Solitary fracture of radial styloid. From ulnar deviation and supination
Chance's fracture
Vertebral, usually lumbar, involving posterior spinous process, pedicles, and vertebral body. From flexion and distraction (lab seatbelt)
Clay shoveler's fracture
Fracture of tip of spinous process of C6 or 7.
Colles' fracture
Fracture of distal radius with dorsal displacement and volar angulation, with or without ulnar styloid fracture. silver fork. from foosh. place in sugar tong
Cotton's fracture
Trimalleolar - lateral, posterior, and medial (or disruption of deltoid ligament), with visible widening of mortise
Dupuyten's fracture
Fracture-dislocation of the ankle. Similar mechanism as Maisonneuve (ext rotation), with deltoid ligament rupture or medial mal fracture, diastasis of inferior tib-fib joint and indirect fracture of fibular shaft
Essex-Lopresti
Fracture of radial head with dislocation of distal radioulnar joint.
Lisfranc fracture
Fracture located around the tarsometatarsal (Lisfranc) joint, usually with disloaction of this joint.
Name the fracture
Radial fracture with distal radioulnar dislocation
Name the fracture
Monteggia fracture-dislocation: proximal ulnar fracture with proximal radial dislocation
ORIF, then closed reduction of radial head. Children may be done closed.
name the fracture
Nightstick fracture
If nondisplaced - immobilization in long-arm cast. IF displaced, ORIF
Signs of flexor tenosynovitis
Kanavel's signs:
Finger in slight flexion, symmetric swelling, tenderness along flexor tendon sheath, pain with passive extension
Triquetrum fracture
Volar splint
Lunate fracture
Tenderness over middorsum of wrist, increased by axial load on 3rd digit. If x-ray normal, treat anyway with thumb spica cast
Lunate dislocation - consequences, x-ray findings
May cause acute carpal tunnel syndrome. Piece of pie shape, spilled teacup
Scapholunate dislocation
Pain with hyperextension. Scaphoid is foreshortened and has "signet ring" sign, widening of scapholunate distance (Terry Thomas). Place in radial gutter or posterior mold
Boxer's fracture
Metacarpal neck fracture of 4th/5th digit. Up to 20 and 40 degrees angulation is acceptable
Name the fracture
Colles
Smith's fracture
Transverse fracture of distal radial metaphysis with VOLAR displacement of distal segment.
Name the fracture
Smith's fracture
Name the fracture
Smith's fracture