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18 Cards in this Set
- Front
- Back
Scaphoid Fractures: complications
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Nonunion and malunion common due to poor blood supply
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Scaphoid Fractures: treament
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Reduction
Closed cast including a thumb Monitor |
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Scaphoid Fractures: epidemiology
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Young people because radius is strong enough to transmit force to scaphoid during a fall
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Distal Radial Fractures: treatment
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Most common: closed reduction + cast (6wks)
Intra-articular with severe displacement (>2mm radial-carpal space): surgery - open reduction + bone grafting + external fixation |
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Distal Radial Fractures: complications
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Post-traumatic, Intra-articular osteoarthritis
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Forearm Fractures: complications
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Malunion and nonunion
Torn interosseous membrane Proximal radial ulnar instability |
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Forearm Fractures: treatment
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Reduction a must! (preserve forearm rotation)
ORIF |
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Distal Humeral Fractures: epidemiology
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Intra-articular
Bi-modal age distribution |
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Distal Humeral Fractures: complications
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Stiffness (most common)
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Distal Humeral Fractures: treatment
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ORIF for early mobility and to reduce stiffness
Surgical approach: posterior with patient in lateral decubitus postion to avoid vessels Elderly: total elbow replacement |
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Humeral shaft fractures: complications
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Radial nerve injury
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Humeral shaft fractures: treatment
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Most common - closed reduction + splining only
Open fracture and malunion with splinting: ORIF |
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Clavicular Fractures: epidemiology
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At birth and falls
Associated injuries common |
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Clavicular Fractures: treatment
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FIx associated injuries
Sling with symptomatic treatment |
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Shoulder Disclocation: terminology
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Type: congenital, acute, recurrent, chronic
Location: antierior, posterior inferior, intra-thoracic, multidirectional |
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Shoulder Injury: diagnosis
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Lateral (trans-axillary) radiograph - best way to see dislocation
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What type of shoulder instability most commonly affects athletes?
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acromioclavicular
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What fractures are prone to malunion or nonunion?
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Scaphoid
Femoral neck Forearm |