Term
T/F
Children usually fracture a bone, not sprain a joint as in adults |
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Definition
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Term
| How are fractures classified? |
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Definition
| Salter-Harris Classification |
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Term
| What is the exam for a posterior elbow dislocation? |
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Definition
Neurovascular exam-nl
Skin intact |
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Term
| After an elbow reduction, what is done next? |
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Definition
Check: elbow stability & neurovascular status
entrapment of nerve or artery
&
Radiograph because fx are common with dislocation |
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Term
| What is type V Salter-Harris Classification? |
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Definition
Compaction of metaphysis on physis causing growth arrest
NORMAL radiograph findings |
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Term
What is this?
annular ligament displacement after forceful longitudinal traction
occurs up to 6 yrs of age |
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Definition
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Term
| What position do children hold their arm with a nursemaid's elbow? |
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Definition
UE
Slight flexion, Pronation, Internal rotation |
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Term
| How is the nursemaid elbow reduction done? |
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Definition
| Supination, Hyperflexion, & Pressure over lateral aspect of radial head |
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Term
| If you have a ACL tear what tests are you going to do? |
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Definition
Lachman's test
Anterior Drawer test
Varus-valgus test
Medial collateral ligament
Lateral collateral ligament |
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Term
| What's a child's equivalent of ACL tear? |
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Definition
Tibial Spine Fx
ACL attached to fragment
Fx fixation |
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Term
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Definition
Loder Classification
Unstable: not able to walk
50% AVN
Stable: able to walk |
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Term
| What is a complication of SCFE? |
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Definition
Avascular Necrosis of Hip
other conditions:
hip fx
hip dislocation |
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Term
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Definition
Hip reconstruction
Hip fusion
Hip replacement |
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Term
| What are the traumatic etiologies of AVN? |
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Definition
Unstable SCFE
Hip fracture
Hip dislocation |
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Term
| If you have a fx of the radius & ulna, what can this lead to? |
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Definition
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Term
| What are the extremity injury general principles? |
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Definition
Gross limb realignment & immobilization
-neurovascular exam
Radiographs before reduction |
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Term
| What's the tx for radius & ulna fx? |
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Definition
95% tx by closed reduction & casting
Open reduction & fixation
rods
plates & screws |
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Term
| What is Gustillo/Anderson? |
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Definition
Classification of open fractures for wounds:
1- <1 cm wound
2- 1-10 cm wound
3- larger wound
diameter & gross contamination |
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Term
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Definition
IV AXB for 24-48 hrs
starts in ED
Cephalosporin
-add aminoglycoside for contamination
-add PCN for "farm" injury
Tetanus
Immobilize fx
Irrigation & debridement
Stabilization |
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Term
| How is soft tissue managed? |
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Definition
Debridement of ALL non-viable tissue
Wound closure/bone coverage |
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Term
| What is the exam for limb with deformity? |
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Definition
Neurological
Vascular exam:
pulses
cap refill/perfusion
ankle/brachial index
Status:
nl exam
pulseless with perfusion
no pulse or perfusion |
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Term
| What is the algorithm of tx for vascular injury? |
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Definition
1. Fx reduction in OR
wait for spasm to resolve (10-15 minutes)
2.Open the site
inspect vessel
on table arteriogram
3.Vascular repair |
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Term
| What's the on-field management? |
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Definition
ABCs
Spine stabilization & transportation to ED |
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Term
| What is cervical neurapraxia? |
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Definition
transient episode of motor paralysis with little or no sensory or autonomic dysfunction
nl exam within 10 minutes of injury
nl imaging |
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Term
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Definition
Define cervical stenosis
Most athletes with CCN have Torg ratio < 0.8 mm
cervical stenosis |
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Term
| Do young athletes have a correlation with cervical stenosis? |
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Definition
NO
Have CERVICAL HYPERMOBILITY |
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Term
| What clearance is needed to return to play permitted? |
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Definition
nl MRI & exam
No previous CCN |
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