Term
| 6 P's of Compartment Syndrome: |
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Definition
1. Pallor 2. Pulseless 3. Pain 4. Pareesthesia 5. Paralysis 6. Poiklothermia |
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Term
| management of compartment syndrome: |
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Definition
- cool - elevate - remove wrappings
- pressure greater than or equal to 30mm Hg> IMMEDIATE FASCIOTOMY |
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Term
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Definition
- occurs with shoulder dislocations - impaction of posterolateral humeral head |
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Term
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Definition
| - located at anteroinferior glenoind rim |
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Term
| Scapular Y view is to rule out __ __ __. |
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Definition
| posterior shoulder dislocations |
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Term
| Axillary lateral view is to rule out __ __ ___. |
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Definition
| anterior shoulder dislocations |
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Term
| With humerous fractures, you must check the neurovascular status (worried more with distal fractures). Check the __ artery and __ nerve. |
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Definition
- brachial artery - radial nerve |
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Term
| humerus fractures usually in __. |
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Definition
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Term
| Supracondylar fractures are usually in __ who __ onto an __ __. |
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Definition
- children - fell onto an outstretched hand
MANDATORY ORTHO CONSULT |
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Term
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Definition
- gravity - humerus splint |
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Term
| With an elbow dislocation, assess the __ artery and __ nerve. |
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Definition
- brachial artery - median nerve |
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Term
| Radial head subluxations occur with __ force on a __ __ arm. To fix it, __ and __ the elbow. |
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Definition
- longitudinal force on an extended pronated arm - supinate and flex the elbow to fix |
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Term
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Definition
| Scapholunate Dissociation |
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Term
| phalanx fractures are often due to: |
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Definition
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Term
| Boutinniere deformity is forced __ of the ___ joint with rupture of the __ __ of the __ __. |
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Definition
- flexion of the PIP - central slip - extensor tendon |
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Term
| tmt of Boutinniere deformity: |
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Definition
| - splint the PIP joint in forced extension, sparing the MCP and DIP joint |
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Term
| Mallet fingers have forced __ flexion and may be associated with an __ __. |
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Definition
- DIP flexion - avulsion fracture |
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Term
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Definition
| splint for 6 weeks 24/7 and then for 2 more weeks at night |
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Term
| 3 findings that may indicate pelvic fractures: |
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Definition
- Scrotal hematoma - Urethral blood - Abnormal prostate |
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Term
| ___ ___ injuries are associated with artery and vein tesars. |
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Definition
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Term
| hypotension with pelvic fracture survival rate: |
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Definition
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Term
| __ pelvic fractures are often seen in the PCP. |
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Definition
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Term
| No __ if suspect penile injury. Order __ __ and call urology. |
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Definition
- NO catheter - retrograde cystogram |
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Term
| Most hip fracture patients cannot __. The leg tends to be __ and __ ___. |
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Definition
- cannot walk - shortened and externally rotated |
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Term
| 20% of hip fracture pts develop __. |
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Definition
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Term
| Pts with hip fractures have an __ rotated and __ leg, while pts with hip dislocations have an __ rotated and __ leg. |
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Definition
- fracture: externally rotated and shortened - dislocation: internally rotated and shortened |
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Term
| Femoral shaft fractures are usually from __ __ __ and are associated with __ amount of __ ___. Need to check N/v status, and compartment syndrome. These pts will need surgery. |
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Definition
- high velocity trauma - large amount of blood loss |
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Term
| If minimal trauma causes a femoral shaft fracture, thnk: |
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Definition
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Term
| MCL tears occur with __ stress. |
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Definition
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Term
| LCL tears occur with __ stress. |
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Definition
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Term
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Definition
| comminuted fracture of distal tibia |
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Term
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Definition
| - Achilles tendon rupture- positive thompson means the ankle failed to plantarflex when squeezed |
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Term
| Perioneal tendon dislocation/subluxation occurs when the ankle rolls __. |
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Definition
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Term
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Definition
- immediately check NV status - may reduce it before films ordered - CALL ORTHO |
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Term
| most common ankle injury: |
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Definition
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Term
| High ankle sprains involve the __ and take longer to heal. |
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Definition
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Term
| Talus fx, worry about __. |
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Definition
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Term
| 2nd MC fracured tarsal bone: |
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Definition
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Term
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Definition
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Term
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Definition
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Term
| Subtalar dislocations are associated with ___ __ rupture and ___ ___ rupture. Rapid __ is indicated. |
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Definition
- talocalcaneal ligament rupture - talonavicular ligament rupture - reduction |
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Term
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Definition
- high amount of force (foot on brake when car is hit) - separates the forefoot from the midfoot |
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Term
| If dislocation occurs with a Lisfranc injury, then it is usually associated with __ and __ __. |
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Definition
| metatarsal and tarsal fractures |
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Term
| most common metatarsal fracture: |
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Definition
| base of the 5th metatarsal |
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