Term
| What term means the rotational or angular position? |
|
Definition
|
|
Term
| What term means the amount of end-to-end contact of the fx? |
|
Definition
|
|
Term
| What term means the fx healing slower than normal? |
|
Definition
|
|
Term
| What term means a disruption in the continuity of a joint? |
|
Definition
|
|
Term
| What term menas the healing in an unsatisfactory position? |
|
Definition
|
|
Term
| What term means the failure of bone healing? |
|
Definition
|
|
Term
| What is CT best for with fractures? What is an MRI best for visualizing? |
|
Definition
CT – excellent bone visualization
MRI – better soft tissue |
|
|
Term
| When should plain films be repeated after injury? |
|
Definition
|
|
Term
| What is the MC missed fx? |
|
Definition
|
|
Term
| What is the worst complication of a fracture? |
|
Definition
|
|
Term
| Which type of fracture is the MC to have a complication of compartment syndrome? |
|
Definition
|
|
Term
| Why is compartment syndrome with fractures deadly? |
|
Definition
| Rhabdomyolysis kills the kidneys |
|
|
Term
| What condition is described as Tissue pressure exceeding perfussion pressure? |
|
Definition
|
|
Term
| What are the "classic" symptoms of compartment syndrome? Which two are the most important in early diagnosis of CS? |
|
Definition
5 Ps - pain, paraesthesia, pallor, poikilothermia, pulselessness
Pain and paresthesia most important |
|
|
Term
| If a pt presents post-op tibial open reduction and you notice intense pain with movement of the toes and the pt complains of paresthesia, what condition should you suspect? What is the tx? |
|
Definition
| Compartment Syndrome; Emergency Fasciotomy |
|
|
Term
| Which type of nerve injury has the worst prognosis? How long may it take to heal? |
|
Definition
| Transection (cut); 6 months |
|
|
Term
| Which part of the body has the worst prognosis for nerve repair? |
|
Definition
|
|
Term
| What are two common sites for nerve injury with fractures? |
|
Definition
Spiral fx humerus – radial nerve injury – wrist drop
Fx neck of the fibula – peroneal nerve injury – foot drop |
|
|
Term
| With a spiral fx of the humerus, which nerve can be injured? What is the symptom of this injury? |
|
Definition
|
|
Term
| With a fx of the neck of the fibula, what nerve may be injured? What is the major symptom? |
|
Definition
Peroneal n. injury
Foot drop |
|
|
Term
| What nerve injury is considered a TYPE 1? |
|
Definition
|
|
Term
| What nerve injury is considered a TYPE 2? |
|
Definition
|
|
Term
| Which fx MUST go to an ortho surgeon? |
|
Definition
All open fx
ALL intraarticular fx
All LE fx |
|
|
Term
| What is the MC cause of bone healing delay? |
|
Definition
Smoking
(additional: Elderly, DM, Malnutrition, dialysis pts) |
|
|
Term
| What is the benefit of a closed reduction? |
|
Definition
|
|
Term
| What are the benefits of internal fixation? |
|
Definition
Early return to motion
Decreased nonunion/malunion risk
Decreased pain
Early return to ADL’s |
|
|
Term
| Why is skeletal traction used? |
|
Definition
Allows alignment and maintain reduction
Protects nerve/artery/soft tissue
Stabilizes fracture until final surgical/nonsurgical treatment
Reduces pts pain |
|
|
Term
| What is the most important type of deformity that should be corrected with reduction of a fracture? |
|
Definition
|
|
Term
| How much apposition is required with reduction in children? in adults? |
|
Definition
20% for kids
50% for adults |
|
|
Term
| What is the MC casting material used? |
|
Definition
|
|
Term
| What is the MC casting material used in the OR? |
|
Definition
|
|
Term
| What procedure can be done in the cast to assess the skin or for wound care? |
|
Definition
|
|
Term
| What are the MC areas of the body dislocated? |
|
Definition
|
|
Term
| What should ALWAYS be performed before and after a reduction maneuver for a dislocation? |
|
Definition
|
|
Term
| With a long or short arm cast what landmark should the cast not extend beyond? |
|
Definition
|
|
Term
| What should pts with a long or short arm cast be able to do with their fingers? |
|
Definition
Make a fist (MCP should be able to flex completely)
Abduct their fingers |
|
|
Term
| At what angle should an elbow cast be at? |
|
Definition
|
|
Term
| How long should you tell pts to wait before weight bearing on a new cast to allow for curing? |
|
Definition
wait 48 hours for plater
wait 1 hour for fiberglass |
|
|
Term
| What angle should knees be casted at? |
|
Definition
|
|
Term
| At what angle should ankles be casted at? |
|
Definition
|
|
Term
| What important motion should be used when sawing off a cast? Why? |
|
Definition
Plunge cut, plunge cut... etc
If not blade will overheat and burn the pt |
|
|
Term
| How much overlap should be with each roll? |
|
Definition
|
|
Term
| If questionable fracture in children, what should be obtained? |
|
Definition
| x-rays of opposite extremity |
|
|
Term
| Should you wait to reduce a fracture until the swelling goes down? |
|
Definition
|
|
Term
| With every fracture what is important about the x-rays? |
|
Definition
| 2 planes 90 degrees of each other; Include the joint above & below the fx |
|
|
Term
| If one bone of a 2 bone set is fx, shortened, or angulated, what do you need to look for? |
|
Definition
| look for injury in other bone |
|
|
Term
| What may an avulsion fx near a joint signify? |
|
Definition
| may signify ligament or tendon damage |
|
|
Term
| What is a successful treatment of a fracture determined by? |
|
Definition
| measured by function of extremity not xrays |
|
|
