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Flashcards in Fracture fixation Deck (14):
1

Weber A, B & C

A - conservative treatment
B & C - Open reduction, internal fixation with plate and screws

2

Two things to look out for in clavicular fracture?

Pneumothorax - percuss and auscultate!
Neurovascular exam of limb on affected side - Sensation and pulses

3

What investigation in clavicular fracture?

AP radiograph

4

Middle 1/3 clavicular fracture, what happens to lateral and medial fragments?

Lateral pulled DOWN by weight of limb
Medial pulled UP by SCM

5

Management of clavicular fracture?

Manage conservatively in a sling

6

2x complications

Thoracic outlet syndrome
Brachial plexus injury

7

When is a humeral fracture a surgical emergency?

Associated with dislocation

8

How to manage undisplaced humeral fracture?

Sling and shoulder immobiliser

9

How to manage displaced humeral fracture?

ORIF

10

What is a Hill-Sach's lesion?

Humeral head compression fracture, associated with recurrent dislocatipon

11

What to comment on in supracondylar fracture of the elbow?

Anterior humeral line and position of capitulum
Visible fracture line
Displacement of distal fragment

12

How to manage supracondylar fracture w/displacement?

Surgical management
Splint
Check distal pulses, neuro sensation. Risk of compartment syndrome, volkman's contractures.

13

How to deal with wrist fractures?

ORIF

14

Colle's fracture

Can often be managed with closed reduction and splint
ORIF used for major displacemetn