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Flashcards in Fracture fixation Deck (14)
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1
Q

Weber A, B & C

A

A - conservative treatment

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

2
Q

Two things to look out for in clavicular fracture?

A

Pneumothorax - percuss and auscultate!

Neurovascular exam of limb on affected side - Sensation and pulses

3
Q

What investigation in clavicular fracture?

A

AP radiograph

4
Q

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

A

Lateral pulled DOWN by weight of limb

Medial pulled UP by SCM

5
Q

Management of clavicular fracture?

A

Manage conservatively in a sling

6
Q

2x complications

A

Thoracic outlet syndrome

Brachial plexus injury

7
Q

When is a humeral fracture a surgical emergency?

A

Associated with dislocation

8
Q

How to manage undisplaced humeral fracture?

A

Sling and shoulder immobiliser

9
Q

How to manage displaced humeral fracture?

A

ORIF

10
Q

What is a Hill-Sach’s lesion?

A

Humeral head compression fracture, associated with recurrent dislocatipon

11
Q

What to comment on in supracondylar fracture of the elbow?

A

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

12
Q

How to manage supracondylar fracture w/displacement?

A

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

13
Q

How to deal with wrist fractures?

A

ORIF

14
Q

Colle’s fracture

A

Can often be managed with closed reduction and splint

ORIF used for major displacemetn