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Emergency Medicine: Ortho
Emergency Medicine: Ortho
44
Anatomy
Graduate
02/06/2012

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Cards

Term
6 P's of Compartment Syndrome:
Definition
1. Pallor
2. Pulseless
3. Pain
4. Pareesthesia
5. Paralysis
6. Poiklothermia
Term
management of compartment syndrome:
Definition
- cool
- elevate
- remove wrappings

- pressure greater than or equal to 30mm Hg> IMMEDIATE FASCIOTOMY
Term
Hill-Sach's deformity:
Definition
- occurs with shoulder dislocations
- impaction of posterolateral humeral head
Term
Bankart fracture/lesion:
Definition
- located at anteroinferior glenoind rim
Term
Scapular Y view is to rule out __ __ __.
Definition
posterior shoulder dislocations
Term
Axillary lateral view is to rule out __ __ ___.
Definition
anterior shoulder dislocations
Term
With humerous fractures, you must check the neurovascular status (worried more with distal fractures). Check the __ artery and __ nerve.
Definition
- brachial artery
- radial nerve
Term
humerus fractures usually in __.
Definition
elderly
Term
Supracondylar fractures are usually in __ who __ onto an __ __.
Definition
- children
- fell onto an outstretched hand

MANDATORY ORTHO CONSULT
Term
Humerus fracture tmt:
Definition
- gravity
- humerus splint
Term
With an elbow dislocation, assess the __ artery and __ nerve.
Definition
- brachial artery
- median nerve
Term
Radial head subluxations occur with __ force on a __ __ arm. To fix it, __ and __ the elbow.
Definition
- longitudinal force on an extended pronated arm
- supinate and flex the elbow to fix
Term
Terry Thomas Sign:
Definition
Scapholunate Dissociation
Term
phalanx fractures are often due to:
Definition
direct blow
Term
Boutinniere deformity is forced __ of the ___ joint with rupture of the __ __ of the __ __.
Definition
- flexion of the PIP
- central slip
- extensor tendon
Term
tmt of Boutinniere deformity:
Definition
- splint the PIP joint in forced extension, sparing the MCP and DIP joint
Term
Mallet fingers have forced __ flexion and may be associated with an __ __.
Definition
- DIP flexion
- avulsion fracture
Term
mallet finger tmt:
Definition
splint for 6 weeks 24/7 and then for 2 more weeks at night
Term
3 findings that may indicate pelvic fractures:
Definition
- Scrotal hematoma
- Urethral blood
- Abnormal prostate
Term
___ ___ injuries are associated with artery and vein tesars.
Definition
Pelvic ring injuries
Term
hypotension with pelvic fracture survival rate:
Definition
50%
Term
__ pelvic fractures are often seen in the PCP.
Definition
Rami
Term
No __ if suspect penile injury. Order __ __ and call urology.
Definition
- NO catheter
- retrograde cystogram
Term
Most hip fracture patients cannot __. The leg tends to be __ and __ ___.
Definition
- cannot walk
- shortened and externally rotated
Term
20% of hip fracture pts develop __.
Definition
AVN
Term
Pts with hip fractures have an __ rotated and __ leg, while pts with hip dislocations have an __ rotated and __ leg.
Definition
- fracture: externally rotated and shortened
- dislocation: internally rotated and shortened
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.
Definition
- high velocity trauma
- large amount of blood loss
Term
If minimal trauma causes a femoral shaft fracture, thnk:
Definition
pathological fracture
Term
MCL tears occur with __ stress.
Definition
valgus
Term
LCL tears occur with __ stress.
Definition
varus
Term
Pilon fracture:
Definition
comminuted fracture of distal tibia
Term
positive Thompson:
Definition
- Achilles tendon rupture- positive thompson means the ankle failed to plantarflex when squeezed
Term
Perioneal tendon dislocation/subluxation occurs when the ankle rolls __.
Definition
inward
Term
Ankle dislocation:
Definition
- immediately check NV status
- may reduce it before films ordered
- CALL ORTHO
Term
most common ankle injury:
Definition
ankle sprain
Term
High ankle sprains involve the __ and take longer to heal.
Definition
syndesmosis
Term
Talus fx, worry about __.
Definition
AVN
Term
2nd MC fracured tarsal bone:
Definition
Talus
Term
MOI for talus fx:
Definition
high velocity injury
Term
MC tarsal fracture:
Definition
Calcaneal fracture
Term
Subtalar dislocations are associated with ___ __ rupture and ___ ___ rupture. Rapid __ is indicated.
Definition
- talocalcaneal ligament rupture
- talonavicular ligament rupture
- reduction
Term
Lisfranc injury MOI:
Definition
- high amount of force (foot on brake when car is hit)
- separates the forefoot from the midfoot
Term
If dislocation occurs with a Lisfranc injury, then it is usually associated with __ and __ __.
Definition
metatarsal and tarsal fractures
Term
most common metatarsal fracture:
Definition
base of the 5th metatarsal
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