Trauma- Crozer

quickster2008's version from 2016-01-08 07:51

Section 1

Question Answer
5 components of the primary surveyABCDEs
what does ABCDEs stand forAirway, breathing, circulation, disability, exposure or environment
what should you do if there is a break in the skinask about tetanus shot
classification for distal phalangeal/nail traumaRosenthal
classification for 1st MPJ dislocationsJhass
classification for 5th met base fracturesStewart
classification for LisFranc injuriesQuenu & Kuss, Hardcastle, and Myerson
classification for navicular fracturesWatson-Jones
classification for posterior tibial tendon pathologyConti
classification for talar neck fracturesHawkins
classification for talar body fracturesSneppen
classification for talar dome fracturesBerndt-Hardy, Fallot & Wy
classification for calcaneal fracturesRowe, Essex-Lopresti, Sanders
classification for anterior process of calcaneus fracturesDegan
classification for ankle sprainsO'Donoghue, Leach, Rasmussen
classification for physeal ankle fracturesDias & Tachdijan
classification for epiphyseal fracturesSalter-Harris
classification for pilon fracturesRuedi & Allgower, Dias & Tachdijan
classification for achilles ruptureKuwada
classification for open fracturesGustillo Anderson
classification for non-unionsWeber & Cech
classification for frostbiteOrr & Fainer, Washburn
what is the clinical test for a fracturepoint tenderness over the area
most stable fracture patterntransverse fracture
least stable fracture patternoblique or comminuted
weakest part of the physiszone of cartilage maturation

Section 2

Question Answer
who was LisFranca field surgeon in Napolean's army
do LisFranc injuries dislocate more dorsally or plantarlydorsally
3 Ottawa ankle rules for the anklePOP 6 cm distal of lat malleolus, POP 6 cm distal of medial malleolus, inability to bear weight immediately or in the ED
3 Ottawa ankle rules for the footPOP at 5th met base, POP at navicular, inability to bear weight immediately or in the ED
thin wafer-like lesions in talar domeanterior lateral
deep cup shaped lesions in the talar domeposterior medial
how long after injury should we see Hawkin's sign6-8 weeks
percentage of talar fractures that involve the calcaneus60%
percentage of talar fractures that involve the STJ75%
change in Bohler's angle with fracturedecreases
change in Gissane's angle with fractureincreases
3 common fractures associated with calc fracturesL1, femoral neck, and tibial plateau
anterior drawer that indicates ATFL rupture5-8 mm
anterior drawer that indicates ATFL & CFL rupture10-15 mm
anterior drawer that indicates ATFL, CFL, and PTFL>15 mm
talar tilt test value that indicates CFL rupture>10 degrees
inversion stress test that indicates ATFL rupture5 degrees inversion
inversion stress test that indicates AFTL and CFL rupture10-30 degrees
intrinsic turn of the Achilles tendon90 degrees counterclockwise
the medial portion of the Achilles ends up being ____ as it turns, and the lateral portion ends up being ______medial->posterior, lateral->anterior
test used to test Achilles, squeeze the calf, foot should plantarflexThompson test
increased DF of the foot with inability to do a single heel raiseHoffa sign
area on radiograph where we see changes in Achilles ruptureKager's triangle
most common location of rupture of Achilles, watershed area40 mm or 4 cm proximal to insertion

Section 3

Question Answer
bimalleolar fracturePott's fracture
trimalleolar fractureCotton fracture
avulsion fracture of anterolateral tibia from AITFLTillaux-Chaput fracture
avulsion fracture of the anteromedial fibula from AITFL ruptureWagstaff fracture
posterior tibial malleolar fracture from PITFLVolkman fracture
fracture of posterior medial process of talusCedell fracture
fracture of posterior lateral process of talusShepard fracture
fracture of the entire posterior process of the talusFoster fracture
lateral malleolar fracture wiith ankle displacementBosworth fracture
proximal high fibular fractureMaisonneuve fracture
most common MOI ankle fractureSER
MOI of transverse lateral malleolar fractureSAD 1
MOI of short oblique medial malleolus fracturesSAD 2
MOI short oblique lateral malleolar fracturePAB 3
MOI spiral, lateral malleolar fracure w/ posterior spikeSER 2
MOI high fibular fracture (Maisonneuve)PER 3
when should a posterior malleolar fracture be fixedfragment is >25% of posterior malleolus
what direction should the transsyndesmotic screw be inserted30 degrees from the sagittal place, posterolateral to anteromedial
do we use the lag technique when inserting transsyndesmotic screwsno fully threaded cortical screws solely for stability
what does the Jack Toe test do?checks for Foster fracture
aka flag sign, triangular fracture fracture seen with Salter-Harris 2 fracturesThurston-Holland sign