Wrist Fractures Flashcards Preview

Conditions: MSK > Wrist Fractures > Flashcards

Flashcards in Wrist Fractures Deck (18)
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1
Q

What type of injury will cause a Colles fracture?

A

FOOSH

Falling on outstretched hand

2
Q

What will be seen o/e in a colles fracture?

A

Dinner plate appearance

- Wrist dorsally displaced

3
Q

Investigations?

A

X ray wrist

4
Q

What structures are at risk of damage in colles fracture?

A

Median nerve

Radial artery

5
Q

What are the complications of a colles fracture?

A
Median nerve palsy
Radial nerve rupture
Complex regional pain syndrome
Malunion
Shoulder hand syndrome
6
Q

What is shoulder hand syndrome?

A

Adhesive capsulitis from a colles fracture. No known cause

7
Q

What is the name of the fracture from falling on a flexed and pronated wrist?

A

Smiths fracture

8
Q

What will smiths fracture show o/e?

A

Ventral displaced wrist

9
Q

What is Barton’s fracture caused by?

A

Falling on an extended and pronated wrist

10
Q

What does barton’s fracture also cause?

A

Dislocation of the radioulnar joint

11
Q

What other injury can a FOOSH cause?

A

Scaphoid fracture

12
Q

What is the big complication of a scaphoid fracture?

A

Avascular necrosis

13
Q

Where is the most commonly fractured area of the scaphoid?

A

The “waist” (midline)

14
Q

What injury increases the risk of avascular necrosis

A

More proximal down the bone

15
Q

What sign can be used to test for scaphoid fracture?

A

Pain when telescoping the thumb

16
Q

What is telescoping?

A

Pushing the thumb in towards the wrist

17
Q

Why is the scaphoid at risk of AN?

A

It’s proximal branch is only supplied by 1 artery

18
Q

What artery supplies the scaphoid?

A

Dorsal carpal artery