Orthopaedics & MSK — Flashcards

Flashcard 81: What is the mechanism of a scaphoid fracture? _____

Answer: FOOSH with wrist extension & radial deviation (localising the force into the scaphoid)

Flashcard 82: What is the investigation for clavicle fractures? _____

Answer: X-rays; AP & cephalic tilt views

Flashcard 83: Complications of _____ scaphoid fractures include avascular necrosis and nonunion due to retrograde blood supply

Answer: proximal

Flashcard 84: A female with osteoporosis presents after a FOOSH with wrist pain, swelling, & ↓ movement. What is the likely diagnosis? _____ (pretend this is an elderly women's hand...)

Answer: Colles fracture

Flashcard 85: Tenderness in the _____ following a fall on an outstretched hand (FOOSH) is a classic sign of a Scaphoid fracture.

Answer: anatomical snuffbox

Flashcard 86: _____ fracture is commonly caused by direct trauma with a clenched fist to an object

Answer: Boxer's

Flashcard 87: Clavicle fractures present with _____ that is exacerbated by movement ± erythema, ecchymosis, & swelling

Answer: shoulder pain

Flashcard 88: What is the management of a open/unstable/significantly displaced/neurovascularly comprimised clavicle fracture ? _____

Answer: Surgical; Open Reduction & Internal Fixation (ORIF)

Flashcard 89: _____ fracture of the distal radius = dorsal displacement of the distal fragment Smith's fracture of the distal radius = volar displacement of the distal fragment

Answer: Colles

Flashcard 90: What is the management of a Colles / Smith's fracture with neurovascular compromise?\nImmediate _____\nIf it persists → CT & refer to orthopaedic surgery for an ORIF

Answer: closed reduction

Extra: Neurovascular compromise in distal radius fractures most commonly involves the **median nerve** (acute carpal tunnel syndrome). Immediate reduction is necessary to decompress the nerve.