Principles of Management Fractures

Treatment

100

This type of treatment is indicated in Stable and most paediatric fractures

What is Nonoperative Fracture Management

Procedure includes 

Close reduction 

Long-term Immobilisation w a cast or splint

200

This type of Surgical fracture management technique is used when pins or screws are secured outside the skin 

What is External Fixation? 

(Immobilizes a fracture using pins and screws outside of the skin)

300

What is the name of surgically implanting plates and screws to immobilize a fracture? 

What is internal fixation?

400

Name at least 1 thing that you would do in an acute fracture presentation

• Neurovascular assessment to check for neurovascular injury and compartment syndrome
• Assess for fracture features requiring an urgent orthopedic consultation.
• Obtain x-rays in at least two orthogonal views; consider x-rays of adjacent joints.Consider CT or MRI in consultation with orthopedics.
• Obtain preoperative diagnostics if fractures are likely to require urgent operative treatment.
• Provide analgesia for acute fractures.If necessary, initiate acute wound management.
• Initiate antibiotic prophylaxis for open fractures.
• Immobilize extremity (see “Conservative treatment of fractures”).Admit or discharge with follow-up.

500

List one indication for the use of Surgical Fracture Management

Can be any of the following 

Open Fractures 

Severe Displacement (rotational deformities) w displaced fragments

Inadequate manual reduction and fixation

Unstable Fracture

Classification

100

This type of fracture is named because of the discontinuity between bone fragments

What is a Complete Fracture?

200

This type of Fracture is named because the fracture line is absent or does not completely traverse the entire bone 

What is a Incomplete Fracture? 

(Separated into 3 types: Buckle (Torus Fracture), Greenstick Fracture, Bowing Fracture)

300

This type of fracture is named because of the unique Shape formed from the fracture line

What is a spiral fracture?

400

This fracture is named when the fracture line is greater than 30° 

What is an oblique fracture?

500

This type of Fracture is named when the fracture line is less than 30° 

What is a transverse fracture?

Common Fractures

100

What carpal bone is most likely to be broken when a person falls on an outstretched hand?

What is the scaphoid bone?

200

This type of fracture typically presents with a patient having a tender and painful proximal shoulder and a shortening of the arm?

What is a humerus

Classified based on anatomical location

Proximal 

Shaft

Distal

Shoulder/UL fractures most common type of fracture in Australia

300

This type of Fracture commonly manifests after a fall especially in the elderly population and can present with the shortening and external rotation of a leg  

What is a fractured Hip (Femur) 

Classified as:

Intracapsular (Femoral Head, Femoral Neck)

Extracapsular (Trochanteric, Intertrochanteric, Subtrochanteric)

2nd most common Fracture in Australia

400

This type of Fracture is the 5th most common in Australia 

What is a skull fracture?

Technically it's Head/neck so either or

500

This group of fractures is the 3rd most common in Australia 

Name any of the following Overall term is Truncal fractures

Clavicle 

Sternum/Ribs 

Vertebral Column 

Pelvis