# - Approach

Question 1

History/ examination:
0 Ascertain ? and ?, associated ?, ? symptoms
and ? status.
0 ? history with a view to potential surgical intervention (Stands for?)

Answer 1

mech
site
injuries
joint
NV
AMPLE - Allergies, Meds, PMH, Last meal, Events leading to incident

Question 2

Radiology;
0 Order ? plain film orthogonal views, as well as the joints ? and
? the injury.
0 ? / ? if the fractures are poorly visualised on XR.

Answer 2

two
above
below
ct
mri

Question 3

Describing

Simple or ? (?+ pieces)
— If simple: is it ?, ? or ?.

Fracture of what bone? Where is the fracture on that bone?

• –?-shaft - Or at the ?/?
• –If at the base/ head, is it intra-?
• ——o Important as intra-? fractures are much more likely to require ? (due to risks of ?).

Answer 3

multifragmentary
3
oblique
transverse
spiral
mid
head
base
articular
articular
surgery
OA

Question 4

Describing

Displaced or non-displaced?

• –Generally not that useful, but in impacted fractures the two fragments are ? together making the fracture line ? (thus barely visible on ?… ).
• –Often ‘? displaced’ is acceptable.
• –If displaced, how are they displaced?
• —–o ?: bones shifted sideways/ back/ forward in relation to each other.
• —–o Alignment: fragments are ?/? in relation to each other.
• —–o ?: hard to see on XR.
• —–o Length: can become ?, or ? due to muscle spasm.

Answer 4

jammed
indistinct
XR
minimally
translation
angulated/tilted
rotation
separated
overlap

Question 5

Displacement is always described according to the ? of the ? bone,
i.e. laterally displaced.

‘Open’ or ‘?’ fractures result in an ? wound, often with protruding bony
?.

Answer 5

pos
distal
compound
open
fragments

Question 6

Paediatric Fractures;

? fractures can occur in children due to their ? bones, - the bone fractures on one side and is ?/? on the other (akin to trying to snap a green ?). ? is easy and healing is ?.
The ?-? classification is for fractures at the ? ?, a
common finding in childhood fractures.

Answer 6

greenstick
malleable
bent/buckled
twig
reduction
quick
salter harris
epiphyseal plate