Ortho

Front 1

Aviator's fracture

Back 1

Vertical fracture of neck of talus with subtalar dislocation and backward displacement of the body.
From forced dorsiflexion.

Front 2

Barton's fracture

Back 2

Intraarticular fracture-dislocation of the wrist. Complicated and unstable.

Front 3

Dorsal Barton's fracture

Back 3

Oblique intraarticular fracture of dorsal rim of distal radius with displacement of the carpus along the fracture fragment

Front 4

Volar Barton's fracture

Back 4

Wedge-shaped articular fragment sheared off of volar surface of radius, displaced volarly. Rare.

Front 5

Bennett's fracture

Back 5

Oblique fracture through base of first metacarpal with dislocation of radial portion of the articular surface. From direct force to end of metacarpal. Tenderness along medial base of thumb.

Front 6

Boxer's fracture

Back 6

Fracture of neck of 4th or 5th metacarpal, from punching fixed object.

Front 7

Bosworth's Fracture

Back 7

Fracture/dislocation of ankle, fibula becomes trapped behind tibia. Rare. External rotation force to foot.

Front 8

Chauffer's fracture

Back 8

Solitary fracture of radial styloid. From ulnar deviation and supination

Front 9

Chance's fracture

Back 9

Vertebral, usually lumbar, involving posterior spinous process, pedicles, and vertebral body. From flexion and distraction (lab seatbelt)

Front 10

Clay shoveler's fracture

Back 10

Fracture of tip of spinous process of C6 or 7.

Front 11

Colles' fracture

Back 11

Fracture of distal radius with dorsal displacement and volar angulation, with or without ulnar styloid fracture. silver fork. from foosh. place in sugar tong

Front 12

Cotton's fracture

Back 12

Trimalleolar - lateral, posterior, and medial (or disruption of deltoid ligament), with visible widening of mortise

Front 13

Dupuyten's fracture

Back 13

Fracture-dislocation of the ankle. Similar mechanism as Maisonneuve (ext rotation), with deltoid ligament rupture or medial mal fracture, diastasis of inferior tib-fib joint and indirect fracture of fibular shaft

Front 14

Essex-Lopresti

Back 14

Fracture of radial head with dislocation of distal radioulnar joint.

Front 15

Lisfranc fracture

Back 15

Fracture located around the tarsometatarsal (Lisfranc) joint, usually with disloaction of this joint.

Front 16

Name the fracture

Back 16

Radial fracture with distal radioulnar dislocation

Front 17

Name the fracture

Back 17

Monteggia fracture-dislocation: proximal ulnar fracture with proximal radial dislocation

Hint 17

ORIF, then closed reduction of radial head. Children may be done closed.

Front 18

name the fracture

Back 18

Nightstick fracture

Hint 18

If nondisplaced - immobilization in long-arm cast. IF displaced, ORIF

Front 19

Signs of flexor tenosynovitis

Back 19

Kanavel's signs:
Finger in slight flexion, symmetric swelling, tenderness along flexor tendon sheath, pain with passive extension

Front 20

Triquetrum fracture

Back 20

Volar splint

Front 21

Lunate fracture

Back 21

Tenderness over middorsum of wrist, increased by axial load on 3rd digit. If x-ray normal, treat anyway with thumb spica cast

Front 22

Lunate dislocation - consequences, x-ray findings

Back 22

May cause acute carpal tunnel syndrome. Piece of pie shape, spilled teacup

Front 23

Scapholunate dislocation

Back 23

Pain with hyperextension. Scaphoid is foreshortened and has "signet ring" sign, widening of scapholunate distance (Terry Thomas). Place in radial gutter or posterior mold

Front 24

Boxer's fracture

Back 24

Metacarpal neck fracture of 4th/5th digit. Up to 20 and 40 degrees angulation is acceptable

Front 25

Name the fracture

Back 25

Colles

Front 26

Smith's fracture

Back 26

Transverse fracture of distal radial metaphysis with VOLAR displacement of distal segment.

Front 27

Name the fracture

Back 27

Smith's fracture

Front 28

Name the fracture

Back 28

Smith's fracture