Clavicle Fracture Classification

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Questions and Answers

What is the typical characteristic of the supracondylar area at a certain age?

  • It is only affected by direct force
  • It is thicker with a more robust cortex
  • It is thinner with more slender cortex (correct)
  • It is unchanged and stable

What is the mechanism of injury that typically leads to an extension type fracture?

  • Direct force against the posterior elbow
  • Avulsion fracture by the triceps muscle
  • A fall on the point of the elbow
  • FOOSH injury, leading to hyperextension of the elbow (correct)

What is the recommended treatment for a stable extension type fracture?

  • Long arm plaster slab in 10° flexion for 3 weeks
  • Closed reduction with pinning and casting for 4-6 weeks
  • Immediate surgery with internal fixation
  • Long arm plaster slab in flexion (supinated or pronated or neutral forearm) (correct)

What is the primary concern during the rehabilitation phase for a fracture?

<p>Preventing myositis ossificans (A)</p> Signup and view all the answers

What is the typical treatment for an intra-articular T/Y inter-condylar fracture?

<p>Internal fixation as the first choice (B)</p> Signup and view all the answers

What is the characteristic of an olecranon fracture?

<p>It may be intra-articular or extra-articular (A)</p> Signup and view all the answers

What is the goal of rehabilitation for an olecranon fracture?

<p>Protection and elevation of the elbow (C)</p> Signup and view all the answers

What is the definition of a displaced unstable olecranon fracture?

<p>Separation of more than 2mm (A)</p> Signup and view all the answers

What is the most common mechanism of injury for a clavicle fracture?

<p>Fall on the side of the shoulder (C)</p> Signup and view all the answers

Which type of lateral clavicle fracture involves the articular surface of the AC joint?

<p>Type 3 (B)</p> Signup and view all the answers

What is the primary mechanism of injury that leads to acromioclavicular dislocation?

<p>A fall in which the patient rolls on the shoulder (D)</p> Signup and view all the answers

What is the classification of a fracture that involves the anatomical neck and lesser tuberosity of the proximal humerus?

<p>3-part fracture (B)</p> Signup and view all the answers

What is the primary ligament responsible for maintaining stability of the acromioclavicular joint?

<p>Acromioclavicular ligament (B)</p> Signup and view all the answers

What is the recommended rehabilitation protocol for a stable proximal humerus fracture at 6 weeks?

<p>Start internal rotation and external rotation (C)</p> Signup and view all the answers

What is the characteristic deformity seen in acromioclavicular dislocation?

<p>A step-like deformity (B)</p> Signup and view all the answers

What is the mechanism of injury for a humerus shaft fracture?

<p>FOOSH and direct trauma (A)</p> Signup and view all the answers

What is the primary goal of postoperative management following anatomical coracoclavicular reconstruction (ACCR)?

<p>To decrease stress on the AC joint (B)</p> Signup and view all the answers

What is the classification of a fracture that involves the surgical neck and both tuberosities of the proximal humerus?

<p>4-part fracture (B)</p> Signup and view all the answers

What type of exercises are initiated first in the rehabilitation protocol following ACCR?

<p>Closed-chain exercises (A)</p> Signup and view all the answers

What is the recommended management for a fracture dislocation of the proximal humerus?

<p>ORIF and sling for 2-3 weeks (B)</p> Signup and view all the answers

What is the reason for routine screw removal at 8-12 weeks following ORIF with CC screw fixation?

<p>To prevent screw breakage (A)</p> Signup and view all the answers

What is the rehabilitation protocol for an unstable humerus shaft fracture at 4 weeks?

<p>Start isometric exercises to shoulder muscles and partial weight bearing (A)</p> Signup and view all the answers

What is the type of brace used in postoperative management following ACCR?

<p>Platform brace (C)</p> Signup and view all the answers

What is the common age group affected by supracondylar fracture?

<p>Skeletally immature children (D)</p> Signup and view all the answers

What is the time frame for adequate healing at the bone-tendon interface following ACCR?

<p>12 weeks (A)</p> Signup and view all the answers

What is the rehabilitation protocol for a stable clavicle fracture at the end of 6 weeks?

<p>Start gentle AROM exercises to shoulder (A)</p> Signup and view all the answers

Flashcards

Supracondylar Area Characteristic

Thinner with more slender cortex.

Extension Type Fracture Mechanism

FOOSH injury, leading to hyperextension of the elbow.

Stable Extension Fracture Treatment

Long arm plaster slab in flexion (supinated or pronated or neutral forearm).

Primary Rehabilitation Concern

Preventing myositis ossificans.

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Intra-articular Fracture Treatment

Internal fixation as the first choice.

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Olecranon Fracture Characteristic

It may be intra-articular or extra-articular.

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Olecranon Fracture Rehabilitation Goal

Protection and elevation of the elbow.

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Displaced Unstable Olecranon Fracture

Separation of more than 2mm.

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Clavicle Fracture Mechanism

Fall on the side of the shoulder.

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Lateral Clavicle Fracture Type

Type 3.

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Acromioclavicular Dislocation Mechanism

A fall in which the patient rolls on the shoulder.

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Fracture Classification

3-part fracture.

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Primary Stabilizing Ligament

Acromioclavicular ligament.

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Proximal Humerus Fracture Rehab

Start internal rotation and external rotation.

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Acromioclavicular Dislocation Deformity

A step-like deformity.

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Humerus Shaft Fracture Mechanism

FOOSH and direct trauma.

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Postoperative ACCR Goal

To decrease stress on the AC joint.

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Fracture Classification

4-part fracture.

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Initial Rehab Exercises

Closed-chain exercises.

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Proximal Humerus Management

ORIF and sling for 2-3 weeks.

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Routine Screw Removal Reason

To prevent screw breakage.

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Unstable Humerus Rehab Protocol

Start isometric exercises to shoulder muscles and partial weight bearing.

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Postoperative Brace Type

Platform brace.

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Supracondylar Fracture Age

Skeletally immature children.

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ACCR Healing Timeframe

12 weeks.

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Stable Clavicle Fracture Rehab

Start gentle AROM exercises to shoulder.

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