Clavicle Fractures Management Quiz

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Questions and Answers

What is a red flag for neurovascular compromise in patients with retrosternal structures damage?

  • Stridor (correct)
  • Hoarse voice
  • Severe headache
  • Muscle weakness

How are anterior shoulder dislocations typically managed in the acute setting?

  • Surgical repair immediately
  • Two weeks of arm sling or collar and cuff followed by early return to function (correct)
  • Three months of strict immobilization
  • No treatment needed, as it resolves on its own

What imaging modality is ideally used to assess for a traumatic cuff tear in patients with shoulder dislocations?

  • Bone scan
  • X-ray
  • Ultrasound or MRI (correct)
  • CT scan

What is the surgical management indication for patients with >100% displacement of a clavicle fracture?

<p>Urgent surgical intervention (D)</p> Signup and view all the answers

Which imaging technique can show an acromioclavicular dislocation with more than 100% displacement?

<p>X-ray (B)</p> Signup and view all the answers

What is the main determinant for the treatment approach in patients with retrosternal structures damage?

<p>Severity of displacement of the clavicle (C)</p> Signup and view all the answers

What is the typical duration of immobilisation in an arm sling for clavicle fractures?

<p>4-6 weeks (C)</p> Signup and view all the answers

Which of the following is NOT an absolute indication for surgery in clavicle fractures?

<p>Minimal displacement and shortening (A)</p> Signup and view all the answers

What type of fractures proximal to the surgical neckline are usually treated conservatively in an arm sling or collar and cuff?

<p>Proximal humerus fractures (C)</p> Signup and view all the answers

In proximal humerus fractures, which of the following is a surgical indication?

<p>Fractures which have failed conservative treatment (B)</p> Signup and view all the answers

Which of the following is a relative indication for surgery in clavicle fractures?

<p>Multiple fractures (B)</p> Signup and view all the answers

What is the usual timeframe expected for full healing in clavicle fractures?

<p>6-8 weeks (C)</p> Signup and view all the answers

What are the two red flags in the Orthopaedics ward mentioned in the text?

<p>Fat embolism and compartment syndrome (B)</p> Signup and view all the answers

What type of dislocation poses a risk of injury to vital structures behind the sternum and under the clavicle?

<p>Posterior sternoclavicular dislocation (B)</p> Signup and view all the answers

What is the recommended approach if closed reduction fails for a patient with posterior sternoclavicular joint dislocation?

<p>Open reduction and surgical stabilization (C)</p> Signup and view all the answers

Which anatomical joints form the shoulder girdle?

<p>Sternoclavicular, acromioclavicular, and glenohumeral joints (B)</p> Signup and view all the answers

Which type of dislocation is more common in adults due to falls from heights or contact sports injuries?

<p>Posterior acromioclavicular dislocation (C)</p> Signup and view all the answers

When is a closed reduction manoeuvre attempted for patients with posterior sternoclavicular joint dislocation?

<p>Before proceeding to open reduction and surgical stabilization (A)</p> Signup and view all the answers

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