Procedures: truma, mobile, surgical

What is important about truma routies

always have 2 images 90 degrees from eachother

What is another word for Dislocation

luxation

Subluxation:

partial dislocation

Nursemaid’s elbow

partial dislocation of the radial head

Sprain:

forced wrenching or twisting of a joint that results in are tearing of supporting ligaments

Contusion:

Injury in which there is no fracture or breaking up the skin

Apposition:

relationship of long axes of fracture fragments

Types of Apposition:

Anatomic apposition: hair-line

Lack of Apposition: pulled apart, not touching

Bayonet apposition: fx and displaced

Angulation:

loss of alignment of the fx

Varus angulation:

inversion, towards midline

Valgus angulation:

away from midline

Simple fx:

closed, does not break through skin

Compound fx:

open, protrudes through skin

Imcomplete fx:

fx does not transverse through entire bone

Types of Incomplete fx

Torus fx

Greenstick fx

Plastic fx

Faint fracture line in the bone cortex that is seen on one sided bone with a slight bulging effect on the opposite

Greenstick fx

Complete fx:

two pieces

Types of complete fx

transverse fx

oblique fx

Spiral fx

Comminuted fx:

two or more pieces

Types of comminuted fx

Segmental fx

Butterfly fx

Splintered fx

Segmental fx:

broken into 3 pieces (2 breaks)

Butterfly fx:

triangular wedge

Splintered fx:

sharp fragmants

Impact fx:

one fragment push into another (caprals)

Colles’ Fracture

fx of distal radius with posterior displacement (fall on outstretched hand)

Reverse Colles’ fx

anterior displacement of distal radius

(fall backwards)

Monteggia’s

fx of proximal ulna w/dislocated radial head

Pott’s fx

Ankle fx of distal fibula

often medial malleolus too

Baseball (Mallet) fx

Distal phalges

Intra-articular fracture of the poster lip of the distal radius

Barton fx

Bennett’s fx

fx of Base of 1st metacarpal

Hangman’s fx

pedicles of C2

Hutchinson’s fx

fx of Radial styloid process

Stellate

fx lines radiate from center point (patella)

Tuft fx

comminuted fx of distal phalanx

Trimalleolar fx

Fracture of the lateral and medial malleoli, and distal posterior tip of the tibia

Avulsion

fracture resulting from a severe stress to a tendon

Blowout/tripod fx

fx due to direct blow to orbit, maxillae, or zygoma

Stress fx

pathologic fracture that is non-traumatic in origin

What is a close reduction?

by manipulation

open Reduction internal fixation

done in surgery to realign severe fractures

A fracture where in the fragments overlap and the chefs make contact, but not at the fracture ends…

bayonet apposition

What fracture is best demonstrated in a forearm series

Monteggia

Which what fracture will best demonstrate with a lower leg series?

Pott’s

What would you angle for a trauma oblique sternum?

15 to 20 mediolateral

How much do you rotate the body for a scapular Y drama?

25 to 30°

What is the maximum exposure allowed for a CM?

88 mGy/min

vertebroplasty

injecting cement in small holes or fractured vertebrae

Kyphoplasty

Balloon, first inserted into a fractured vertebrate to create a space to control where the cement mixture is injected

Austin-Moore and Thompson hip prostheses

one-piece devices

Modular bipolar hip prostheses

three-piece devices

A feature that allows an image to be held on a monitor will also providing continuous fluoroscopy imaging

road mapping

Fracture of the distal radius with anterior displacement

smith's

Indentation fracture of the skull

depressed

Fracture producing a reduced height of the anterior vertebral body

compression fracture

What structutre can you not see in a cholangiogram

stensen duct