Jeopardy Board Final Jeopardy Jeopardy Board Final Jeopardy ANCIENT GREECE JEOPARDY.
Ortho jeopardy
-
Upload
acmc-em-residency -
Category
Health & Medicine
-
view
2.836 -
download
2
Transcript of Ortho jeopardy
![Page 1: Ortho jeopardy](https://reader033.fdocuments.us/reader033/viewer/2022050906/554b2abdb4c905ce088b4a7d/html5/thumbnails/1.jpg)
Ortho JeopardyI’ve fallen and I can’t get up
Those crazy kids
Stupid Canadians and their rules
“I don’t know Lloyd, the French are assholes”
Code brown, I mean yellow
Q $100
Q $200
Q $300
Q $400
Q $500
Q $100 Q $100Q $100 Q $100
Q $200 Q $200 Q $200 Q $200
Q $300 Q $300 Q $300 Q $300
Q $400 Q $400 Q $400 Q $400
Q $500 Q $500 Q $500 Q $500
Final Jeopardy
![Page 2: Ortho jeopardy](https://reader033.fdocuments.us/reader033/viewer/2022050906/554b2abdb4c905ce088b4a7d/html5/thumbnails/2.jpg)
40yo M w/ shoulder pain s/p shoulder reduction following volleyball game.
![Page 3: Ortho jeopardy](https://reader033.fdocuments.us/reader033/viewer/2022050906/554b2abdb4c905ce088b4a7d/html5/thumbnails/3.jpg)
Answer: Hill-Sachs deformity
![Page 4: Ortho jeopardy](https://reader033.fdocuments.us/reader033/viewer/2022050906/554b2abdb4c905ce088b4a7d/html5/thumbnails/4.jpg)
Hill Sachs deformity-compression fx of posterolateral humeral head from anterior rim of glenoid-50% of anterior dislocations-may infer damage to cartilagenous and/or osseous portions of the glenoid but does not change mgmt-associated with recurrent dislocations-only requires repair when associated with significant shoulder instability
![Page 5: Ortho jeopardy](https://reader033.fdocuments.us/reader033/viewer/2022050906/554b2abdb4c905ce088b4a7d/html5/thumbnails/5.jpg)
79yo F s/p fall from standing, c/o hip pain. Name fracture, be specific
![Page 6: Ortho jeopardy](https://reader033.fdocuments.us/reader033/viewer/2022050906/554b2abdb4c905ce088b4a7d/html5/thumbnails/6.jpg)
Answer: Intertrochanteric femur fracture
![Page 7: Ortho jeopardy](https://reader033.fdocuments.us/reader033/viewer/2022050906/554b2abdb4c905ce088b4a7d/html5/thumbnails/7.jpg)
Intertrochanteric hip fracture
-results from falls, generally in elderly-Most common hip fx-leg will be shortened, externally rotated (dislocation will be shortened internally rotated)-Bucks traction-admit for ORIF/hemiarthroplasty
![Page 8: Ortho jeopardy](https://reader033.fdocuments.us/reader033/viewer/2022050906/554b2abdb4c905ce088b4a7d/html5/thumbnails/8.jpg)
16yo M w/ Rt elbow pain s/p fall onto right arm. Name the fracture and tell-tale
sign seen here.
![Page 9: Ortho jeopardy](https://reader033.fdocuments.us/reader033/viewer/2022050906/554b2abdb4c905ce088b4a7d/html5/thumbnails/9.jpg)
Answer: Supracondylar fracture w/ Posterior fat pad sign
![Page 10: Ortho jeopardy](https://reader033.fdocuments.us/reader033/viewer/2022050906/554b2abdb4c905ce088b4a7d/html5/thumbnails/10.jpg)
Supracondylar fracture-make up 60% of fx of elbow-Type I: non displaced (posterior fat pad, sail sign, radiocapitellar line) - splint, ortho f/u Type II: partial displacement but retains cortical contact; III: posteromedial or posterolateral displacement w/o cortical contact-II and III admit for closed reduction, pin fixation, possible ORIF; -Volkmann's contracture: swelling incr’d forearm pressure muscle necrosis, fibrosis, contracture
![Page 11: Ortho jeopardy](https://reader033.fdocuments.us/reader033/viewer/2022050906/554b2abdb4c905ce088b4a7d/html5/thumbnails/11.jpg)
25yo M w/ hip pain s/p fall from dorm loft. Give fracture and mgmt.
![Page 12: Ortho jeopardy](https://reader033.fdocuments.us/reader033/viewer/2022050906/554b2abdb4c905ce088b4a7d/html5/thumbnails/12.jpg)
Answer: Femoral neck fracture; emergent ortho consult
![Page 13: Ortho jeopardy](https://reader033.fdocuments.us/reader033/viewer/2022050906/554b2abdb4c905ce088b4a7d/html5/thumbnails/13.jpg)
Femoral neck fracture-intracapsular meaning higher risk for vascular compromise due to tearing of vessels or compression by hemarthrosis-admit all for ORIF but need emergent orthopedic consultation if young 2/2 high risk of AVN (w/ older pt they'll just do hemiarthroplasty)
![Page 14: Ortho jeopardy](https://reader033.fdocuments.us/reader033/viewer/2022050906/554b2abdb4c905ce088b4a7d/html5/thumbnails/14.jpg)
29 y/o M slipped while playing soccer. Name the bony abnormality.
Your Text Here
![Page 15: Ortho jeopardy](https://reader033.fdocuments.us/reader033/viewer/2022050906/554b2abdb4c905ce088b4a7d/html5/thumbnails/15.jpg)
Answer: Perilunate dislocation
![Page 16: Ortho jeopardy](https://reader033.fdocuments.us/reader033/viewer/2022050906/554b2abdb4c905ce088b4a7d/html5/thumbnails/16.jpg)
Perilunate dislocation
-Results from forceful dorsiflexion (FOOSH)-Midcarpal ligament disruption-With enough force the ligaments are stripped away and the capitate is displaced posterior to the lunate producing posterior dislocation-Lunate maintains contact with the radius-Emergent orthopedic consultation
![Page 17: Ortho jeopardy](https://reader033.fdocuments.us/reader033/viewer/2022050906/554b2abdb4c905ce088b4a7d/html5/thumbnails/17.jpg)
22yo “profressional skateboarder” w/ wrist pain s/p gnarly ollie. Name the Fx.
![Page 18: Ortho jeopardy](https://reader033.fdocuments.us/reader033/viewer/2022050906/554b2abdb4c905ce088b4a7d/html5/thumbnails/18.jpg)
Answer: Colle’s fracture
![Page 19: Ortho jeopardy](https://reader033.fdocuments.us/reader033/viewer/2022050906/554b2abdb4c905ce088b4a7d/html5/thumbnails/19.jpg)
Colle’s Fracture-FOOSH distal radius metaphyseal fracture just proximal to radiocarpal joint with dorsal angulation of fracture fragment "dinner fork deformity” -may include fracture of ulnar styloid, disruption of DRUJ - check median nerve on exam-if non-displaced - sugartong w/ palmar flexion/ulnar deviation-if more than moderate angulation/displacement - reduce in ED w/ finger traps - may require OR but can d/c w/ ortho f/u
![Page 20: Ortho jeopardy](https://reader033.fdocuments.us/reader033/viewer/2022050906/554b2abdb4c905ce088b4a7d/html5/thumbnails/20.jpg)
22yo M w/ Rt hand pain s/p altercation. Lacerations over knucles. Give Fx and mgmt.
![Page 21: Ortho jeopardy](https://reader033.fdocuments.us/reader033/viewer/2022050906/554b2abdb4c905ce088b4a7d/html5/thumbnails/21.jpg)
Answer: Boxer’s fracture w/ fight bite injury;
Tx w/ copious irrigation and prophylactic abx
![Page 22: Ortho jeopardy](https://reader033.fdocuments.us/reader033/viewer/2022050906/554b2abdb4c905ce088b4a7d/html5/thumbnails/22.jpg)
Boxer’s fracture
-Fracture through neck of 5th metacarpal 2/2 closed fist hitting solid object; -if >40degrees of angulation, should attempt reduction in ED-ulnar gutter splint w/ wrist at 30 degree extension and MCP at 90-early hand sx f/u-beware the fight bite – ppx antibiotics
![Page 23: Ortho jeopardy](https://reader033.fdocuments.us/reader033/viewer/2022050906/554b2abdb4c905ce088b4a7d/html5/thumbnails/23.jpg)
25yo F c/o Rt wrist pain s/p drunken fall. Name this injury.
![Page 24: Ortho jeopardy](https://reader033.fdocuments.us/reader033/viewer/2022050906/554b2abdb4c905ce088b4a7d/html5/thumbnails/24.jpg)
Answer:Scaphoid fracture
![Page 25: Ortho jeopardy](https://reader033.fdocuments.us/reader033/viewer/2022050906/554b2abdb4c905ce088b4a7d/html5/thumbnails/25.jpg)
Scaphoid fracture-Scaphoid transmits force from hand to forearm making it most common carpal bone fx (triquetrum=2, lunate=3)-Result from FOOSH or axial load on thumb-TTP over snuffbox - examine with wrist in ulnar deviation, and check for pain w/ axial loading of thumb-negative plain films in 10% - repeat in 2 weeks and splint if high degree of suspicion-non-displaced fx = thumb spica splint and non-emergent ortho referral, if displaced may need ORIF-risk of AVN and non-union if not treated appropriately
![Page 26: Ortho jeopardy](https://reader033.fdocuments.us/reader033/viewer/2022050906/554b2abdb4c905ce088b4a7d/html5/thumbnails/26.jpg)
20yo snowboarder c/o L wrist pain s/p fall onto clenched fist.
![Page 27: Ortho jeopardy](https://reader033.fdocuments.us/reader033/viewer/2022050906/554b2abdb4c905ce088b4a7d/html5/thumbnails/27.jpg)
Answer: Smith’s fracture
![Page 28: Ortho jeopardy](https://reader033.fdocuments.us/reader033/viewer/2022050906/554b2abdb4c905ce088b4a7d/html5/thumbnails/28.jpg)
Smith’s fracture
-aka "reverse Colle’s = fracture of distal radius with VOLAR angulation of distal fragment "garden spade deformity"-result of fall on flexed wrist-tx same as colles, although volar angulation makes reduction difficult, if angulation not severe/tenting skin, just splint.
![Page 29: Ortho jeopardy](https://reader033.fdocuments.us/reader033/viewer/2022050906/554b2abdb4c905ce088b4a7d/html5/thumbnails/29.jpg)
55yo M w/ wrist pain s/p fall. Name the injury and tell-tale sign
![Page 30: Ortho jeopardy](https://reader033.fdocuments.us/reader033/viewer/2022050906/554b2abdb4c905ce088b4a7d/html5/thumbnails/30.jpg)
Answer: Scapholunate dissociation
![Page 31: Ortho jeopardy](https://reader033.fdocuments.us/reader033/viewer/2022050906/554b2abdb4c905ce088b4a7d/html5/thumbnails/31.jpg)
Scapholunate dissociation-Pt c/o pain on radial side of wrist and clicking sensation-PE - scaphoid shift test w/ radial deviation and examiner pressing over volar aspect of scaphoid-widening of scapholunate joint space >3mm-may also get rotation of scaphoid "signet ring sign”-usually require surgical repair-radial gutter or short arm splint w/ early ortho f/u-complications: early severe degenerative arthritis
![Page 32: Ortho jeopardy](https://reader033.fdocuments.us/reader033/viewer/2022050906/554b2abdb4c905ce088b4a7d/html5/thumbnails/32.jpg)
Your Text Here
![Page 33: Ortho jeopardy](https://reader033.fdocuments.us/reader033/viewer/2022050906/554b2abdb4c905ce088b4a7d/html5/thumbnails/33.jpg)
Your Text Here
![Page 34: Ortho jeopardy](https://reader033.fdocuments.us/reader033/viewer/2022050906/554b2abdb4c905ce088b4a7d/html5/thumbnails/34.jpg)
19yo F w/ ankle pain s/p trip over curb. Name the Fx.
![Page 35: Ortho jeopardy](https://reader033.fdocuments.us/reader033/viewer/2022050906/554b2abdb4c905ce088b4a7d/html5/thumbnails/35.jpg)
Answer: Trimalleolar fracture
![Page 36: Ortho jeopardy](https://reader033.fdocuments.us/reader033/viewer/2022050906/554b2abdb4c905ce088b4a7d/html5/thumbnails/36.jpg)
Trimalleolar ankle fracture
-Fracture involves lateral malleolus, medial malleolus and posterior aspect of distal tibia (posterior malleolus – misnomer)-If there is asymmetry in gap between the talar dome and 2 malleoli on mortise view, the injury is presumed to be unstable-Emergent ortho consult – may d/c w/ early o/p f/u if able to tolerate crutches
![Page 37: Ortho jeopardy](https://reader033.fdocuments.us/reader033/viewer/2022050906/554b2abdb4c905ce088b4a7d/html5/thumbnails/37.jpg)
27yo M w/ lateral foot pain s/p rolling ankle during basketball game. Name the injury.
![Page 38: Ortho jeopardy](https://reader033.fdocuments.us/reader033/viewer/2022050906/554b2abdb4c905ce088b4a7d/html5/thumbnails/38.jpg)
Answer: Jones fracture
![Page 39: Ortho jeopardy](https://reader033.fdocuments.us/reader033/viewer/2022050906/554b2abdb4c905ce088b4a7d/html5/thumbnails/39.jpg)
Jones Fracture-transverse fx through base of 5th MT 2/2 inversion injury-several definitions:
-fx of 5th MT distal to JCT of metaphysis and diaphysis
-10-20mm distal to proximal part of MT-fx distal to distal edge of neighboring
cuboid -complicated by nonunion/malunion-conservative mgmt: ortho surgical boot, NWB for 6 weeks
![Page 40: Ortho jeopardy](https://reader033.fdocuments.us/reader033/viewer/2022050906/554b2abdb4c905ce088b4a7d/html5/thumbnails/40.jpg)
50yo M w/ lateral knee pain s/p jumping off top rung of ladder.
![Page 41: Ortho jeopardy](https://reader033.fdocuments.us/reader033/viewer/2022050906/554b2abdb4c905ce088b4a7d/html5/thumbnails/41.jpg)
Answer: Tibial plateau fracture
![Page 42: Ortho jeopardy](https://reader033.fdocuments.us/reader033/viewer/2022050906/554b2abdb4c905ce088b4a7d/html5/thumbnails/42.jpg)
Tibial plateau fracture
-MOA: strong varus/valgus force w/ axial loading, ie fall from height-lateral = 55-70%-commonly associated with ligamentous injury-non-displaced fx of one plateau - knee immobilizer, NWB, crutches, f/u ortho w/in a few days, possible o/p MRI-if depressed articular surface - early ortho consult and ORIF;
![Page 43: Ortho jeopardy](https://reader033.fdocuments.us/reader033/viewer/2022050906/554b2abdb4c905ce088b4a7d/html5/thumbnails/43.jpg)
20yo M w/ lateral foot pain s/p twisting ankle.
![Page 44: Ortho jeopardy](https://reader033.fdocuments.us/reader033/viewer/2022050906/554b2abdb4c905ce088b4a7d/html5/thumbnails/44.jpg)
Answer: Pseudo-Jones fracture
![Page 45: Ortho jeopardy](https://reader033.fdocuments.us/reader033/viewer/2022050906/554b2abdb4c905ce088b4a7d/html5/thumbnails/45.jpg)
Pseudo-Jones fracture
-2/2 inversion injury-avulsion fx of tuberosity of base of 5th MT -proximal to articulation of 4th and 5th MT -treat w/ cast shoe - WBAT
![Page 46: Ortho jeopardy](https://reader033.fdocuments.us/reader033/viewer/2022050906/554b2abdb4c905ce088b4a7d/html5/thumbnails/46.jpg)
13yo M w/ knee pain s/p fall off bicycle. SH classification pls.
![Page 47: Ortho jeopardy](https://reader033.fdocuments.us/reader033/viewer/2022050906/554b2abdb4c905ce088b4a7d/html5/thumbnails/47.jpg)
Answer: Salter-Harris II
![Page 48: Ortho jeopardy](https://reader033.fdocuments.us/reader033/viewer/2022050906/554b2abdb4c905ce088b4a7d/html5/thumbnails/48.jpg)
Salter-Harris II fracture-SH classication used to classify fractures involving epiphyseal (growth) plate in children -SH II is most common type (75%) w/ good prognosis-fracture involves physis and metaphysis-generally conservative management is appropriate-ORIF is often required for type III and IV
![Page 49: Ortho jeopardy](https://reader033.fdocuments.us/reader033/viewer/2022050906/554b2abdb4c905ce088b4a7d/html5/thumbnails/49.jpg)
Salter-Harris Classification
S – I – SlipA – II – AboveL – III – LowerT – IV – ThroughR – V – Rammed
![Page 50: Ortho jeopardy](https://reader033.fdocuments.us/reader033/viewer/2022050906/554b2abdb4c905ce088b4a7d/html5/thumbnails/50.jpg)
44yo M w/ midfoot pain s/p MVA
![Page 51: Ortho jeopardy](https://reader033.fdocuments.us/reader033/viewer/2022050906/554b2abdb4c905ce088b4a7d/html5/thumbnails/51.jpg)
Answer: Lisfranc Fracture
![Page 52: Ortho jeopardy](https://reader033.fdocuments.us/reader033/viewer/2022050906/554b2abdb4c905ce088b4a7d/html5/thumbnails/52.jpg)
Lisfranc injury-6 bone tarsometatarsal complex = Lisfranc joint, separates midfoot from forefoot-20 percent of injuries are missed in ED-Fx of base of 2nd MT is pathognomonic for disruption of Lisfranc ligamentous complex-look for loss of alignment of 2nd through 4th MT w/ associated tarsal bones; -MOA ranges from minor rotational force to high speed MVA-frequently require ORIF-May be complicated by DP damage and severe DJD
![Page 53: Ortho jeopardy](https://reader033.fdocuments.us/reader033/viewer/2022050906/554b2abdb4c905ce088b4a7d/html5/thumbnails/53.jpg)
70yo F s/p FOOSH
![Page 54: Ortho jeopardy](https://reader033.fdocuments.us/reader033/viewer/2022050906/554b2abdb4c905ce088b4a7d/html5/thumbnails/54.jpg)
Answer: Monteggia Fracture
![Page 55: Ortho jeopardy](https://reader033.fdocuments.us/reader033/viewer/2022050906/554b2abdb4c905ce088b4a7d/html5/thumbnails/55.jpg)
$200 Answer from H4
Your Text Here
![Page 56: Ortho jeopardy](https://reader033.fdocuments.us/reader033/viewer/2022050906/554b2abdb4c905ce088b4a7d/html5/thumbnails/56.jpg)
Monteggia Fracture
-ulnar shaft fracture w/ proximal radial head dislocation-easy to miss radial head dislocation so be sure to image the elbow-be sure to check posterior interosseous nerve (finger/wrist extension) fxn b/c it wraps around proximal radius; -requires ORIF - call ortho
![Page 57: Ortho jeopardy](https://reader033.fdocuments.us/reader033/viewer/2022050906/554b2abdb4c905ce088b4a7d/html5/thumbnails/57.jpg)
22yo M c/o pain at base of Lt thumb after punching wall
![Page 58: Ortho jeopardy](https://reader033.fdocuments.us/reader033/viewer/2022050906/554b2abdb4c905ce088b4a7d/html5/thumbnails/58.jpg)
Answer: Bennet’s fracture
![Page 59: Ortho jeopardy](https://reader033.fdocuments.us/reader033/viewer/2022050906/554b2abdb4c905ce088b4a7d/html5/thumbnails/59.jpg)
Bennet’s fracture
-intraarticular fx at base of thumb-MOA: axial load to flexed/adducted thumb as in punch with closed fist-unstable fx - requires thumb spica and hand sx referral-complications include malunion, severe DJD
![Page 60: Ortho jeopardy](https://reader033.fdocuments.us/reader033/viewer/2022050906/554b2abdb4c905ce088b4a7d/html5/thumbnails/60.jpg)
70yo F s/p FOOSH
![Page 61: Ortho jeopardy](https://reader033.fdocuments.us/reader033/viewer/2022050906/554b2abdb4c905ce088b4a7d/html5/thumbnails/61.jpg)
Answer: Galeazzi fracture
![Page 62: Ortho jeopardy](https://reader033.fdocuments.us/reader033/viewer/2022050906/554b2abdb4c905ce088b4a7d/html5/thumbnails/62.jpg)
Galeazzi fracture
-distal radial fracture w/ DRUJ dislocation-emergent ortho referral for ORIF-be sure to check distal neurovascular status-MUGR (Monteggia=Ulna, Galeazzi=Radius)
![Page 63: Ortho jeopardy](https://reader033.fdocuments.us/reader033/viewer/2022050906/554b2abdb4c905ce088b4a7d/html5/thumbnails/63.jpg)
55yo M w/ RLE pain s/p FFH
![Page 64: Ortho jeopardy](https://reader033.fdocuments.us/reader033/viewer/2022050906/554b2abdb4c905ce088b4a7d/html5/thumbnails/64.jpg)
Answer: Maisonneuve Fracture
![Page 65: Ortho jeopardy](https://reader033.fdocuments.us/reader033/viewer/2022050906/554b2abdb4c905ce088b4a7d/html5/thumbnails/65.jpg)
Maisonneuve Fracture-proximal fibular fracture assoc w/ rupture of deltoid ligament or fracture of medial malleolus (disruption of tibiofibular syndesmosis)-when you get ankle fracture, especially isolated medial malleolus fx, be sure to examine knee-requires immediate ortho consultation in ED-most require surgical repair of ankle fx/syndesmotic injury but may also be tx'ed conservatively w/ cast immobilization for 6-8 wks
![Page 66: Ortho jeopardy](https://reader033.fdocuments.us/reader033/viewer/2022050906/554b2abdb4c905ce088b4a7d/html5/thumbnails/66.jpg)
22yo F w/ foot pain s/p jump from 2nd floor fire.
![Page 67: Ortho jeopardy](https://reader033.fdocuments.us/reader033/viewer/2022050906/554b2abdb4c905ce088b4a7d/html5/thumbnails/67.jpg)
Answer: Calcaneus fracture
![Page 68: Ortho jeopardy](https://reader033.fdocuments.us/reader033/viewer/2022050906/554b2abdb4c905ce088b4a7d/html5/thumbnails/68.jpg)
Calcaneus fracture
-MOA:fall from height onto foot-if high degree of suspicion but no obvious cortical disruption, check Boehler angle: <20 suggests depressed fracture-emergent ortho consult - tx varies: orthopods usually use CT to determine plan but most non-displaced fx can be managed conservatively-high incidence of compartment syndrome w/ comminuted fractures-check lumbar spine -
![Page 69: Ortho jeopardy](https://reader033.fdocuments.us/reader033/viewer/2022050906/554b2abdb4c905ce088b4a7d/html5/thumbnails/69.jpg)
25yo M unrestrained driver w/ wrist pain s/p MVA
![Page 70: Ortho jeopardy](https://reader033.fdocuments.us/reader033/viewer/2022050906/554b2abdb4c905ce088b4a7d/html5/thumbnails/70.jpg)
Answer: Barton’s fracture
![Page 71: Ortho jeopardy](https://reader033.fdocuments.us/reader033/viewer/2022050906/554b2abdb4c905ce088b4a7d/html5/thumbnails/71.jpg)
Barton’s fracture-Fx of distal radial metaphysis w/ either volar or dorsal angulation (Colles/Smith) and intra-articular involvement and some carpal displacement – high force mech. -minimally displaced fx tx w/ splint and o/p ortho-unstable fx involving 50% of articular surface or associated carpal subluxation require ORIF - talk to ortho prior to d/c
![Page 72: Ortho jeopardy](https://reader033.fdocuments.us/reader033/viewer/2022050906/554b2abdb4c905ce088b4a7d/html5/thumbnails/72.jpg)
32yo M tree cutter, new onset quad s/p tree branch to head.
![Page 73: Ortho jeopardy](https://reader033.fdocuments.us/reader033/viewer/2022050906/554b2abdb4c905ce088b4a7d/html5/thumbnails/73.jpg)
Answer: Jefferson fracture
![Page 74: Ortho jeopardy](https://reader033.fdocuments.us/reader033/viewer/2022050906/554b2abdb4c905ce088b4a7d/html5/thumbnails/74.jpg)
Jefferson fracture-fracture of C1 resulting from significant axial load to top of the head-4 part fracture involving both anterior and posterior arches-associated SCI common-treatment depends on integrity of transverse ligament intact ligament: tx w/ hard collar; disrupted ligament halo or surgery
![Page 75: Ortho jeopardy](https://reader033.fdocuments.us/reader033/viewer/2022050906/554b2abdb4c905ce088b4a7d/html5/thumbnails/75.jpg)
55yo M unrestrained driver w/ wrist pain
![Page 76: Ortho jeopardy](https://reader033.fdocuments.us/reader033/viewer/2022050906/554b2abdb4c905ce088b4a7d/html5/thumbnails/76.jpg)
Answer: Lunate dislocation
![Page 77: Ortho jeopardy](https://reader033.fdocuments.us/reader033/viewer/2022050906/554b2abdb4c905ce088b4a7d/html5/thumbnails/77.jpg)
Lunate dislocation-similar to perilunate dislocation radiographically-triangular shape of lunate on AP view = "piece of pie" sign, lateral view shows lunate displaced volarly from radius = "spilled teacup" sign -unstable emergent ortho consultation, most require OR-complications = early DJD, malunion/nonunion, AVN, median nerve compression
![Page 78: Ortho jeopardy](https://reader033.fdocuments.us/reader033/viewer/2022050906/554b2abdb4c905ce088b4a7d/html5/thumbnails/78.jpg)
45yo M high speed MVA w/ low back pain, ankle pain
![Page 79: Ortho jeopardy](https://reader033.fdocuments.us/reader033/viewer/2022050906/554b2abdb4c905ce088b4a7d/html5/thumbnails/79.jpg)
Answer: Pilon fracture
![Page 80: Ortho jeopardy](https://reader033.fdocuments.us/reader033/viewer/2022050906/554b2abdb4c905ce088b4a7d/html5/thumbnails/80.jpg)
Pilon Fracture-aka Tibial Plafond Fracture-combination of & distal tibial metaphyseal frx, usually w/ tibiotalar articular involvement -vertical loading drives talus into distal tibia -commonly associated with other high force mechanism injuries, ie VB compression fracture
![Page 81: Ortho jeopardy](https://reader033.fdocuments.us/reader033/viewer/2022050906/554b2abdb4c905ce088b4a7d/html5/thumbnails/81.jpg)
Final Jeopardy60yo M w/ wrist pain after trying
to start Ford Model T
![Page 82: Ortho jeopardy](https://reader033.fdocuments.us/reader033/viewer/2022050906/554b2abdb4c905ce088b4a7d/html5/thumbnails/82.jpg)
Final Jeopardy Answer
Hutchinson fracture-fracture of radial styloid w/ intra-articular involvement-aka Chauffeur’s fracture – back-firing of hand crank on old cars-requires ORIF