Duke PA Ortho fractures and other bony bad stuff
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Cervical disc degeneration | spondylosis
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cervical sprain | whiplash
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C1 burst fx | Jefferson fx
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C2 fx/dislocation from hyperextension and distraction | hangman's fx
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C7 spinous process fx | Clay shoveler's fx
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An injury to the glenoid labrum that can be described as Superior Labrum Anterior to Posterior. | SLAP lesion
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95% of all shoulder dislocations | Anterior shoulder dislocation
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cortical depression in the head of the humerus bone.from forceful impaction of the humeral head against the anteroinferior glenoid rim when the shoulder is dislocated anteriorly. | Hill Sachs
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An avulsion of the anteroinferior glenoid labrum at its attachment to IGHL complex. | Bankhart lesion
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Dislocation caused by an anterior force, seizure, or electric shock, and is fairly uncommon | Posterior shoulder dislocation
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This injury can damage the radial nerve. | Humeral shaft fracture
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Medial epicondylitis | golfer's elbow
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Lateral epicondylitis | Tennis elbow
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dislocation of the elbow joint caused by a sudden pull on the extended pronated arm. The head of the radius slips out of the annular ligament | Nurse maid's elbow
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90% of elbow dislocations are in this direction | posterior
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Most common elbow fracture in kids | supracondylar
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Ulnar shaft fracture with proximal radius dislocation. | Monteggia fracture
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Radial fracture with distal ulna dislocation | Galeazzi fracture
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Isolated ulna fracture caused by direct blow to the forearm | Night stick fracture
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90% of distal radial fractures. Usually from a FOOSH. Dorsal angulation of distal fragment | Colles fracture
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Distal radial fracture from a fall on the back of the hand. Causes a volar angulation of the distal fragment. | Smith fracture
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Most common carpal fracture, at an increased risk for avascular necrosis | scaphoid fracture
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fracture of the distal 5th metacarpal | Boxer's or Brawler's fracture
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Forced flexion of the finger from an axial load, causing rupture of extensor digitorum to DIP. | Mallet finger
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Thickened palmar fascia forms nodules over the flexor tendons causing a flexion contracture. Most common at ring and pinky finger. | Dupuytren's contracture
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occurs when the motion of the tendon that opens and closes the finger is limited, causing the finger to lock or catch | trigger finger
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Caused by abduction stress at the thumb. UCL injury | Skier's thumb (gamekeeper's thumb)
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bony growths on the terminal (DIP). interphalangeal joints of the fingers | Heberden's nodes
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hard, bony outgrowths or gelatinous cysts on the proximal interphalangeal joints | Bouchard's nodes
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flexion of DIP and hyperextension of PIP | swan neck deformity
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Loss of central slip insertion on proximal dorsal middle phalanx. Flexion fo PIP and hyperextension of DIP. | boutonnieres deformity
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Seen on oblique view, a defect in the pars interarticularis puts a collar on the scotty dog. | spondylolysis
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MVA injury where the lap belt immobilizes pelvis and the thorax is forcefully flexed forward. seen on AP as a crack throught the owl's eyes (pedicles), or an open beak (cracked spinous process) | Chance fracture
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Collapse of anterior vertebral body with intact posterior wall from hyperflexion or osteoporosis | wedge fracture
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vertebral slipping | spondylolisthesis
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lateral curvature of the spine | scoliosis
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classification system used for grading hip fractures | Garden type
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90% of hip fractures are in this direction | posterior
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Occurs at the origin og the sartorius, and is caused by knee flexion and hip hyper-extension. | ASIS avulsion fracture
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Occurs at the origin of the hamstring, and is caused by vigorous hip flexion with knee extension. | Ischial tuberosity avulsion fracture
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Occurs in obese adolescent boys. Will cause a limp and hip, thigh or knee pain, loss of IR, flexion and abduction | Slipped capital femoral epiphysis
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avulsion fragement of the lateral tibial plateau associated with ACL or meniscus tear | Segond fracture
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Gastrocnemius tendon sesamoid | Fabella
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Proximal 1/3 fibula fracture associated with medial ankle fracture. | Maisonneuve fracture
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Tibial tubercle apophysitis common in adolescents | Osgood Schlatter's
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Holds tibia and fibula together | Syndesmosis
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indications for getting imaging after ankle injury | Ottawa rules
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85% of all ankle sprains are in this direction, and are from a plantar flexion inversion injury. | Lateral
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Fracture of proximal 5th metatarsal, from an inversion injury | Jones fracture
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most common fracture of the ankle | distal fibula fracture
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Usually seen in deconditioned athletes, and is caused by quick plantar flexion | Achilles injury
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AKA shin splints | medial tibial stress syndrom
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Calcaneal apophystis, very common in 7-15 year olds | sever's disease
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pain on plantar aspect of calcaneus, will result in but are not caused by heel spurs | Plantar fasciitis
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disruption of tarsometatarsal joint | Lisfranc fracture
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Perineural fibrosis of digital nerve between 3rd and 4th web space, caused by walking on hard surfaces or wearing tight shoes. | Morton's neuroma
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Urate crystals in 1st MTP joint | Gout
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flat foot | Pes planus
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first mtp joint sprain from excessive force of dorsiflexion or plantarflexion | turf toe
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Childhood fracture in which the physis is widened. Growth disturbances are uncommon. | Salter Harris I
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Childhood fracture that involves the metaphysis as well as the physis. Rarely results in functional deficits. The most common type. | Salter Harris II
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Childhood fracture that involves both the epiphysis as well as the physis. There is damage to the growth plate but prognosis is relatively favorable. | Salter Harris III
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Child hood fracture that involves the epiphysis, physis, and metaphysis. Can result in chronic disability. | Salter Harris IV
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Childhood fracture that is a compression of the physis caused by an axial load. Poor functional prognosis. | Salter Harris V
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As seen on a lateral radiograph of the cervical spine a widened predental space (greater than 2.5 mm)idicates what type of injury. | Transverse ligament injury or laxity.
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Can occur from a blow to the top of the head and affects C1. | Jefferson fx
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Tip of the dens, usually stable | Type I odontoid fracture
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Base of the dens, most common | Type II odontoid fracture
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Through C2 body, unstable | Type III odontoid fracture
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Commonly occur at proximal 2/3 and distal 1/3 of the involved bone. | Clavicle fx
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When the humeral head slightly overlaps the glenoid in a normal AP radiograph. | Cresent sign
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AP view of the shoulder shows the humeral head to lie medial to the glenoid and inferior to the coracoid | Anterior shoulder dislocation
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On an AP radiograph the humeral head is lateral to the glenoid so that there is no overlap. | Posterior shoulder dislocation
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These are the three cardinal signs for what;joint space narrowing, bony overgrowth at edge of joint, sclerosis along articular surface | Osteoarthritis
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A focal area of avascular necrosis | Osteochondritis desiccans
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Most common site of osteochondritis desiccans | Knee
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Loos body in a joint | Joint mouse
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Avascular necrosis of the lunate | Kienbock's disease
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Oblique fracture through the base of the radial styloid | Chauffeur's fracture
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Buckle fracture with intact periosteum, common in children | Torus fracture
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Fracture of the thumb metacarpal base from an axial blow or adduction stress to thumb | Bennet's fracure
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Comminuted Bennet's fracture | Rolando fracure
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This part of a carpal bone can get fractured from a direct impact of a racquet, baseball, golf club. | Hook of the Hamate
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Forceful extension of the DIP, patient now unable to flex DIP due to FDP avulsion. | Jersey finger
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