CCFP(EM) Exam Ortho: Upper Extremity
Study online at https://quizlet.com/_hydwqt
1. What are the components of the Orthopedic Trauma Association Classifica-
tion System of Fractures: Bone
Segmental Location (Proximal, Shaft, Distal)
Type (no. of # present)
Group (orientation of # line)
Subgroup (displaced, shortened, angulated)
2. What nerve and artery are injured in anterior shoulder dislocation?: Axillary Nerve
Axillary Artery
3. What nerve is injured in humeral shaft injury?: Radial Nerve
4. What nerve is injured in medial epicondylar fracture?: Ulnar Nerve
5. What structures are injured in supracondylar #/elbow dislocation?: Brachial artery
Radial/Ulnar/Median Nerve
6. What nerve is injured in a hip dislocation?: Femoral nerve
7. What structures are injured in a knee dislocation?: Popliteal Artery
Peroneal Nerve
Tibial Nerve
8. What nerve is damaged in a lateral tibial plateau fracture?: Peroneal Nerve
9. What is the physical exam sign indicating damage to the peroneal nerve?: Foot
drop - weakened dorsiflexion at the ankle
Numbness to anterior shin, dorsal foot
10. What are physical exam signs indicating damage to the tibial nerve?: Weakened
plantarflexion, dorsiflexion, and eversion of foot at ankle
Numbness over lateral aspect of calf and foot
11. What is a sign indicating a radial nerve injury?: Loss of wrist extension
Inability to give thumbs up
12. What is a sign indicating ulnar nerve injury?: Inability to spread fingers against resistance
Numbness over dorsal and palmar surfaces of D4/D5
13. What are signs indicating damage to the median nerve?: Inability to make A-OK sign
Numbness over palmar aspect of index finger
14. What are complications of orthopedic injuries?: Malunion/Nonunion
Avascular Necrosis
Infection
, CCFP(EM) Exam Ortho: Upper Extremity
Study online at https://quizlet.com/_hydwqt
Compartment Syndrome
Nerve Damage
Fat Embolism syndrome
Vascular Injury
Volkmann Ischemic Contracture
15. What is a Volkmann Ischemic Contracture?: Flexion contracture of hand/wrist due to untreat-
ed forearm compartment syndrome or brachial artery injury —> muscle Ischemic
16. What is the MOA of an anterior shoulder dislocation?: Blow to abducted, externally
rotated arm (or FOOSH)
17. What is the most common dislocation pattern in anterior shoulder disloca-
tion?: Subcoracoid (>90%)
18. What are other dislocation patterns in anterior shoulder dislocations?: Subg-
lenoid
Subclavicular
Intrathoracic (rare)
19. What are the physical exam findings of an anterior shoulder dislocation?: -
Squaring of shoulder
Humeral head inferior to glenoid
Arm is abducted and slightly externally rotated
20. What view on x-ray is best for anterior dislocations?: Trans-scapular view (humeral head
anterior to glenoid)
21. What should be done following reduction of an orthopedic injury?: Immobiliza-
tion
Check neurovascular status
Post-reduction images
22. What are complications of an anterior shoulder dislocation?: Axillary nerve injury
Bankart Lesion
Hill-Sachs's deformity
Repeat dislocations
Adhesive capsulitis
23. What is a hill-sachs lesion?: Impaction fracture of posterolateral aspect of humeral head
24. What is a Bankart Lesion?: avulsion of anterior glenoid rim (anterior inferior labrum)
Study online at https://quizlet.com/_hydwqt
1. What are the components of the Orthopedic Trauma Association Classifica-
tion System of Fractures: Bone
Segmental Location (Proximal, Shaft, Distal)
Type (no. of # present)
Group (orientation of # line)
Subgroup (displaced, shortened, angulated)
2. What nerve and artery are injured in anterior shoulder dislocation?: Axillary Nerve
Axillary Artery
3. What nerve is injured in humeral shaft injury?: Radial Nerve
4. What nerve is injured in medial epicondylar fracture?: Ulnar Nerve
5. What structures are injured in supracondylar #/elbow dislocation?: Brachial artery
Radial/Ulnar/Median Nerve
6. What nerve is injured in a hip dislocation?: Femoral nerve
7. What structures are injured in a knee dislocation?: Popliteal Artery
Peroneal Nerve
Tibial Nerve
8. What nerve is damaged in a lateral tibial plateau fracture?: Peroneal Nerve
9. What is the physical exam sign indicating damage to the peroneal nerve?: Foot
drop - weakened dorsiflexion at the ankle
Numbness to anterior shin, dorsal foot
10. What are physical exam signs indicating damage to the tibial nerve?: Weakened
plantarflexion, dorsiflexion, and eversion of foot at ankle
Numbness over lateral aspect of calf and foot
11. What is a sign indicating a radial nerve injury?: Loss of wrist extension
Inability to give thumbs up
12. What is a sign indicating ulnar nerve injury?: Inability to spread fingers against resistance
Numbness over dorsal and palmar surfaces of D4/D5
13. What are signs indicating damage to the median nerve?: Inability to make A-OK sign
Numbness over palmar aspect of index finger
14. What are complications of orthopedic injuries?: Malunion/Nonunion
Avascular Necrosis
Infection
, CCFP(EM) Exam Ortho: Upper Extremity
Study online at https://quizlet.com/_hydwqt
Compartment Syndrome
Nerve Damage
Fat Embolism syndrome
Vascular Injury
Volkmann Ischemic Contracture
15. What is a Volkmann Ischemic Contracture?: Flexion contracture of hand/wrist due to untreat-
ed forearm compartment syndrome or brachial artery injury —> muscle Ischemic
16. What is the MOA of an anterior shoulder dislocation?: Blow to abducted, externally
rotated arm (or FOOSH)
17. What is the most common dislocation pattern in anterior shoulder disloca-
tion?: Subcoracoid (>90%)
18. What are other dislocation patterns in anterior shoulder dislocations?: Subg-
lenoid
Subclavicular
Intrathoracic (rare)
19. What are the physical exam findings of an anterior shoulder dislocation?: -
Squaring of shoulder
Humeral head inferior to glenoid
Arm is abducted and slightly externally rotated
20. What view on x-ray is best for anterior dislocations?: Trans-scapular view (humeral head
anterior to glenoid)
21. What should be done following reduction of an orthopedic injury?: Immobiliza-
tion
Check neurovascular status
Post-reduction images
22. What are complications of an anterior shoulder dislocation?: Axillary nerve injury
Bankart Lesion
Hill-Sachs's deformity
Repeat dislocations
Adhesive capsulitis
23. What is a hill-sachs lesion?: Impaction fracture of posterolateral aspect of humeral head
24. What is a Bankart Lesion?: avulsion of anterior glenoid rim (anterior inferior labrum)
