EmergencyMedicineTextReview-Aleph0.doc

A 30-year-old was involved in a rapid deceleration motor vehicle crash at street speed. He was gripping the steering wheel tightly, and complains of pain at the MCP joint of the right thumb. On exam there is tenderness and mild swelling of the joint on the ulnar side. X-rays are negative. Which of the following is correct regarding the evaluation and treatment of this injury? If the ulnar collateral ligament demonstrates more than 35o of laxity when compared to the uninjured side, place a thumb spica splint and refer to orthopedics for probable surgical management. If the radial collateral ligament demonstrates any laxity, refer to orthopedics for surgical repair. All gamekeepers’ thumbs need to be repaired surgically. The absence of a fracture indicates that no splinting will be necessary. If the ulnar collateral ligament demonstrates less than 20o laxity, apply a universal wrist splint, and refer for surgical repair. This x-ray shows a: dorsal dislocation of the lunate. volar dislocation of the lunate. dorsal perilunate dislocation. volar perilunate dislocation. scapholunate dissociation. Elbow dislocations are associated most commonly with concomitant injuries to the: ulnar nerve and radial artery. ulnar nerve and brachial artery. radial nerve and ulnar artery. radial nerve and brachial artery. median nerve and radial artery. This child fell while rollerblading and has a tender elbow. This x-ray (figure 169-15) is most consistent with: nursemaid’s elbow. radial head fracture. proximal ulnar fracture. elbow dislocation. supracondylar fracture Monteggia’s injury is a : fracture of the ulnar shaft with radial head dislocation. fracture of the ulnar shaft with distal radioulnar dislocation. fracture of both the radius and ulna. distal radial fracture with radioulnar dislocation. distal radial fracture with radial head dislocation This x-ray (Figure 44-24) demonstrates a: Colles fracture. Monteggia fracture. Galleazzi fracture. Bennett fracture. Barton fra