EMQs in Clinical Medicine.pdf - Peshawar Medical College

118 Orthopaedics and rheumatology
48 Management of fractures
A
B
C
D
E
F
skin traction
collar-and-cuff sling
broad sling
plaster from wrist to above
knuckle
gallows’ traction
internal fixation
G
H
I
J
K
rest and mobilization
manipulation under local
anaesthesia and cast
bone traction
plaster from below elbow to
above knuckle
analgesia weight-bearing
For each clinical scenario below, suggest the most appropriate management. Each
option may be used only once.
1 A 24-year-old man presents with a swollen painful hand after a falling over
playing squash. His radiograph reveals a scaphoid fracture.
2 A 1-year-old baby requires traction after fracture of the right femur.
3 A 65-year-old woman requires treatment for displaced fractured neck of femur.
4 A 35-year-old woman presents after a fall on an outstretched arm. Her radiograph
shows an undisplaced transverse fracture of the right humerus.
5 A 75-year-old woman suffers a displaced Colles’ fracture.
Answers: see page 131.