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9 Cards in this Set

  • Front
  • Back
4 compartments of the leg 
-function
-approach to decompress?
-name the muscles in each compartment starting with (AC/horse)

4 compartments of the leg
-function
-approach to decompress?
- contents of this compartment (ACheaven)

anterior compartment,
function- dorsiflexion of foot and ankle  
anterolateral incision- identify and protect the superficial peroneal nerve, fasciotomy of anterior compartment performed 1cm in front of intermuscular septum 
1 tibialis anterior
 2   e
anterior compartment,
- dorsiflexion of foot and ankle
anterolateral incision- identify and protect the superficial peroneal nerve, fasciotomy of anterior compartment performed 1cm in front of intermuscular septum
1 tibialis anterior
2 extensor hallucis longus
3 extensor digitorum longus
4 peroneus tertius
5 deepr pereonal nerve
6 anterior tibial artry & vein
4 compartments of the leg 
-function 
-approach to decompress?
-name the muscles in each compartment (SPC/traffic light)
4 compartments of the leg
-function
-approach to decompress?
- contents of this compartment (SPC/beer)
superficial posterior compartment
 function-mainly plantarflexion of foot and ankle
posteromedial incision-protect saphenous vein and nerve incise superficial posterior compartment
1gastrocnemius
2soleus
3plantaris
superficial posterior compartment
function-mainly plantarflexion of foot and ankle
posteromedial incision-protect saphenous vein and nerve incise superficial posterior compartment
1gastrocnemius
2soleus
3plantaris
4 medial suralcutanious nerve (sciatic n)
5 poplteal artery & vein
4 compartments of the leg & -function 
-approach to decompress?
-name the muscles in each -compartment (LC/traffic light) isolated lateral compartment syndrome would only affect, PE ?
4 compartments of the leg & -function
-approach to decompress?
- contents of this compartment ()LC/traffic light) -
isolated lateral compartment syndrome PE findings ?
lateral compartment
function-plantarflexion and eversion of foot
anterolateral incision, identify and protect the superficial peroneal nerve fasciotomy of lateral compartment performed 1cm behind intermuscular septum        
1 peroneus longus
2 perone
lateral compartment
function-plantarflexion and eversion of foot
anterolateral incision, identify and protect the superficial peroneal nerve fasciotomy of lateral compartment performed 1cm behind intermuscular septum
1 peroneus longus
2 peroneus brevis
3 superficial peroneal nerve
-superficial peroneal nerve Decreased sensation dorsum of his foot i hallux, 3rd, and 4th toes
4 compartments of the leg & -function 
-What ankle position results in the lowest deep posterior calf compartment pressures in a casted leg
-approach to decompress?
-name the muscles in each -compartment (DP/traffic light)
4 compartments of the leg & -function
-What ankle position lowest deep posterior calf compartment pressures in leg
-approach to decompress?
-name the muscles in each -compartment (DP/beer)
-deep posterior compartment
function- plantarflexion and inversion of foot muscles
Neutral to 30 degrees of plantar flexion 
posteromedial incision
protect saphenous vein and nerve
detach soleal bridge from back of tibia to adequately decompress deep
-deep posterior compartment
function- plantarflexion and inversion of foot muscles
Neutral to 30 degrees of plantar flexion
posteromedial incision
protect saphenous vein and nerve
detach soleal bridge from back of tibia to adequately decompress deep posterior compartment
1tibialis posterior
2 flexor digitorum longus
3 flexor hallucis longus
4 tibial nerve
5 posterrior tibisl artery & vein
-single lateral incision describe
-which structures is at risk during proximal dissection of a single lateral perifibular approach? (elevator)
-single lateral incision describe
-which structures is at risk during proximal dissection of a single lateral perifibular approach? (elevator)
-single lateral incision from head of fibula to ankle along line of fibula by following interosseous membrane from the posterior aspect of fibula and releasing compartment from this membrane
-Common peroneal nerve at risk with proximal dissection
-single lateral incision from head of fibula to ankle along line of fibula by following interosseous membrane from the posterior aspect of fibula and releasing compartment from this membrane
-Common peroneal nerve at risk with proximal dissection
compartment syndrome 
-sx
-PE, most sensitive sign in child? 
-earliest indicator of impending compartment syndrome in child
-confirmation
-indications emergent fasciotomy? (trafic light)
compartment syndrome
-sx, 1st sx
-PE & most sensitive clinical sign in child?
--indications emergent fasciotomy? (traffic light)
-best predictor for compartment of syndrome in pediatric pt
sx-pain out of proportion to clinical situation is usually first symptom
PE-pain w/ passive stretch, is most sensitive finding in patient with intact MENTAL STATUS
- child, increasing analgesia requirement is more sensitive
- child, pain out of proport
sx-pain out of proportion to injury
PE-pain w/ passive stretch, iintact MENTAL STATUS
- child, increasing analgesia requirement is more sensitive
-1 unequivocally positive clinical findings -->emergent surgery without need for compartment measurements
2 compartment pressures with absolute value of 30-45 mm Hg
3 compartment pressures within 30 mm Hg of diastolic blood pressure (delta p)
- child, increasing analgesia requirement is more sensitive not mech inj
3  What do you see?
1 diagnostic study of choice? (DSC)
2 (RXrV &PPFs?) Recommended X-ray Views looking & PathoPnemonic Findings  
-hx-epid-doing/associations, MoI, 
symptoms
-5a/b what is the treatment?
A (conservative treatment is
B surgical indi
3 What do you see?
1 diagnostic study of choice? (DSC)
2 (RXrV &PPFs?) Recommended X-ray Views looking & PathoPnemonic Findings
-hx-epid-doing/associations, MoI,
symptoms
-5a/b what is the treatment?
A (conservative treatment is
B surgical indications (PE/image findings/time)

6 what are risks with treatment/non treatment?
(complications)
Die-punch fxs
A depressed fracture of the lunate fossa of the articular surface of the distal radius
Die-punch fxs
A depressed fracture of the lunate fossa of the articular surface of the distal radius,
volar shearing fracture with comminution creates a functional radiolunate ligament avulsion, which can lead to instability;
volar aspect of the lunate fossa bears more load than the scaphoid fossa and be difficult tro treat
3  What do you see?
1 diagnostic study of choice? (DSC)
2 (RXrV &PPFs?) Recommended X-ray Views looking & PathoPnemonic Findings  
-hx-epid-doing/associations, MoI, 
symptoms
-5a/b what is the treatment?
A (conservative treatment is
B surgical indi
3 What do you see?
1 diagnostic study of choice? (DSC)
2 (RXrV &PPFs?) Recommended X-ray Views looking & PathoPnemonic Findings
-hx-epid-doing/associations, MoI,
symptoms
-5a/b what is the treatment?
A (conservative treatment is
B surgical indications (PE/image findings/time)

6 what are risks with treatment/non treatment?
(complications)
Barton's fx
Fx dislocation of radiocarpal joint with intra-articular fx involving the volar or dorsal lip (volar Barton or dorsal Barton fx)
Origin 	
Insertion 	
Action 	
Arterial Supply
Origin
Insertion
Action
Arterial Supply
Origin-Lateral condyle of tibia, proximal 1/2 - 2/3 or lateral surface of tibial shaft, interosseous membrane, and the deep surface of the fascia cruris
Insertion-Medial and plantar surfaces of 1st cuneiform and on base of first metatarsal

Action 	Dor
Origin-Lateral condyle of tibia, proximal 1/2 - 2/3 or lateral surface of tibial shaft, interosseous membrane, and the deep surface of the fascia cruris
Insertion-Medial and plantar surfaces of 1st cuneiform and on base of first metatarsal

Action Dorsiflexor of ankle and invertor of foot

Innervation Deep peroneal nerve (L4, L5)

Arterial Supply Anterior tibial artery