Prep for USMLEPrep for USMLE Forum
   Forum    Step 1  Step 2 CK Step 2 CS Step 3  Match  IMGs Resources Search






Previous Topic | Next Topic  Fracture Question 




 
Kaplan Qbank USMLE



Author11 Posts
  #1

Patient comes in with DISPLACED clavicle fracture. What is your management?

a) sling

b) nothing

c) bandage

d) cast


  #2

bandage.


  #3

I go for sling

  #4

me too, sling.

  #5

no idea, why is sling and not bandage ?? which are the indications ? shaking head


___________________
Any time something is written against me, I not only share the sentiment but feel I could do the job far better myself.

  #6

anyway, i would put Sling


___________________
Any time something is written against me, I not only share the sentiment but feel I could do the job far better myself.

  #7

ok, just found out that a broad sling support for 3 weeks is all that is required for clavical # usually caused by falling outstretched hand in children. i confused with figure of 8 bandage grin.

  #8

i´m sorry shaking head , but if someone could help me, i would appreciate it very much. I´ve read that a sling is the treatment but I´ve read also that the treatment is a figure of 8 device, so I don´t know really which is the treatment of choice and why and in which type of patients. shaking head

Please answer !


___________________
Any time something is written against me, I not only share the sentiment but feel I could do the job far better myself.

  #9

I think sling is the same as fisgure 8 device. I had clavicle fracture myself before so I guess...

___________________
I leave no trace of wings in the air, but I am glad I have had my flight

  #10

treatment depends on age and the level of the fracture.

if new born. no treatment is needed. heals on its own.

the following explanation is from UW.

in older children, if fracture is located at;

distal third, it is usually unstable, so it may require open reduction with internal fixation: cosmetically, the result are not good but the result are acceptable

proximal and middle third injurie can be treated with close reduction with figure 8 brace or sling for 1 or 2 weeks

hope this help.

GL


Edited by bobby on 08/17/05 - 09:13 AM

___________________
if you haven't any charity in your heart, you have the worst kind of heart trouble.

  #11

if the fracture is displaced...it might cause vascular injury to the subclavians...so surgery might be better




___________________
sumie







You don't have permission to post.




Login or Register to post messages in this topic





















Contact | Leaders | Disclaimer | Privacy

Copyright @ Prep for USMLE. All rights reserved.