We hope after this podcast you can:

- Take a history and physical exam for a tibia fracture

- Describe the classification of tibia fractures and how they may be fixed

- Have an early understanding of the operative approach to fixing tibia fractures

- Have an early understanding of the management and diagnosis of compartment syndrome and open fractures

Core Questions

The following questions are key concepts about this topic you should review prior to your rotation:

- Describe the management of open fractures

- Describe diagnosis and symptoms of compartment syndrome.

- Have a broad understanding of the mechanism tibia plateau fractures and their management

The Attending Questions

The following questions are more advanced for those really looking to impress on their rotations. These topics should be further studied and read about:

- What is the Schazter Classification system for tibia plateaus?

- Identify the muscles that attach to the proximal tibia on the medial and lateral side

We hope after this podcast you can:

- Take a history and physical exam for a hip fracture, including risk factors for falls in the elderly such as polypharmacy

- Describe the types of hip fractures and how they may be fixed

- Have an early understanding of the operative approach to fixing hip fractures

Core Questions

The following questions are key concepts about this topic you should review prior to your rotation:

- Describe the types of hip fractures

- Describes options for hip fixation

- Understand the importance of the hip fixation

The Attending Questions

The following questions are more advanced for those really looking to impress on their rotations. These topics should be further studied and read about:

- How can you distinguish a hip dislocation from a hip fracture by the position of the patient’s leg?

- What artery supplies the majority of vascularity to the femur neck and head?

- What nerve is at risk during the lateral approach to the hip?

We hope after this podcast you can:

- Describe the important findings you should look for on physical exam for a clavicle fracture

- Outline the diagnosis and management of clavicle fractures

- Have an early understanding of the operative approach to fixing clavicle fractures

- Understand the importance of shared decision making and evidence based medicine in orthopedic management

Core Questions

The following questions are key concepts about this topic you should review prior to your rotation:

- What is the common mechanism of injury that causes fractures of the clavicle?

- What muscles and ligaments attach to the clavicle?

The Attending Questions

The following questions are more advanced for those really looking to impress on their rotations. These topics should be further studied and read about :

- What structures are at risk during a clavicle ORIF?

- What are the absolute indications for a clavicle ORIF?

We hope after this podcast you can:

- Describe the important findings you should look for on ankle x-rays

- Outline the diagnosis and management of ankle fractures

- Have an early understanding of the operative approach to fixing ankle fractures

- Recognize that Intimate Partner Violence should be screened for in fracture clinic visits

Core Questions

The following questions are key concepts about this topic you should review prior to your rotation:

- Understand the Ottawa Ankle Rules

- Perform a lower extremity physical exam

- Describe the Weber Classification System

- Identify and measure the talofibular overlap and medial clear space

- Understand the basic biomechanics of the ankle joint and the importance of the syndesmosis

The Attending Questions

The following questions are more advanced for those really looking to impress on their rotations. These topics should be further studied and read about

- What is the lateral approach to the fibula?

- What nerve is most at risk with the lateral approach?

- Where would you lose sensation if that nerve is damaged?

- What is the Lauge-Hansen classification? How can the mechanism of injury predict the fracture pattern?

- What compartment is peroneus tertius part of?

Core Questions :

The following questions are some key concepts about this topic that you should review prior to your rotation.

- Know the common mechanism causing distal radius fractures and who are likely to get them

- Describe an upper extremity physical exam.

- Know the 11/22/11 rule and indications for surgery

- Describe the difference between a Colles and Smiths fracture

The Attending Questions

- The following questions are more advanced for those really looking to impress on their rotations.

- What is the difference between the modified Henry’s and classic Henry’s approach?

- What nerve is most at risk during volar approach to the wrist?

- What is a locking plate?

We hope after this podcast you can:

1. Describe the difference between cortical and cancellous screws

2. Describe the difference between lagging by design vs by technique

3. What are the 4 different types of plates?