SAQ 115 – Orthopaedics – lunate dislocation

Review Completed

Marked out of 12.00

A 23 year old man presents following a fall onto his outstretched right hand from a height of three metres.

Wrist x-rays are shown below.

Wrist x-ray AP for Geelong SAQ 013 question 3

Wrist x-ray lateral for Geelong SAQ 013 question 3

State four abnormal findings shown in these x-rays.

(Marked out of 4.0)

/ 4

List four complications of this injury in the first week following injury.

(Marked out of 4.0)

/ 4

A manipulation is to be performed in the emergency department. List two sedative / analgesic options to facilitate this manipulation. Define the drugs and doses that you would use. He is 70 kg.

(Marked out of 4.0)

Sedative / analgesic option	Drug / dose
1.
2.

/ 4

Total Score: 0 / 12

Percentage: 0%

Option	Drug / dose
Deep sedation	Propofol 0.5-1 mg/kg if fasted and no significant opioid already given; ketamine 1-3 mg/kg.
General anaesthesia	Propofol 2-3 mg/kg.
LAMP / Bier block	Prilocaine 0.5%, 0.5 mL/kg.
Interscalene nerve block	Bupivacaine 0.5%, maximum dose 2 mg/kg.

← Previous SAQ Next SAQ →