Cards Against Orthopaedics.: An Educational Game For - Medics

Cards
Against
Orthopaedics.
An educational game
for ________ medics.
72 y/o female presents with a
fall out of bed onto her right
side. She is complaining of a
painful right arm.
PMHx: osteoporosis,
hypertension.
SHx: usually independent, does
not require walking aids.
‘Cards Against Orthopaedics’ (Version 1.2)
by Pandora Spillman-Henham & Darren Whitelaw
No obvious asymmetry.
Tenderness over the lateral
border of the right humeral
head.
Reduced range of movement
in all directions both active
and passive.
Fracture of the
Greater
Tuberosity
(of the Proximal
Humerus)
Broad Arm Sling
35 y/o male was out at the pub.
He tripped and fell heavily

onto his left forearm.
He states that he saved himself

at the last minute.
PMHx: nil, usually fit and well.

Arm held in flexion at the elbow.
No obvious swelling.
Tenderness over the olecranon.
Pain and reduced range of
movement on flexion and
extension at the elbow during both
passive and active movements.
Able to pronate and supinate.
Olecranon
Fracture

Open Reduction and
Internal Fixation
45 y/o female has attended
following a fall onto an
outstretched hand.
She tripped over her

handbag.
PMHx: hypothyroidism.
No obvious deformity.
Tenderness over the lateral

aspect of the elbow.

movements including
pronation and supination.

Radial Head
Fracture

Collar and Cuff
32 y/o woman was giving
her friend a piggyback on
a night out.
Falls over hitting her upper
arm onto a curb.
PMHx: depression.
Swelling and bruising to
upper arm.
Tenderness over upper arm.
Pain on any movement of
the arm.
Unable to lift the arm.
Humeral
Shaft
Fracture
U-Slab
40 y/o male was at work lifting
heavy boxes.
Felt a popping sensation in his
arm.
Has attended as he is struggling
to use his arm and is worried it’s
broken.
PMHx: sciatica.
Swelling to upper arm.
Tenderness over upper arm and
elbow.
Pain and reduced movement on
flexion and extension of the
elbow.
Swelling changes on movement.

Distal Biceps
Tendon
Rupture
Surgical Repair
22 y/o rugby player who presents
following an injury sustained
during a heavy tackle.
He was able to walk off the pitch
unaided but was unable to
continue playing.
He is complaining of right
shoulder pain.
PMHx: previous meniscal tear
Shoulders look asymmetrical with
an obvious shoulder deformity on
the right side.
Tenderness to palpation and there
is a hard swelling anterior and
inferior to the glenoid fossa.
Reduced range of movement of
the shoulder in all directions both
actively and passively.
Anterior
Shoulder
Dislocation
ER
Relocation and Sling
36 y/o male had a seizure
lasting 5 minutes.
Presents complaining
of right shoulder pain.
PMHx: epilepsy.

Obvious asymmetry and deformity
to right shoulder. Arm is held in
adduction.
Palpation suggests the head of
the humerus is not in the correct
position.
movement in all directions,
especially external rotation.
Posterior
Shoulder
Dislocation
ER
Relocation and Sling
22 y/o male fell while skiing
at slow speed.
Landed on his right shoulder.
Now complaining of pain to
the shoulder.
PMHx: nil
No obvious deformity or
swelling to the right shoulder.
Tenderness over the distal

end of the clavicle.
Full range of movement but

pain on adduction and
internal rotation.
Grade 1
AC Joint
Disruption
Broad Arm Sling
31 y/o male fell heavily
onto right shoulder while
playing basketball.
Has presented
complaining of right
shoulder injury.
Obvious deformity to right
shoulder.
Tenderness at distal end of

clavicle with a palpable step.
Reduced and painful range

of movement especially in
flexion and adduction.
Grade 3
AC Joint
Disruption
Surgical Repair or Broad Arm Sling
(depends on orthopaedic opinion)
65 y/o woman is complaining
of right shoulder pain and is
unable to comb her hair.
Now pain has worsened and

she is unable to raise her arm.
PMHx: hypertension, diabetic.

No obvious deformity to right
shoulder.
Tenderness over lateral aspect
of shoulder.
Pain on abduction on passive
movement.
Limited active abduction.
1.1)
Rotator
Cuff Tear

Surgical Repair or Broad Arm Sling
(depends on orthopaedic opinion)
Rules:
1. Teams of 2-3 work best, but can be
played individually.
2. Match each patient to the correct

Exam Findings, X-ray, Diagnosis and
Management Plan (i.e. one card of
each colour, matched together).
3. Allow 30-45 minutes per game.


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Cards

He tripped and fell heavily

He states that he saved himself

PMHx: nil, usually fit and well.

‘Cards Against Orthopaedics’ (Version 1.2)

She tripped over her

Tenderness over the lateral

Pain and reduced range of

‘Cards Against Orthopaedics’ (Version 1.2)

‘Cards Against Orthopaedics’ (Version 1.2)

‘Cards Against Orthopaedics’ (Version 1.2)

‘Cards Against Orthopaedics’ (Version 1.2)

Tenderness over the distal

Full range of movement but

Tenderness at distal end of

Reduced and painful range

Now pain has worsened and

PMHx: hypertension, diabetic.

‘Cards Against Orthopaedics’ (Version 1.2)

‘Cards Against Orthopaedics’ (Version 1.2)

2. Match each patient to the correct

3. Allow 30-45 minutes per game.

‘Cards Against Orthopaedics’ (Version 1.2)

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