bone fractures Flashcards
compression and deceleration of high energy impact ?
oblique
• same bone broken twice- two different locations on the bone
o Very unstable
o Needs surgery
segmental fracture
twisting fracture?
spiral
high energy fracture, poor bone quality
comminuted
management of open fractures?
cover wound with dressing
broad spectrum IV antibiotics (co-amoxiclav)
ensure tetanus immunisation
early debridement in theatre
why do you get white bit of bone on x ray in crush?
bone is overlying each other
in a humeral shaft fracture, which vessels are at risk?
radial nerve and brachial artery
what is a nightstick fracture ?
direct blow to the ulna causing fracture (seen when someone raises arm to protect face) DIRECT TRAUMA TO THE ULNA WHILST IN DEFENSIVE STANCE)
what is ORIF
open reduction internal fixation
what is a monteggia fracture?
distal ulna fracture
proximal radial fracture (at elbow)
is a monteggia fracture stable/unstable?
unstable
management of monteggia franc?
ORIF
monteggiA and gelazZi which one is proximal bones affected
monteggiA - proximal
gelazZi - distal
MUGR
Monteggia is ulnar fracture and radial dislocation
gelazzi is radial fracture and ulnar dislocatin
management of colles?
plates and screws, manipulation, splintage
complication of collies fracture (tingling in midddle finger?
carpal tunnel