C15: Notes Flashcards
the displacement of a bone that is no longer in contact with its normal articulation
dislocation
a serious injury or shock to the body, often requiring modifications that may include variations in positioning, minimal movement of the body part, and so on
trauma
as with fractures, dislocations should be imaged
in two planes, 90 degrees to each other to demonstrate the degree of displacement
a traumatic partial dislocation of the radial head of a child
nursemaid elbow (or jerked elbow)
what causes a nursemaid elbow?
a hard pull on the hand and wrist of a child by an adult
a forced wrenching or twisting of a joint resulting in a partial rupture or tearing of supporting ligaments, without dislocation
sprain
what may result from a sprain?
severe damage to associated blood vessels, tendons, ligaments, and/or nerves
what frequently accompanies a severe sprain?
severe swelling and discoloration caused by hemorrhage of ruptured blood vessels
a bruise type of injury with a possible avulsion fracture
contusion
a disruption of bone caused by mechanical forces applied either directly to the bone or transmitted along the shaft of the bone
fracture (fx)
a fracture is aligned if
the long axes of the bone remain parallel to each other
apposition describes
how the fragmented ends of the bone make contact with each other
how many types of apposition are there?
three
what are the three types of apposition?
anatomic apposition, lack of apposition (distraction), Bayonet apposition
anatomic alignment of ends of fractured bone fragments, wherin the ends of the fragments make end-to-end contact
anatomic apposition
partial dislocation
subluxation
the ends of fragments are aligned but pulled apart and are not making contact with each other
lack of apposition (distraction)
the fracture fragments overlap and the shafts make contact, but not at the fracture ends
Bayonet apposition
loss of alignment of the fracture
angulation
the direction of the angulation is termed what
apex
the apex is opposite in relation to
the distal part of the fracture fragments
the direction or angle of the apex of the fracture, such as a medial or lateral apex, wherein the point or apex of the fracture points medially or laterally
apex angulation
the distal fragment ends are angled toward the midline of the body and the apex is pointed away from the midline
varus deformity
the distal fragment ends are angled away from the midline and the apex is pointed toward the midline
valgus deformity
a fracture in which the bone does not break through the skin
simple (closed) fracture
a fracture in which a portion of the bone (usually the fragmented end) protrudes through the skin
compound (open) fracture
fracture does not transverse through the entire bone (not broken into two pieces)
incomplete (partial) fracture
buckle of the cortex (outer portion of the bone) is characterized by localized expansion or torus of the cortex, possibly with little or no displacement, and no complete break in the cortex
torus fx (buckle fx)
fracture is on one side only; the cortex on one side of the bone is broken and the other side is bent; when the bone straightens, a faint fracture line in the cortex may be seen on one side of the bone, and a slight bulging or wrinkle-like defect is seen on the opposite side
greenstick fx (hickory or willow stick fx)
fracture is complete and includes the cross-section of bone (broken into two pieces)
complete fracture
fracture is transverse at a near right angle to the long axis of the bone
transverse fx
fracture passes through bone at an oblique angle
oblique fx
fracture where the bone has been twisted apart and the fracture spirals around the long axis
spiral fx
fracture where the bone is splintered or crushed at the site of impact, resulting in two or more fragments
comminuted fracture
a type of double fracture in which two fracture lines isolate a distinct segment of bone; the bone is broken into three pieces, with the middle fragment fractured at both ends
segmental fx
a comminuted fracture with two fragments on each side of a main, wedge-shaped separate fragment; it has some resemblance to the wings of a butterfly
butterfly fx
a comminuted fracture in which the bone is splintered into thin sharp fragments
splintered fx
one fracture is firmly driven into the other
impacted fracture
where do impacted fractures most commonly occur?
at distal or proximal ends of the femur, humerus, or radius
an intra-articular fracture of the distal radius often associated with dislocation or subluxation of the radiocarpal joint
Barton fracture
fracture of the distal phalanx caused by a ball striking the end of an extended finger; the distal interphalangeal (DIP) joint is partially flexed, and an avulsion fracture is frequently present at the posterior base of the distal phalanx
baseball (Mallet) fracture
longitudinal fracture which occurs at the base of the first metacarpal with the fracture line entering the carpometacarpal joint, generally includes a posterior dislocation or subluxation
Bennett fracture
fracture that usually involves the distal fifth metacarpal, with an apex posterior angulation best demonstrated on the lateral view
boxer fracture
what fracture results from punching someone or something
boxer fracture
fracture of the wrist in which the distal radius is fractured with the distal fragment displaced posteriorly
Colles fracture
what fracture may result from a forward fall on an outstretched arm?
Colles fracture
a fracture of the wrist with the distal fragment of the radius displaced anteriorly rather than posteriorly
Smith (reverse Colles) fracture
what fracture commonly results from a backward fall on an outstretched arm
Smith (reverse Colles) fracture
fracture that occurs through the pedicles of the axis (C2), with or without displacement of C2 or C3
hangman fracture
an intra-articular fracture of the radial styloid process
Hutchinson (Chauffeur) fracture
fracture of the proximal half of the ulna, along with dislocation of the radial head
Monteggia fracture
a complete fracture of the distal fibula with major injury to the ankle joint, including ligament damage and frequent fracture of the distal tibia or medial malleolus
Pott’s fracture
fracture results from severe stress to a tendon or ligament in a joint region; a fragment of bone is separated or pulled away by the attached tendon or ligament
avulsion fracture
result from a direct blow to the orbit and/or maxilla and zygoma, create fractures to the orbital floor and lateral orbital margins
blowout and/or tripod fracture
fracture involving an isolated bone fragment (is not caused by tendon or ligament stress)
chip fractures
vertebral fracture caused by compression-type injury; the vertebral body collapses or is compressed
compression fracture
what fracture is most evident radiographically by a decreased vertical dimension of the anterior vertebral body
compression fracture
fracture of the skull where a fragment is depressed; appearance is similar to a Ping-Pong ball that has been pressed in by the finger
depressed fracture (or ping-pong fracture)
a fracture through the epiphyseal plate, the point of union of the epiphysis and shaft of a bone
epiphyseal fracture
what fracture is one of the most easily fractured sites in long bones of children?
epiphyseal fracture
fractures due to disease process within the bone
pathologic fracture
fracture where lines radiate from a central point of injury with a starlike pattern
stellate fracture
where does a stellate fracture usually occur? what is it often caused by?
patella; often caused by knees hitting the dashboard in a motor vehicle accident
a nontraumatic fracture in origin that results from repeated stress on a bone; are frequently difficult to demonstrate radiographically and may be visible only through subsequent callus formation at the fracture site or on a NM bone scan
stress or fatigue fracture
fracture of the ankle joint involves the medial and lateral malleoli as well as the posterior lip of the distal tibia
trimalleolar fracture
comminuted fracture of the distal phalynx may be caused by a crushing blow to the distal finger or thumb
tuft or Burst fracture
fracture fragments are realigned by manipulation and are immobilized by a cast or splint; is a nonsurgical procedure
closed reduction
for severe fractures with significant displacement or fragmentation, a surgical procedure is required; fracture site is exposed and screws, plates, or rods are installed as needed to maintain alignment of the bony fragments until new bone growth can take place
open reduction with internal fixation (ORIF)
anterior cruciate ligament
ACL
stiffening of a joint by operative means
arthrodesis
any disease that affects a joint
arthropathy
creation of an artificial joint to correct ankylosis
arthroplasty
a state of sterility; condition in which living pathogens are absent
asepsis