CHP 38: ORTHOPAEDIC TRAUMA Flashcards

1
Q

components of the axial skeleton

A

vertebral column, skull, ribs, and sternum

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2
Q

components of the appendicular skeleton

A

pectoral and pelvic girdles and upper/lower extremity bones

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3
Q

what does the shoulder girdle consist of

A

scapula and clavicle

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4
Q

what is a FOOSH

A

fall on outstretched hand

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5
Q

supination vs pronation

A

supination: palms up
pronation: palms down

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6
Q

where does most hand function come from

A

forearm muscles

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7
Q

what allows the foot to be positioned away from the body for balance and strength

A

thigh

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8
Q

what bone supports 90% of the upper body’s weight

A

tibia

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9
Q

when does skeletal injuries result

A

when tissues are impacted by forces that exceed tissues’ physiologic limitations

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10
Q

at what age do bones decrease in density

A

35y/o

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11
Q

when does bone density decrease in women

A

post menopause

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12
Q

what is a significant decrease in bone density called

A

osteoporosis

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13
Q

what is FRAX

A

fracture risk assessment tool used to evaluate pt’s 10-year probability of fracture

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14
Q

what type of injury is indirect force

A

falling from height and landing on feet, causing pelvic fractures

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15
Q

what is indirect injury

A

force strikes one region of body and is transferred to area away from point of impact

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16
Q

what do twisting injuries result in

A

fractures, sprains, and dislocations

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17
Q

what are fatigue fractures also called

A

stress fractures

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18
Q

what is a fracture

A

break in the continuity of a bone

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19
Q

what is new bone called

A

osteoid

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20
Q

3 ways a fracture may be classified

A

direction of fracture line, number of fractures on bone, or number of cortices (outer layers of bone) involved

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21
Q

open vs closed fracture

A

open: break in overlying skin allows fracture to communicate with outside environment

closed: skin over fracture site remains intact

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22
Q

what is a linear fracture

A

parallel to long axis of the bone

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23
Q

what is a transverse fracture

A

straight across bone at right angles

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24
Q

what is an oblique fracture

A

angled across the bone

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25
what is a spiral fracture
encircles the bone
26
what is an impacted fracture
end of one bone becomes wedged into another bone
27
what is a pathologic fracture
erosive destruction of bone or abnormal overgrowth of bone
28
what is a comminuted fracture
more than two fracture fragments in one area of the bone
29
what is a segmental fracture
more than two fracture fragments occurring in different parts of the bone
30
what is a complete fracture
break through both cortices
31
what is an incomplete fracture
break through one cortex
32
where do greenstick fractures usually occur
tibia or radius in children
33
what is a depression fracture
blunt trauma to a flat bone (skull) causing bone to be pushed inward
34
what fracture is caused by sudden jerking of a body part
avulsion fracture
35
what is the most reliable signs of a fracture
deformity
36
what is the primary symptom of a fracture
pain localized to fracture site
37
what is a "knocked-down shoulder" indicative of
clavicle fracture on the side to which the head is leaning
38
what is subluxation
partial dislocation of a joint
39
what is diastasis
ligaments holding two bones in fixed position are disrupted and the space between them increases
40
principal symptoms of dislocation
pain or feeling of pressure over involved joint and loss of motion
41
sprains vs strains
sprains: ligaments strains: muscle or tendon
42
what are the 6 P's of musculoskeletal assessment
pain, paralysis, paresthesia, pulselessness, pallor, pressure
43
general treatment of sprains and strains
RICES - rest, ice, compression, elevation, splinting
44
which fracture site has the highest potential for blood loss
pelvis
45
when to use ice for treating injuries
initial 48 hours
46
when should heat therapy be avoided in injuries
48-72 hours
47
what must be splinted for fractures
bone ends and the two adjacent joints
48
what must be splinted for dislocations
entire length of bone above and below dislocated joint
49
how far should the traction splint extend beyond the foot
6-10 inches
50
what is devascularization
loss of blood flow to body part when blood vessels are damaged from musculoskeletal injury
51
what is fascia
inelastic membrane surrounding groups of muscles
52
what is compartment syndrome
pressure too high in limb, preventing blood flow to that area, leading to muscle ischemia and death
53
first S/S of compartment syndrome
searing or burning pain to involved compartment out of proportion to the injury
54
what is Crush syndrome
prolonged compression force impairs muscle metabolism and circulation, causing tissues to become ischemic and necrotic, releases harmful products
55
what time frame do muscle cells begin to die from compression
4-6 hours
56
how is cytotoxicity caused
production of oxygen free radicals
57
typical finding in cytotoxicity
tea-colored urine
58
S/S of DVT
swelling of extremity, discomfort that worsened with use, warmth and erythema of extremity
59
fat embolism S/S
12-72 hours within injury - tachycardia, dyspnea, fever, petechiae, AMS
60