Class 3 Flashcards
Direct trauma fracture
break at point of impact
Indirect trauma fracture
break some distance from impact
Stress fracture
overuse
Pathology fracture
Pathologies weaken bone, more likely to fracture
Healing depends on
damage, movement, disease, age, overall health
Early complications occur within
few weeks
Acute compartment syndrome
fascial compartment swells — reduced circulation
Acute compartment syndrome results in
necrosis and gangrene
Bone infection early complication
fever, pain
Deep vein thrombosis
Blood clot in deep vein
Pressure sore
Ischemia over bony prominence
Late fracture complications occur
few weeks to years later
Delayed union
Bone taking longer to unite
Non-union
Failure of bone to heal
Malunion
Incorrect bone union
Avascular necrosis
Tissue death from lack of blood
Osteonecrosis
Avascular necrosis of bone
Bone healing stage 1
Inflammation forms fracture hematoma
Bone healing stage 2
Fibroblasts (CT cells) create soft callus
Bone healing stage 3
Replaces cartilage with bone
Bone healing stage 4
Remodeling. Osteoclasts shape bone
Fracture classification: Site
Where fracture occured
Complete fracture
broken 2 or more pieces
Incomplete fracture
bent/cracked
Compression
Bone crushed
Greenstick
children only. Bone bent
Stress/hairline fracture
Due to overuse. M/c tibia
Linear
Parallel to bone axis
Transverse fracture
Right angle to bone axis
Oblique fracture
diagonal to bone axis
Spiral fracture
part of bone twisted
Comminuted fracture
two or more fragments
Avulsion fracture
ligament pull portion of bone off
Undisplaced fragments
ends line up
Displaced fragments
do not line up
Closed fracture
skin intact
Open/compound fracture
end of bone thru skin
Galeazzi fracture
radial shaft fracture/ distal radioulnar dislocation
Monteggia fracture
proximal ulna head fracture/ head of radius dislocation
Colles fracture
Distal radius fracture/ distal fragment dorsal
Smiths fracture (reverse colles)
Distal radius fracture / distal fragment ventral
Bartons fracture
Intraarticular - distal radius / dislocation radiocarpal joint
Bennetts fracture
Prox. 1st metacarpal intra articular fracture
Rolando fracture
1st metacarpal communited intra-articular fracture
Boxers fracture
5th metacarpal fractureS
Salter-harris fracture
Fracture through growth plate
Potts fracture
To one or both malleoli
Jones fracture
5th metatarsal fracture
Maisonneuve Fracture
Spiral fracture prox 1/3 fibula
Toddlers fracture
spiral distal 1/3rd to 1/2 tibia fracture
Trimalleolar fracture
medial and lateral and distal posterior tibia
Blowout fracture
Eye orbit
Chance fracture
Spine due to hyperflexion
Linear fracture (skull)
m/c skull fracture
Depressed fracture
high velocity impact by small object
Jefferson fracture
anterior/posterior arches C1
teardrop fractures
vertebral body fracture
Clay shovelers fracture
Avulsion fracture of SP’s
Compression fracture
M/c lumbar fracture
Rib fracture
cause by trauma. 4-10 m/c broken
Flail chest
3+ ribs fracture in 2+ places