clinical and basic science of trauma Flashcards
open fracture
any disruption in skin associated with fracture
comminuted fracture
Multiple fragments = higher energy of injury
Ligament injury
sprain
strain
Muscle injury (usually at musculotendinous junction
goals of fracture care
relieve pain
restore function
4 R’s of fracture treatment
- Recognition of the fracture
- Reduction of the fracture
- Retention of the fracture reduction
- Rehabilitation of the injured limb
external fixation pros and cons
Advantages: avoids site of injury, early patient mobilization, adjustable
Disadvantage: infection at pin sites
management of open fractures
Tetanus
IV antibiotics
Urgent operative debridement
fractures in children heal ___ rapidly
more
remodeling is more extensive the ____ the child
younger
remodeling is more extensive the close the injury is to the
physis
if ____ is injured, growth may cause deformity and limb length discrepancy
physis