Describing a fracture

Question 1

What is needed for identification?

Answer 1

NAME, dob, chi

Question 2

What lse do we ned to check?

Answer 2

PLACE TAKE, DATE, SITE, OREINTation and side

Question 3

2ndry tumours, need to chekc what in the spine?

Answer 3

The pedicles in the spine -> they are often theh first thing to go , will present as “winking owl” appearance

Question 4

What soft tissue on the back?

Answer 4

Psoas major

Question 5

wHAT ARE THE RADIOLOGCAL FEATURES WE USE FOR DESCRIBING A FRACTURE?

Answer 5

Site, shape, comminution(broken in at least 2 places), deformity

Question 6

wHAT ARE THE RULES OF 2 FOR TRAUMA RDIOGRAPHS?

Answer 6

2 angles, 2 joimts (above and below), 2 bones (eg tib fib/radius ulnar), 2 occasinos eg scaphoid -> might only show up on an xray 7-14 days after the incident.

Question 7

dESCRIPTION OIF A FRACTURE - SITE WHAT DO WE NEED TO SPEAK ABOUT?

Answer 7

Where on the bone it is

Question 8

Sites of fractures on a femur

Answer 8

Subcapital (below the head)
transcervical (Acros the neck - in the middle of the neck)
Basal cervical (bottom of the neck)
intertrochanteric
subtrochanteric
proximal 1/3 shaft
middle 1/3 shaft
distal 1/3 shaft
supracondylar
intercondylar
condylar

Question 9

Shape: what are these due to?:
Transveres, oblique, spiral, complex

What doe a spiral fracturelook like?

Answer 9

Transverse - straight across -> direct blow to the side
Oblique -> bend, force at an angle
Spiral -> rotational fprce

Spiral fracture looks like a spiral lol, so like a spikey fairground ride you slide around and around down.

Question 10

Comminution meaning?

Answer 10

Multiple breats/fractures in a single bone (eg a straight clean fracture of tib and fib doesn’t have any comminution). Often the case in complex fractures

Question 11

What is a butterfly fragment?

Answer 11

A type of comminution when you get a butterfly triagle shape fracture completely off the bone.

Question 12

“Segmental fracture meniang”

Answer 12

When the bone is spilt into segments

Question 13

How what do we use to describe deformity? and how?

Answer 13

-DISPLACEMENT (% diameter of bone)
-ANGULATION (degrees)
-ROTATION (degrees)
-AXIAL DEFORMITY (cm)

(DARA)

Question 14

hOW DO WE DESCRIBE ANGULATION? vARUS/VALGUS MEANING?

Answer 14

Anterior, posterior, valgus (away from (abducted) think vulgar), and Varus = medially (towards)

Question 15

hoW DO WE DESCRIBE ROTATION? dO WE GET NMOST OF OUR FEEDBACK FROM THE XTRAY?

Answer 15

Internal vs external , look at the surrounding joints and which direction they are pointing! We can get most of this info from the clnical side of things

Question 16

hOW CAN WE SEE A ROTATIONANL FRACTURE?

Answer 16

Mix match of configuration, different diameters above/below, different orientation above/below

Question 17

cAN WE SEE THE DIFFERENCE IN BLOOD AND FAT IN FLUID?oPACITIES (bLACK BITS) CAN BE GAS -> COULD BE DUE TO WHATaVULSION MEANS WHAT?

Answer 17

yes! So you can see in fluid if there is a fluid line it could be the separation between oedema (water) and blood.

gAs -> could be due to bacteria

Avulsion = bone has broken away