description of fracture Flashcards
description of fracture
mechanism energy skin and soft tissues site (Radiological) shape (R) comminution (R) deformity (R) associated injuries
rules of 2 for trauma radiographs
2 views
2joints
2 bones
2 occasions
description
mechanism of injury
high or low energy
skin & soft tissues
CLOSED vs OPEN
open higher risk of infection
higher energy injury
Site
Side limb bone region articular involvement \: intra articular dislocation subluxation ligament avulsion epiphyseal
shape
transverseL usually due to direct trauma/blow
oblique (usually due to bending force)
spiral (always rotational force)
complex (combination of forces often causing comminution
comminution (fragmentation
none butterfly (3 part- large triangular fragment in oblique or spiral. comminuted segmental bone loss
deformity
displacement (% diameter of bone)
Angulation (degrees)
rotation
axial deformity
displacement
Ant/ pos/med/ lat
angulation
anterior/ pos/ varus/ valgus
possible composite displaceement
rotation
different diameters of bone
different orientation of joints
match or mismatch configuration
deformity
axial deformity
impaction
distraction
overlapping
Associated injuries
local neurovascular capillary filling sensation assosciated joint damage
Injury Patellar clavicular,scapular displaced thoracic spine spine fracture elbow
Missed/ associated injury Major thoracic injury, thoracic aortic rupture intraabdominal injury brachial artery injury & median ulnar nerve injury
femur fracture
posterior knee dislocation
knee dislocation or displaced tibial plateau fracture
calcaneal fracture
open fracture
femoral neck fracture
posterior hip dislocation
femoral fracture
posterior hip dislocation
popliteal artery and nerve injuries
spine injury or fracture
fracture-dislocation of hind foot
tibial plateau fracture
70% incidence of associated non-skeletal injury
