Exam 2 - musculoskeletal Flashcards
osteoblasts
making new bones cells
osteoclast
remodeling and breaking down of bone
osteocytes
mature bone cells
Class I
determines if bone is partially or completely broken through
Class I: open
bone is no longer intact with itself
Class II: close
only a portion of the bone is no longer in union
Class II: open
including the involvement of muscle, tendon, ligaments, skin where all have been exposed and bone is protruding out of the skin
Class II: close
everything is contained; skin is not broken
Class III: linear/ transverse
across the shaft of the bone (best healing fractures because they are a complete break)
Class III: oblique
type of fracture that extends outside or twisted a little bit (“off to the side”)
Class III: comminuted
in 2+ fragments; usually cant see since they are in pieces (hard to fix)
Class III: spiral
like a corkscrew
Class III: greenstick
“cant break”
-barely splintered
Class IV: displaced
bone no longer in alignment with periosteum
Class IV: non-displaced
intact and bone somewhat in alignment
fracture hematoma
bleeding occurs as result of fracture
fracture hematoma duration
occurs at 72 hours after injury
granulation tissue
Basically it’s the process of new blood cells, fiberblast, and osteoblast going into the area
granulation duration
occurs 3-14 days after injury
callus formation
development of calcium, phosphorus, and magnesium thats necessary to repair bone and re-unionized
ossification
see development when bone starts forming together better in x-ray
ossification duration
3-6 weeks
consolidation
fragments diminished and see bone coming together
remodeling
having new bone growth delivered back and getting that bone stronger
remodeling duration
can take a full year to fully recover
what can you start offering mobility for remodeling?
after 6 months or after ossifications
nonunions
bone may heal but not at right place or at all
-requires surgery, antibiotics
malunion
bone has union but not in right place
angulations
bone heals in abnormal position
-requires physicians to break the bone and realign it
pseudoarthrosis
false joints