Exam 2 Pt. 1 Flashcards

1
Q

Transverse Fracture

A

run at right angles to the long axis

Usually direct blows or tensile forces

common in pathologic conditions

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2
Q

Oblique Fracture

A

45 degrees to the long axis

results from angulation or + compression

may have small transverse component

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3
Q

Spiral fracture

A

encircles shaft and is longer than oblique fx.

Results from torque and axial compression

ends are pointed like a pen

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4
Q

Apposition is

A

the relation of the bony fragments in relation of the distal fragment relative to the proximal

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5
Q

When the apposition does not match what do we call it?

A

offset

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6
Q

what is alignment

A

position of the distal fragment in relation to the proximal in the LONGITUDINAL axis

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7
Q

Rotation is most easily determined by

A

clinical evaluation over radiograph

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8
Q

Salter H 1

A

complete shear injury of the physis

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9
Q

Salter H 2

A

fracture through physis and metaphysis

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10
Q

Salter H 3

A

Fracture physis and epiphysis

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11
Q

Salter H 4

A

fracture of the physis, metaphysis, and epiphysis

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12
Q

Salter H 5

A

compression fracture of the physis

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13
Q

what is the MC Salter Harris

A

Type 2

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14
Q

Rates of fractures in males

A

highest rate in 2nd and 3rd decade then decrease by 45, then raises after 65yrs

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15
Q

rates of fractures of females

A

highest up to 20yrs and decreases to 45, where it begins to steadily increase

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16
Q

Foosh <5yrs

A

supracondylar fx

17
Q

Foosh 5-10yrs

A

transverse radial metaphysis fx

18
Q

Foosh 10-16yrs

A

epiphyseal seperation radius

19
Q

Foosh 16-35yrs

A

scaphoid or other carpal fx

20
Q

Foosh >40

A

Colles fx or ulna Fx

21
Q

Foosh >70

A

surgical neck humerous fx

22
Q

what is the weakest part of bone in 10-16yrs and in elderly

A

epiphyseal region

23
Q

2nd MC fx in elderly

A

proximal femur

24
Q

Infants rate of repair

A

rapid and complete union

4-6 weeks

25
Q

Adolescents rate of repair

A

less rapid and complete union

6-8 weeks

26
Q

Adults rate of repair

A

Slow union

10-12 weeks or 16-20

27
Q

Three phases of Healing

A
  1. inflammatory or Circulatory
  2. Reparative or Metabolic
  3. Remolding phase