Fracture (Imaging) Flashcards
What are 4 examples of abnormal stresses that can occur with/in fractures?
- stress
- pathologic
- periprosthetic
- bone graft
Bone Healing
- Callus: ___ bone heals via this process
- Creep Substitution: ___ bone heals via this process
- Osteoblastic activity: ___ bone heals via this process
- Cortical bone
- Cancellous bone
- Compressed bone
Which type of imaging is primarily used to evaluate MSK trauma?
Conventional Radiography
Alignment of Fractures
- ___ = fragments are not displaced
- ___ = fragments are no longer in anatomic position (described by relative displacements, such as medial, lateral, distracted, etc.)
- Non-displaced
- Displaced
When considering bone healing and setting as part of medical management for pediatrics, the clinican must be able to appreciate where the bone is going to ___, the distance form the ___ (closer is better), and the potential for bone ___.
- remodel
- growth plate (closer is better)
- bone length discrepancies
A clinician may choose to use ___ to save time by screening for abdominal, chest, and spine injuries at once.
Computed Tomography (CT)
What are the 5 types of fractures in the Salter-Harris Classificaiton for epiphyseal fractures (pediatrics)?
- Type I = straight across
- Type II = above (most common - 75%)
- Type III = below
- Type 4 = through
- Type 5 = eraser of growth plate (crush injury)
Types of Fractures:
- ___ = all cortices broken (2 fragments)
- ___ = cortices partially broken
- ___ = >2 fragments
- Complete
- Incomplete
- Comminuted
____ usually occur secondary to:
- Failure to order image
- Failure to recognize on image
- subtle fractures
Commonly Missed Fractures
Commonly Missed Fractures
- Spine
- C_/C_
- C_/C_
- ___ fracture (osteoporotic)
- LE
- Femoral Neck
- ___
- ___
- Talar Dome
- UE
- ____
- ____
- Spine
- C1/C2
- C8/C7
- Compression fracture
- LE
- femoral neck
- Patella
- Calcaneous
- Talar Dome
- UE
- scaphoid
- Radial head
Age, degree of local trauma, amount of bone loss, type of bone, how well immoblizied, infection, local malignancy, radiation necrosis, hormones, avascular necrosis, and local stress are all factors that can influence ___.
Rate of healing for bone
What are the 3 healing phases of bone?
- Inflammatory (acute)
- Reparative (sub-acute)
- remodeling (chronic)
In general, CT is primarily used to evualte __.
Complex anatomy
Closed fractures are often associated with which type of fracture?
Simple Fractures
In regards to fracture description, what category does the following fall under:
- impaction
- depression
- compression
- avulsion
Special features of fractures