Fractures Flashcards
_____ fracture: the presence of more than 1 fracture line & more than 2 bone fragments
Comminuted
_____ fracture: bone fragment telescopes into another bone fragment (long bone)
Impacted
_____ fracture: an incomplete break in the bone; common in children
Greenstick
Extent of fracture:
_____ fracture: fragments remain in alignment & position
Non displaced
Extent of fracture:
_____ fracture: bone ends are separated
Displaced
Extent of fracture:
_____ fracture: fragment displaced below the level of the bon surface; common in flat bones due to trauma
Depressed
Extent of fracture:
_____ fracture: Skin is penetrated or broken
Open (compound)
X-ray of fracture is taken from at least ___ angles
2
Immobilisation and repeat x-ray in ____weeks
1-2
Bone healing steps in the cortical (compact) bone
- cortical bone fracture: torn blood vessel in the ________
- ________
- resorption & bone deposition: living bone replaces ________
- ________: new bone formation at edges of _______
- remodeling: replacement of ________
- cortical bone fracture: torn blood vessel in the Haversian system
- clotting
- resorption & bone deposition: living bone replaces avascular bone
- callus formation: new bone formation at edges of periosteum
- remodeling: replacement of mature lamellar bone
Bone healing steps in the cancellous bone
- cancellous bone fracture: formation of ________
- ________ of bone at fracture site prevented
- resorption & bone deposition: living bone replaces ________
- primary woven bone: formed by ________ in the ________
- ________ bone: replaces woven bone
- cancellous bone fracture: formation of internal callus
- necrosis of bone at fracture site prevented
- resorption & bone deposition: living bone replaces avascular bone
- primary woven bone: formed by osteogenic cells in the trabeculae
- lamellar bone: replaces woven bone
External fixation: devices applied _______
temporarily
Factors of delayed union
- smoking
- immunocompromised
Delayed healing:
______: not healed by > 6 mnths aft a fracture
Nonunion
Delayed healing:
______: improper alignment of fracture fragments
Malunion
Delayed healing:
______: anywhr from 3-6mnths aft the fracture, bone pain & tenderness are continuously increasing beyond the expected healing period
Delayed union
Compartment syndrome:
- if tissue exceeds ________, blood vessels collapse impeding blood flow, leading to further ______ & ______
- if tissue exceeds intravascular pressure, blood vessels collapse impeding blood flow, leading to further hypoxia & oedema
Compartment syndrome:
eventual _______ of the soft tissue
eventual necrosis of the soft tissue
Treatment of compartment syndrome
emergent decompression
DVT & pulmonary embolism:
thrombosis forms in _________; clot fragments break loose, lodging in the _______
thrombosis forms in distal extremity; clot fragments break loose, lodging in the lungs
DVT & pulmonary embolism:
risks factors: __________________
multiple trauma, prolonged immobility
DVT & pulmonary embolism:
S&S
chest pain, dyspnoea and hypoxemia more than 5 days after a fracture
Treatment of DVT & pulmonary embolism
ventilatory support; anticoagulation
Fat emboli syndrome:
fat particles released from _______ into the blood steeam and lodge in _______
fat particles released from bone marrow into the blood stream and lodge in lung vasculature
Fat emboli syndrome manifestations
- SOB
- rapid breathing
- hypoxemia
- fine petechial rash (esp. on torso and back area)
- altered mental status
Treatment of Fat emboli syndrome
ventilatory support
_______: complete separation of joint articulating surfaces
dislocation
_______: partial separation of joint articulation surfaces
subluxation
Treatment of dislocation & subluxation
local soft-tissue trauma & healing
Manifestations of dislocation & subluxation
- ____
- alteration in the ________ in the joint
- change in ________
- loss of ________
- pain
- alteration in the normal contour in the joint
- change in extremity length
- loss of normal mobility
Peripheral vascular integrity (normal)-- colour: temp: capillary refill: tissue turgor (edema):
colour: pink
temp: warm
capillary refill: 1-2 secs
tissue turgor (edema): full
Peripheral vascular integrity (inadequate arterial supply)-- colour: temp: capillary refill: tissue turgor (edema):
colour: pale or white
temp: cool
capillary refill: >2secs
tissue turgor (edema): hollow or prunelike
Peripheral vascular integrity (inadequate venous return)-- colour: temp: capillary refill: tissue turgor (edema):
colour: blue, cyanotic, mottled
temp: hot
capillary refill: immediate
tissue turgor (edema): distended or tense
Is healing time faster in a compact or cancellous bone? Why?
Cancellous. Due to the rich blood supply.