fractures Flashcards

1
Q

what are the 3 basic classes of fracture

A
  • simple (closed)
  • compound (open)
  • pathological
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2
Q

7 types of fractures

A
  • traverse
  • linear
  • oblique non-displaced
  • oblique displaced
  • spiral
  • greenstick
  • comminuted
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3
Q

what is greenstick fracture

A
  • one side of the bone is fractures
  • most common in paeds
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4
Q

what is comminuted fracture

A

bone breaks in multiple places

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5
Q

intra-articular fracture

A
  • involving the joint surface
  • within the joint
  • can lead to early osteoarthritis
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6
Q

avulsion fracture

A

bone fragment pulled away at ligamentous attachment

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7
Q

growth plate fracture

A

involves physeal growth plate

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8
Q

salter-harris fracture

A
  • involves physis
  • slipped I
  • above II
  • lower III
  • through IV
  • E
  • rammed V
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9
Q

3 treatments of fractures

A
  • reduction
  • immobilisation
  • rehabilitation
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10
Q

reduction examples

A
  • closed manipulation
  • open reduction
  • mechanical traction
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11
Q

immobilisation examples

A
  • plaster of paris/ fibre glass
  • splints
  • screws, plates, pins, rods
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12
Q

4 stages of healing a fracture

A
  1. haematoma formation
  2. fibrocartilaginous tissue formation
  3. callus formation
  4. bone remodelling
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13
Q

describe haematoma formation

A
  • blood clot formed between bone ends after 6-8 hours after injury
  • near bone cells die because of poor blood circulation
  • swelling and inflammation
  • phagocytes and osteoclasts remove dead/ damaged tissue
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14
Q

describe fibrocartilaginous tissue formation

A
  • formed on fracture site surfaces and grows together
  • absorbed haematoma
  • occurs within 24 hours
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15
Q

describe callus formation

A
  • after 7 days osteogenic cells develop into osteoblasts to produce spongy bone trabeculae
  • joins living and dead fragments of bone
    -fibrocartilaginous tissue converted to spongy bone
  • bony callus formed
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16
Q

describe bone remodelling

A
  • dead portions of og fragments of broken bone absorbed by osteoclasts
  • spongy bone replaced by compact bone
  • surfaces form firm bone