Fractures

Question 1

Fracture classifications

Answer 1

Classification: Factors that influence fracture tx.
Origin how did it happen: Stress, traumatic, pathological.
Anatomical location: base, midshaft, neck, or articular

Question 2

Transverse fracture line

Answer 2

perpindicular to the long axis: straight across the bone .

Question 3

Spiral fracture line

Answer 3

Not a straight line more diagonal: usually twisted

Question 4

Oblique fracture line

Answer 4

Diagonal straight line.

Question 5

Comminuted fracture line

Answer 5

Multiple fracture pieces (shattered)

Question 6

Relationship of fragments: Closed

Answer 6

Less disruption of tissue

Question 7

Relationship of fragments: open

Answer 7

surgical reduction worse outcome then closed

Question 8

Relationship of fragments: complete vs. incomplete

Answer 8

If the bone completely fractures in half.

Incomplete has a better outcome.

Question 9

Relationship of fragments: green stick

Answer 9

Usually w. kids “bows” the bone but it usually doesnt fully fracture.

Question 10

Closed reduction

Answer 10

Cast or splint

Question 11

Open reduction

Answer 11

ORIF: when closed techniques wont work: use kirschner (pin wires), interosseous screws, plates w/ screws.

Question 12

Distraction reduction

Answer 12

External fixators distract the fracture site bones to re align on their own.

Question 13

Healing range for fractures w/ infants

Answer 13

4-6 weeks

Question 14

Healing range for fractures w/ adolescents

Answer 14

6-10 weeks

Question 15

Healing range for fractures w/ adults

Answer 15

8 weeks and up

Question 16

Interventions for acute fractures

Answer 16

Pendulums, edema control.
Cold to hot modalities.
One handed ADL’s
Distal AROM (take arm out of sling, AROM w/ elbow, wrist, & hand)

Question 17

Interventions for fractures 3-4 weeks post injury

Answer 17

Gentle AAROM of the sh. no grater than 60 degrees of elevation.
Cane, towel on table, pullys.

Question 18

Interventions for fractures 4-6 weeks post injury

Answer 18

Sh. AAROM, isometric scapular protraction/retraction

Question 19

Interventions for fractures 8-10 weeks post injury

Answer 19

Stretching

Question 20

Interventions for fractures 10-12 weeks post injury

Answer 20

Isotonics