Fractures Flashcards
Fracture classifications
Classification: Factors that influence fracture tx.
Origin how did it happen: Stress, traumatic, pathological.
Anatomical location: base, midshaft, neck, or articular
Transverse fracture line
perpindicular to the long axis: straight across the bone .
Spiral fracture line
Not a straight line more diagonal: usually twisted
Oblique fracture line
Diagonal straight line.
Comminuted fracture line
Multiple fracture pieces (shattered)
Relationship of fragments: Closed
Less disruption of tissue
Relationship of fragments: open
surgical reduction worse outcome then closed
Relationship of fragments: complete vs. incomplete
If the bone completely fractures in half.
Incomplete has a better outcome.
Relationship of fragments: green stick
Usually w. kids “bows” the bone but it usually doesnt fully fracture.
Closed reduction
Cast or splint
Open reduction
ORIF: when closed techniques wont work: use kirschner (pin wires), interosseous screws, plates w/ screws.
Distraction reduction
External fixators distract the fracture site bones to re align on their own.
Healing range for fractures w/ infants
4-6 weeks
Healing range for fractures w/ adolescents
6-10 weeks
Healing range for fractures w/ adults
8 weeks and up
Interventions for acute fractures
Pendulums, edema control.
Cold to hot modalities.
One handed ADL’s
Distal AROM (take arm out of sling, AROM w/ elbow, wrist, & hand)
Interventions for fractures 3-4 weeks post injury
Gentle AAROM of the sh. no grater than 60 degrees of elevation.
Cane, towel on table, pullys.
Interventions for fractures 4-6 weeks post injury
Sh. AAROM, isometric scapular protraction/retraction
Interventions for fractures 8-10 weeks post injury
Stretching
Interventions for fractures 10-12 weeks post injury
Isotonics
