Fractures Flashcards
ankle joint fracture that involves the medial and lateral malleoli as well as the posterior lip of the distal tibia
trimalleolar fx
+ 8-10 kV, + mAs 100%
lg plaster
the distal phalanx that is caused by a ball striking the end of an extended finger. The distal interphalangeal (or DIP) joint is partially flexed and usually accompanied by an avulsion fracture at the posterior base of the distal phalanx
baseball fx
(body of vertebra) decreased vertical dimension of ant. vertebral body
compression fx
transverse, obl., & spiral fx
3 major types of complete fx’s
obl. fx
fx thru bone at obl angle
segmental, butterfly, splintered fx
3 types of comminuted fx’s
twisting of a joint, a lot of swelling
sprain
Monteggia’s fx
(ulna) prox. 1/2 of ulna fxed w dislocated radial head
dist. radius fxed w dist. fragment displaced post.’ly
colles fx
fracture of the vertebrae that is caused by a compression-type injury. The vertebral body collapses; seen radiographically by a decreased vertical dimension of the anterior vertebral body
compression fx
very common long bone fracture in pediatric cases. Commonly diagnosed with the Salter-harris classification: Salter 1 to 5, with Salter 5 indicating the most complex as far as severity and reasonable indication of prognosis
epiphyseal fx
bone displaced from joint
dislocation/luxation
fx on 1 side only (ulna)
Greenstick/Hickory/Willow stick fx
skull fracture where a fragment is depressed
depressed fx
aka march fracture and nontraumatic in origin. It results from repeated stress on a bone, i.e. marching/running. Fractures from marching usually occur in the midshafts of metatarsals, and those from running usually occur in the distal shaft of the tibia
stress/fatigue fx
Torus/buckle fx
1 side of bone buckles upon itself w/o disrupting other side; usually bc kids have softer bones; no complete break in cortex
colles fx
dist. radius fxed w dist. fragment displaced post.’ly
open reduction w internal fixation
ORIF
(dist. phalynx) comminuted fx; from crushing blow to finger
tuft fx
blowout/tripod fx
fractures that result from a direct blow to the orbit and/ or maxilla and zygoma. Patient is left with fractures to the orbital floor and lateral orbital margins
impacted fx
1 fragment firmly driven into the other
1 fragment firmly driven into the other
impacted fx
ORIF
open reduction w internal fixation
smith’s (reverse colles) fx
dist. radius fragment displaced ant.’ly
subluxation
partial dislocation; post. displacement (usually C-spine)
3 types of comminuted fx’s
segmental, butterfly, splintered fx
fx thru bone at obl angle
obl. fx
compound (open) fx
goes thru skin
splintered fx
bone splintered into sharp thin fragments
dislocation/luxation
bone displaced from joint
trimalleolar fx
ankle joint fracture that involves the medial and lateral malleoli as well as the posterior lip of the distal tibia
bone twisted apart & spirals around the long axis
spiral fx
torus/buckle fx & Greenstick/hickory/willow stick fx
2 common types of incomplete (partial) fx
fracture that typically involves the distal fifth metacarpal. The lateral view usually shows an apical posterior angulation
boxer’s fx
hutchinson’s fx
intra-articular fracture of the radial styloid process
stellate fx
radiates from center to form star-like pattern; knee’s in dashboard during MVA
(ulna) prox. 1/2 of ulna fxed w dislocated radial head
Monteggia’s fx