Fractures and Healing Flashcards

1
Q

What is a fracture

A

Breach in continuity of bone

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2
Q

When do fractures occur

A

Non physiological loads applied to normal bone

Physiological loads applied to abnormal bone

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3
Q

How to describe a fracture

A
Site 
Pattern 
Displacement 
Joint involvement 
Skin involvement
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4
Q

What does a transverse fracture look like

A

Bone in half

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5
Q

What does an oblique fracture look like

A

When a force at any angle other than a right angle occurs

Slanted across middle

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6
Q

What is a spiral fracture caused by

A

Result of extreme twisting force being exerted on a bone

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7
Q

Define intraarticular

A

Situated within , occurring within or administered by entry into a joint

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8
Q

Define extra Articular

A

Outside of or other than a joint

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9
Q

Stage one of fracture healing

A

Haemotoma formation
Traumatic rupture of blood vessels at fracture site
Bleeding —-> haemotoma formation
Reduced blood supply to bone cells , starving them of nutrients

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10
Q

Difference between simple and compound fracture

A

Simple , does not pierce the skin

Compound, pierces the skin

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11
Q

Stage 2 of fracture healing

A

Fibrocartilaginous callus formation
New capillaries grow at fracture site , supplying nutrients for repair
Dead tissues undergo phagocytosis
Connective tissues form a repair tissue splinting the bone

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12
Q

Step 3 of fracture healing

A

Osteoblasts and osteoclasts migrate to fracture site and divide
They replace soft fibrocartilage with spongy bone to form a hard callus
Forms a bulge at fracture site

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13
Q

Step 4 of fracture healing

A

Bone remodelling
Bony callus is remodelled in response to mechanical stress
New bone is stronger and more compact

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14
Q

What is a synarthroses joint

A

Immobile
Mostly fibrous
Between skull , sutures

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15
Q

What is a amphiarthroses joint

A

Slightly mobile
Mostly cartilaginous
Intervertebral discs , pubic symphysis

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16
Q

What is a diarthroses joint

A

Freely mobile
Mostly synovial
Hip, shoulder, elbow joint

17
Q

Fibrous membrane covering the outer surface of a bone is

A

Periosteum

18
Q

Local impact of fractures

A

Vessel and nerve damage
Compartment syndrome
Infection

19
Q

General early impacts of bone

A

Hypovolaemic shock

Fat embolism

20
Q

Late local complications of a fracture

A

Malunion
Non union
Avascular necrosis
Ischaemic contractures