general principles of fractures Flashcards

1
Q

4 causes of fracture

A
  1. local trauma
  2. tranmitted force
  3. penetrating trauma
  4. pathological fracture
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2
Q

4 pathologies associated with fracture

A
  1. hemorage
  2. necrosis
  3. edema
  4. soft tissue injury
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3
Q

5 associated structues that could be injured

A
  1. nerve
  2. vessel
  3. viscera
  4. tendon
  5. muscles
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4
Q

3 things that fracture type depends on

A
  1. age
  2. energy
  3. direction
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5
Q

what is easier way to break long bone

A

twist

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6
Q

5 Sx of fracture

A
  1. pain
  2. loss of funt
  3. swelling
  4. discoloration
  5. possible neural def.
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7
Q

4 signs of fract.

A
  1. tenderness
  2. crepitus
  3. deformity
  4. reduced ROM
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8
Q

*5 ways to classifiy a fracture

A
  1. open/closed
  2. intra/extraartciular
  3. transverse, oblique, sprial
  4. epi, meta, diaphyseal
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9
Q

3 phases of heaing

A
  1. inflammation
  2. reparative
  3. remodelling
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10
Q

5 modifiers to fracture healing

A
  1. age
  2. initial trauma
  3. assoc. injuries
  4. treatment
  5. complications
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11
Q

what occurs in hematoma phase (inflammatory)

A
  • hematoma surrounds fracture
  • assoc. intramedullary hemo
  • necrosis of bone ends
  • inflamm.
  • days to weeks
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12
Q

what occurs in prolferative phase

A
  • new bone forms

- weeks to months

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13
Q

what occures in remodelling phase

A
  • initial bone woven
  • bone hypertrphies
  • trabecular formation and realignment
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14
Q

4 objective of treatment

A
  1. restore function!
  2. union
  3. avoid complications
  4. minimize deformity
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15
Q

3 principle of treatment

A
  1. reduction
  2. immobilization
  3. rehab
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