MSCT Week 2: Fractures Flashcards
Subluxation
Partial disruption of a joint
Dislocation
Complete disruption of a joint
Fracture
Break in bone continuity
Fracture dislocation
disruption of bone and disruption of a joint occurring simultaneously
Open vs closed fracture
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Fracture types
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Fracture types
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Displacement types
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Angulation types
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Intra-articular injury
extends into joint
Fracture risk factors
10 listed
- Decreased bone density and muscle mass
- Age
- Sex
- Vitamin D Deficiency
- Chronic medical conditions (endocrine, GI)
- Medications
- Poor Nutrition
- Lack of Physical Activity
- Tobacco Use
- Alcohol use
Examples of fracture line orientation
5 listed
- Transverse
- oblique
- spiral
- distracted
- impacted
pathologic fractures
occurs in abnormal bone
- tumor (benign or malignant)
- infection
- osteopenic
one view is …?
No view
Imaging of long bones
need at least 2 views
Imaging for joint
3 views needed for a joint
Identify injury
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Identify injury
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Identify
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Identify
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Identify
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Identify Injury
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DIsplacement
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Identify
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Identify
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Identify
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Identify
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Identify
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Identify
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Identify
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Distracted
Pulled apart fracture
impacted
bone smushes together
Characteristics to describe a fracture
6 listed
- Type
- Location
- Side
- Bone
- Displacement
- Angulation
Phases of bone Healing: Intermediate
Fracture/Hematoma
Phases of bone Healing: 48 hours
- Inflammatory cells arrive
Phases of bone Healing: 7-14 days
Granulation tissue forms between fragments, with vascularization of the hematoma
Radiographs - lucency and softening of fracture
Phases of bone Healing: 4-16 weeks
- Progenitor cells differentiate into fibroblasts and chondroblasts
- produce a matrix of fibrous tissue and cartilage, woven bone is deposited by osteoblasts
- Radiographs: callus
Phases of bone Healing: Months
Woven bone is replaced by lamellar bone
Phases of bone Healing: months to years
Remodeling
Bone Healing Complications: Delayed union
fracture healing takes 2x as long
Bone Healing Complications:Non-union (pseudoarthrosis
Fracture does not heal in 6-9 months
Bone Healing Complications: Malunion
Healing in an abnormal position
Identify complication
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Non-Union
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Identify complication
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Hardware complications
5 listed
- Loosening
- Peri-hardware fracture
- Hardware Fracture
- Infection
- Particle Disease
Identify Complication
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Identify Complication
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Identify Complication
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Identify Complication
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