Musculoskeletal PowerPoint Flashcards
function of musciloskeletal
protecting vital organs, provie support, motion control, stores minerals and ca, source for red blood cell production
why do childrens bones break easier than adults
more porous and pliable
less dense
rapid bone growth facilitates
healing of fractures
growing pains (muscles are pulled)
ossifacation is nearly complete when born but end of long bones continue continues until
20
fractures are caused by
increase stress on the bone
fractures are more common in
children
treatment for closed fracture
castging
treatment for open fractures
surgery and casting
epiphysis
rounded end of a long bone at iste joint with adjacent bones
injuries to the epiphysis is classifed as
salter harris classification
SH fracture type 1
throgh the growth plate
- plate is undisturbed and heals with out disruption in growth
- straight across above growth plate
SH type 2
through the growth plate and metaphysis
- most common
- doseant affect growth plate
- no problem with growth
- stright across above growth plate until half way through then shoots up towards the shaft of the bone
what is mst common SH fracure
type 2
SH type 3
through the growth plate and epipysis
- less common
- serious threat to growth
- straight across the growth plate untl half way through then shoots down towards the end of the bone
SH type 4
crush injury of growth plate
- crush growth plate
- has cell death and growth can be arrested
what types of fractures are associated with abuse
spiral
- twisting
avulsion
- hit
impacted
- thrown
fractures associated wth abuse
postietiot rib fracture
skull fracture
any type of fracture in non ambulant child or a fracture that does not fit the story
5 P’s
pain and point of tenderness
pulse - distal to fracture site
pallor
parashesia - sesaion distal to the racture site
paralysis - movement distal to the fracture site
neurovasular assessment
cap refill
color
warmth
movement
sensation
reduction
realign misplaced bone
immobilization
allowing healing to occur
break the fall break
1 inch above wrist
ulna and radius
neonatla healing peroid
2-3 weeks
ealry childhood healing period
4 weeks
later childhood healing peroid
6-8 weeks
adolescence healing peroid
8-12 weeks
when is a plasd cast done
in ER
why is a plaster cast done in er
because its swollen leave on for 7-14 days to allow for swelling to go down
how long does a plaster cast take to dry and what do we educate about this
2 days
handle with palm of hand
should we have the extremity elevated or dependent
elevated
should you put anything in the cast
no
what to do if cast gets wet
use blow dryer on cool and low to dry ends
dont use heat
try to dry with towel first
complcaiton of casts
compartment syndroe