Radiologic "Clinical Decision Rules" and Evaluation of Fractures Flashcards
What are CDRs?
decision making guides
How are CDRs used?
questions asked and/or findings noted that help decide whether imaging is necessary or appropriate in trauma injury AND/OR
which imaging modality to use/choose
What can CDRs help avoid?
time
expense/cost
radiation exposure
What are some examples of CDR’s?
Pittsburgh Decision Rules Ottawa Knee Rules Ottawa Ankle and Foot rules Canadian C-spine rules NEXUS criteria
Are PT’s suppose to diagnose fracture?
no
What do PT’s need to understand about fracture?
terms, concepts and principles to begin to consider implications of trauma, fracture, healing and hardware on patient prognosis/recovery
This term is defined as a break in the structural continuity of bone or cartilage
fracture
What are the two categories of fractures?
closed
open
This type of fracture is where the skin has not been broken (tenting of skin is still closed)
closed
This type of fracture is where the skin has been broken no matter how small an opening
open
How are fractures described on film/reports?
site and extent type alignment direction of fracture line special features associated abnormalities abnormal stress/pathological process special considerations in children
This site of fracture is described as a fracture inside the joint capsule
a. intra articular
b. extra articular
c. proximal end
d. distal end
intra articular
This site of fracture is described as a fracture outside the joint capsule
a. intra articular
b. extra articular
c. proximal end
d. distal end
extra articular
What are two types of fractures?
complete
incomplete
This type of fracture is when there are 3 or more fragment pieces
a. complete
b. comminuted
c. incomplete
d. open
comminuted
This type of fracture is when the fracture doesn’t extend all the way through
a. complete
b. comminuted
c. incomplete
d. open
incomplete
This type of fracture is when the fracture extends through both sides of cortical bone
a. complete
b. comminuted
c. incomplete
d. open
complete
What terms define the alignment of fracture?
defined
position
displacement
angulation
This term describes the relationship of longitudinal axis of one fragment to the other, in tandem or parallel
a. defined
b. position
c. displacement
d. angulation
defined