Skeletal Trauma Flashcards

1
Q

Nondisplaced fracture only visualized on ___ view

A

Oblique

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

The following is what imaging modality

A

CT

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

____ is the preferred modality for traumatically induced internal drangment of joints & soft tissues (including spinal cord & nerves)

A

MRI

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Entire circumference of the bone is disrupted = ____ fracture

A

Complete

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Involves only part of the cortex (seen MC in children or in smaller bones such as distal radius or ulna) = ____ fracture

A

Incomplete

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

This is an example of a ____ (complete/incomplete) fracture

A

Complete

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

This is an example of what kind of fracture

A

Incomplete - Greenstick (generally only occure in skeletally immature population)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

This is an example of what kind of fracture?

A

Incomplete - Torus (aka buckle, generally occurs in skeletally immature)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

This is an example of what kind of frature?

A

Incomplete - Stress

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

____ fractures are a result of tension and/or angular forces

A

Transverse

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

This is an example of a ____ fracture

A

Transverse

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

____ fractures are a result of compressive forces

A

Oblique

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

This is an example of ____ fracture

A

Oblique

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

____ fractures are a result of rotational forces

A

Spiral

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

The following is an example of ____ fracture

A

Spiral

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

More than two fragments = ____

Only two fracture fragments = ____

A

Comminuted

Non-comminuted

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

This is an example of ____ (comminuted/non-communited) fracture

A

Non-communited

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

This is an example of ____ (comminuted/non-communited) fracture

A

Communited

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

The degree of contact at the fracture site between the fragments = ____

A

Apposition

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Describe the apposition of the following image

A

Good

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Describe the apposition of the following image

A

No (poor) apposition - Distraction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Describe the apposition of the following image

A

No apposition - Bayonet

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Describe the angulation of the following image

A

Posterior angulation of the distal aspect of distal fragment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Describe the angulation of the following image

A

Lateral angulation of the distal aspect of the distal segment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

This is an example of what type of abnormal alignment

A

Rotation (external rotation of distal aspect)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

This is an example of what kind of fracture

A

Intra-articular

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

Used to describe Impaction fractures of EXTREMITIES

When a harder bone impacts a less dense bone & depresses the surface; common location is the tibial plateau

A

Depression

28
Q

Used to describe Impaction fractures in SPINE

Impaction of bone causes loss of height because of telescopnig trabelua; typically appears as incrased density (linear sclerosis) on radiographs

A

Compression

29
Q

This is an example of what kind of fracture

A

Depression

30
Q

This is an example of what kind of fracture

A

Compression

31
Q

Normal stress on abnormal bone = ___ fracture

A

Insufficiency

32
Q

Abnormal stress on normal bone = ____ fracture

A

Fatigue

33
Q

This is an example of a ____ (insufficiency/fatigue) stress fracture

A

Fatigue

34
Q

This is an example of a ____ (fatigue/insufficiency) stress fracture

A

Insufficiency

35
Q

When a bone is disrupted at a site of preexisting abnormality = ____ fracture

A

Pathologic

36
Q

This is an example of a ____ fracture

A

Pathologic

37
Q

This is an example of what type of fracture

A

Avulsion

38
Q

This is an example of what type of fracture

A

Avulsion

39
Q

Fracture that is not visualized on x-ray =

A

Occult

40
Q

Most common type of Salter-Harris Fractures (80%)

A

Type 2

41
Q

This is an example of what type of fracture

A

Salter-Harris Type 1

42
Q

This is an example of what type of fracture

A

Salter-Harris Type 1

43
Q

This is an example of what type of fracture

A

Salter-Harris Type 2

44
Q

This is an example of what type of fracture

A

Salter-Harris Type 3

45
Q

This is an example of what type of fracture

A

Salter-Harris Type 4

46
Q

What is shown in this MRI?

A

Bone Bruise

47
Q

What are the 3 phases of fracture healing?

A

Inflammatory

Reparative

Remodeling

48
Q

First stage of Inflammatory Respose - Hematoma & clot formation; granulation tissue

A

Cellular

49
Q

Second stage of Inflammatory Response - formation of vascular spindle leads to hyperemia, which leads to osteoclastic activity

A

Vascular

50
Q

Third stage of Inflammatory Response - callus formation begins, fracture becomes hazy/widens

A

Primary callus

51
Q

The three stages of the inflammatory phase last about

A

10 days each

52
Q

This is what phase of healing

A
53
Q

In the ____ phase, marrow cavity is restored, new bone laid down along lines of stress, unnecessary bone removed

A

Remodeling

54
Q

This is an example of what phase of healing

A
55
Q

Vascular injury

Fat emboli/thromboembolism

Compartment syndrome

Neurologic injury

These are examples of ____ complications of trauma

A

Immediate (within hours)

56
Q

This is an example of what complication of trauma

A

Vascular Injury (Immediate)

57
Q

This is an example of what complication of trauma

A

Delayed union (intermediate)

58
Q

This is an example of what complication of trauma

A

Complex Regional Pain Syndrome (Intermediate)

59
Q

This is an example of what complication of trauma

A

Heterotopic Ossification (Intermediate)

60
Q

Type of delayed complication of trauma that involves formation of joint like structures between fracture fragements w/ nonunion

A

Pseudoarthrosis

61
Q

Delayed complication of trauma where gracture has not united In 6-9 months

A

Nonunion

62
Q

Delayed complication where healing of fracture fragments occurs causing mechanical or cosmetic issues

A

Malunion

63
Q

This is an example of what complication of trauma

A

Nonunion

64
Q

This is an example of what complication of trauma

A

Pseudoarthrosis & Nonunion

65
Q

This is an example of what complication of trauma

A

Malunion

66
Q

Posterior Rib Fracture in children is an indication of

A

Non-accidental injury of childhood (child abuse)

67
Q

This x-ray indicates what fracture which has what indications

A

Metaphyseal corner fracture

Child abuse