T4 Fractures Flashcards
A break in the continuity of a bone, an ephyseal plate or a cartilaginous joint surface is…
A fracture
Long bone bends causing failure on the convex side of bend first this happens with…
Transverse, oblique, and green stick fractures
An avulsion fracture is…
Tension failure from pull of ligament or muscle
Small crack in bone unaccustomed to repetitive/rhythmic stress is a…
Fatigue fracture or stress fracture
What are the signs and symptoms of a possible fracture?
- hx of a fall, direct blow, twisting injury, accident
- localized pain aggravated by movement
- muscle guarding w/ passive movement
- decreased function at the joint
- swelling, deformity, abnormal movement
- possible bruising
- sharp, localized tenderness at the site
Name and describe the general phases of healing following a fracture
- Inflammatory phase: hematoma formation, granulation tissue formation
- Reparative phase: soft and hard callous formation uniting the breach and ossification
- Remodelling phase: consolidation and remodelling of bone
In the stage of clinical union during the reparative phase…
- immobilization may no longer be required. Movement of the related joints is allowed, with caution, avoiding deforming forces at the site of the healing fracture.
In the stage of radiological union the bone is considered radiographically healed or consolidated when…
The temporary callus has been replaced by mature bone. The callus is reabsorbed and the bone returns to normal.
Generally what is the healing time of a fracture for
Children…
Adolescents…
Adults…
- 4-6 wks
- 6-8 wks
- 8-10 wks
A distal radius fracture resulting in a dinner fork deformity is called a…
Colle’s fracture
Fracture of the distal third of the shaft of the radius w/ a disruption to the distal radial ulnar jt is called a…
Gelazzi fracture
A break to the distal tibia and possibly fibula where the talus is shoved superiorly between the tibia and fibula is called a…
Pilon/plafond fracture
What is a pott’s fracture?
This is a general term for an ankle fracture affecting one or both malleoli but also often defined as being bi-malleolar
