Trauma Basics

Question 1

Apects to include when talking about a fx (9)

Answer 1

1. site
2-type (incomplete/complete)
3. Alignment (distal to prox)
4. Agulation
5. Rot
6.Special features( impaction, depression, compression)
7. Abnormalities (dislocation)
8.Closed/simple/commuted
9. Age

Question 2

How should u always end ur xray diagnosis

Answer 2

AGE, Oriantation, Location

Question 3

What is the dif between fatigue and insufficency fx

Answer 3

both incomplete type fxs

Fatigue- when pt is doing to much
Insufficiency- normal stresse

Question 4

Pedriatric type fxs

Answer 4

Torrus- compression forces cortexes out

Greenstick- bending of bone

Question 5

Impaction type fx and mc area

Answer 5

M/C in hip and prox humerus

-usually in metaphsis area

Question 6

what are some immediate complications of fx

Answer 6

• Arterial injury
• compartment syndromes
• Gas gangrene
• Fat embolism

Question 7

Intermediate complications of fx

Answer 7

• osteomyeliis
• hardware failure
• complex regional pain syndrome
• refracture
• myositis ossifacns
• delayed union

Question 8

Delayed complications of fx

Answer 8

• Osteonecrosis
• DJD
• Osteoperosis
• Non union
• Malunion

Question 9

5 types of salter harris fxs + mc

Answer 9

1- thru growth plate
2- thru physis + metaphysis (above) - mc 75%
3- thru physis + epiphysis (below)
4- thru metaphysis + epiphysis (transverse)
5- compression of physis

Question 10

3 stages of myostitis Ossificans

Answer 10

1 (pseudosacromera)- 30 days, metaplastic bone formation following injury

2 (differentiation)- 2-3m, peripheral organizations + increased calcium

3 (maturation)- either reabsorbs or furtehr organizes, periosteum develops