TYPES OF FRACTURE

Question 1

CLINICAL MANIFESTATION OF COLLE’s fx?

Answer 1

pain in immediate area of injury
pronounced swelling
dorsal displacement of the fragment

Question 2

major complication with colle’s?

Answer 2

vascular insufficiency secondary to edema

carpal tunnel- late complication

Question 3

clinical manifestation of humerus fx

Answer 3

displacement of the humerus shaft
shortened extremity
abnormal mobility and pain

Question 4

compl wt humerus fx

Answer 4

radial nerve injury

vascular injury to the brachial artery

Question 5

pelvis fx patho/severity

Answer 5

range benign to life threatening, depending on the severity of injury and is associated with vascular insult
highest mortality rate…

Question 6

intraabdominal injury associated with pelvis fx?

Answer 6

paralytic ileus
hemorrhage
laceration of the urethra, bladder or colon
late sign: sepsis, fes or thromboembolism leading to death

Question 7

pelvis fx are diagnosed by?

Answer 7

x-ray

ct scan

Question 8

collab tx:

Answer 8

depends on severity of the fx
Minor: limited intervention and early immobilization
Complex: pelvic traction for wks
ORIF if displaced: extreme care when handling the pt; only move the pt according with MD order and use a lift

Question 9

assessment of pelvis fx

Answer 9

bowel and urinary elimination

distal neurovascular: BECAUSE PELVIS FX CAN CAUSE DAMAGE TO OTHER ORGANS

Question 10

MOST COMMON TYPE OF FX AMONG OA AND ARE DUE TO WHAT?

Answer 10

HIP FX AND ARE DUE TO FALL

Question 11

WHAT ARE THE TWO TYPE OF HIP FX?

Answer 11

intracapsular (femoral neck)

extracapsular

Question 12

intracapsular occur as a result of?

Answer 12

osteoporosis or minor injury

Question 13

extracapsular occur…

Answer 13

outside the joint capsule and result from fall or direct trauma

Question 14

clinical manifestation of a hip fx

Answer 14

external rotation
muscle spasm
shortening of the affected extremity
severe pain and tenderness in the fx area

Question 15

displace femoral neck (intracapsular fx) complication

Answer 15

disruption of the blood supply to the femoral head, which can result in avascular necrosis of the femoral head

Question 16

post-op neurovascular assessment

Answer 16

1) color
2) temps
3) capillary refill
4) distal pulses
5) edema
6) sensation
7) motor function
8) pain

Question 17

s/s of prosthesis dislocation

Answer 17

sudden severe pain 
lump in the buttock, 
limb shortening
external rotation 
IF THIS OCCUR KEEP PT NPO FOR STAT SURGERY ANTICIPATION