Unit 6a: Fractures Flashcards

1
Q

Why might fractures, in general, be getting treated earlier when they could heal by themselves?

A

More cost effective (reduced hospital stay)

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2
Q

What are the 2 most important mechanical properties of bone?

A

Strength

Stiffness

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3
Q

What does ‘anisotropic’ mean?

A

A material has different properties depending on the direction it is loaded

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4
Q

What types of load are long bones most resistant to/

A

Strongest in compression
Then tension
Weakest in shear

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5
Q

What is the the location and mode of fracture determined by?

A

The geometry and structure of the bone
The loading mode
The laoding rate

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6
Q

In tension and compression what is the stiffness of a bone proportional to?

A

The cross sectional area of the bone

larger the area, stiffer the bone

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7
Q

What affects a bone’s mechanical behaviour in bending?

A

Cross-sectional area

Distribution of bone tissue around a neutral axis

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8
Q

What is the second moment of area?

A

A measure of the fficiency of a shape to resist bending

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9
Q

What is second moment of area also called?

A

Moment of inertia

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10
Q

What does a larger second moment of area indicate about a bone?

A

It is stronger and stifeer ``

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11
Q

Why do long bones have a high second moment of area for the amount of bone material and why is this beneficial?

A

Because much of the bone tissue is distributed at a distance from the neutral axis - means they are more resistant to bending

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12
Q

What factors affect bone strength and stiffness in torsional loading?

A

The cross-sectional area

Distribution of bone tissue around a neutral axis

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13
Q

What is the polar moment of inertia?

A

Th efficiency of a shape to resist torsional loads

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14
Q

Why does the proximal tibia have a higher polar moment of inertia than the distal tibia despite its smaller cross-sec area?

A

Much of the bone tissue is distributed away from the neutral axis

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15
Q

Where does torsional fracture of the tibia most commonly occur?

A

Distally

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16
Q

Would an accompanying fibula fracture under torsional load take place lower or higher than the tibia?

A

Higher (within proximal third) - weakest point

17
Q

What type of bone is found mid-diaphysis?

A

Cortical bone

18
Q

What type of bone makes up the metaphyses?

A

Cancellous bone

19
Q

Which type of bone is significantly weaker under axial compressive loading?

A

Cancellous bone

20
Q

Give 2 fractures of tibial fracture caused by the weakness of cancellous bone under axial compressive loading?

A

Supracondylar fracture

Tibial plateau fracture

21
Q

In adults, in pure bending which side of the bone will fail first and why?

A

Convex side (as bone is weaker in tension)

22
Q

In children, in pure bending which side of the bone will fail first?

A

Concave side

23
Q

What fracture pattern usually results from pure bending?

A

Transverse fracture pattern

24
Q

What fracture pattern results from pure compression?

A

Oblique

25
Q

What fracture pattern occurs when bending is superimposed on axial compression and why?

A

“Butterfly segment”

Bending causes transverse, compression causes oblique

Protruding oblique surface impacts the other surface

26
Q

What fracture pattern results from pure torsion?

A

Spiral fracture

27
Q

What angle is the fracture at compared to the axis about which the torque is applied?

A

45 degrees

28
Q

What causes the fracture line in a spiral fracture?

A

Failure of the bone in tension perpendicular to the crack

29
Q

Where do fractures occur in pure axial compression and why?

A

Close to or within the metaphyses - because cancellous bone is weaker than cortical bone

30
Q

What type of loading causes most long bone fractures?

A

Combination of more than one mode of loading

31
Q

How does loading rate affect bone strength?

A

Stronger at a higher loading rate

32
Q

How does the energy absorption capacity of bone compare when it is loaded to failure by impact compared to slowly?

A

Impact energy absorption can be twice as high as when it is loaded slowly

33
Q

What pattern is caused by high energy fractures?

A

Comminuted fracture with sever soft tissue damage

34
Q

What pattern is likely to be caused by a low energy fracture?

A

Spiral fracture

35
Q

What is a haematoma and why does it occur after fractures?

A

Collection of blood - occurs because broken bone and damaged soft tissues bleed and cause a build up of blood around the damaged area