Week 3 Flashcards
What are the functions of the skeleton?
Support, levers for movement, protection, attachment, cell formation, mineral reserves
What can cause a fracture?
Large local force/blow or twisting motion
What are the two types of traumatic fractures?
Closed/simple
Open/compound
How can fractures be classified?
Fracture pattern, location on body and bone, type of displacement
What are the main seven types of fractures?
Greenstick, spiral, comminuted, transverse, compound, compression and avulsion
What age do the growth plates fuse?
16-21
What are the characteristics of an immature skeleton?
Lower mineralisation
Unfurled growth plates
More flexible skeleton
More likely to have avulsion or greenstick fractures
What is a bone stress injury?
Unable to withstand repetitive mechanical loading
What are the symptoms of a overuse bone injury?
Localised bone pain and tenderness.
What are the predisposing extrinsic fracture of an overuse injury?
Training errors: excessive volume, excessive intensity, rapid increase, sudden changes in type and faulty. Surfaces Shoes Environmental conditions Inadequate nutrition
What are the intrinsic predisposing factors of overuse injuries?
Malalignment, leg length discrepancy, muscle imbalance/weaknesses, lack of flexibility, sex/size/body composition
What are the signs of a stress fracture?
Localised pain or tenderness at site, occasional redness/swelling/warmth, periosteum thickening
What are the diagnostic features of a stress fracture?
Localised pain/swelling at site, history of recent change in activity, unclear x ray and abnormal appearance on CT/MRI
What are the steps of stage 1 management of a stress fracture?
Identifiy risk factors, activity modification, maintain conditioning and methods to accelerate tissue healing
What are the steps of stage 2 management of a stress fracture?
Progressive return training, antigravity training and technique modification