Week 7 - Truama Flashcards
Trauma may include
Soft tissue and bone injuries
When assessing truama of soft tissue - don’t forget:
Tendons
Ligaments
Nerves
Blood vessels
Radiography for soft tissue injuries
US and MRI
Bone injuries - radiography modes
Plain radiography, bone scan, CT and MRI
Radiography vascular issues
Arteriography, duplex US
Truama radiography X-RAY
Generally begin with plain radiographs
Minimum examination is 2 radiographs - AP and lateral
Always consider imaging for both feet for comparison
Complete break
Breaks the bone into seperate pieces
Incomplete fracture
Bone Brocken I’m only 1 side of the bone
Bone will bend but no displacement
Avulsion fracture
Bone fragment is pulled away from its main body by soft tissue that is attached to it
Stress fracture
Tiny cracks in bone cause by repetitive force, often by overuse
Insufficiency fracture
Type of stress fracture which are the result of normal stresses on abnormal bone - commonly associated with osteoporosis and vit D deficiency
Pathological fracture
When force or impact ride cause the break, underlying disease/ infection causes break/ makes bone weak and predisposed to breaking
Open/compound fracture
Breaks the skin
Simple/closed fracture
Bone is Brocken but skin is intact
Communities fracture
More than 2 fragments which have separated
Bone is smashed into multiple pieces
Non-comminuted fracture
Where the fracture penetrates completely through the vine separating it into 2 fragments
Impactioj fracture
Bone is driven into itself due to compressive forces
Torus/buckle fracture
Incomplete fracture with buckling (overlapping) of the cortex
Uncommon
Chip fracture
Small chip of bone
Bone bruise
Type of traumatic injury
Less severe - blood and fluid build up at in and around injured bone
Resolve in 8-12 weeks but may be seen on imaging up to 1 year after injury
Difficult to distinguish between fracture line
Forceful impact during sports, accidents or a direct hit - MRI. To diagnose
Stable vs unstable fracture
Stable - won’t move during the healing process, requires a splint, depends on location
Unstable - potential to move during the healing process, all acute fracture tend to be unstable
