Blunt force trauma Flashcards
1
Q
What are intrinsic bone factors that affect fractures?
A
- young bone vs. old bone
- week trabecular bone
- weak inner table
1
Q
What is deformation?
A
in bending and out bending at impact site
2
Q
How does young bone fracture?
A
- elastic and rich in collagen
- incomplete fracture
3
Q
How does older bone fracture?
A
- brittle
- fail immediately/quickly at the extremities
4
Q
How does weak trabecular bone fracture?
A
- incomplete fracture
- failing toward bend but not completely through
- collapses trabecular structure underneath
5
Q
How does a weak inner table fracture?
A
- comminuted fracture
- in case of enlarged cortical bone that’s less dense, can cause comminuted fracture internally
6
Q
What is a radiating fracture line?
A
- kinetic energy radiating from centre point of impact create tensile forces
- size of fracture lines indicates strength of kinetic energy
- will taper off when kinetic energy lowers
- follow path of least resistance
- often create series of rectangular pieces pointing towards area of impact
7
Q
How can you determine the order of strikes from fracture lines?
A
- are they decreasing in severity?
- where do the radiating fracture lines stop –> could be pre-existing fracture
8
Q
What are buttresses?
A
areas of denser bone that redirect fracture lines
9
Q
What are the 4 cranial buttresses?
A
- Mid-frontal
- Mid- occipital
- Posterior temporal
- Anterior temporal
10
Q
What are hinge fractures?
A
- incomplete fracture on one side of a depression
- incomplete outward bend but complete inward bend
11
Q
What is wastage?
A
- cortical delamination
- removal of cortical bone exposing trabecular bone underneath
- flaking on the edge of a fracture
12
Q
What are the 3 facial buttressing?
A
- Alveolar ridge
- Malar eminences
- Naso-frontal processes
13
Q
What are the 3 fractures of the nasofrontal process?
A
Lefort 1, 2, 3
14
Q
What forces is the long bone most vulnerable to?
A
tensile forces