FRACTURES Flashcards
(39 cards)
FRACTURE
BREAK IN CONTINUATIY OF THE BONE
OVER 2 MILLION FX OCCUR OF THE LONG BONES: Ie: arm, humerus, radius, ulnar
TYPES OF FRACTURES
COMPLETE, INCOMPLETE.,PARTIAL OR FRAGMENTED
Etiology of Fractures
TRAUMA OR PATHOLOGICAL
TRAUMA FRACTURE
- Trauma (an injury or wound)
a. Direct Violence: FRACTURE AT SITE OF IMPACT. IE: FRACTURE WHERE CAR HIT
b. Indirect Violence: FRACTURE OCCURS AT ANOTHER SITE IE: HAND PUT OUT TO BREAK FALL…HAND DOESN’T BREAK BUT SHOULDER DOES
PATHOLOGICAL FRACTURE
(Spontaneous): IE:OSETOMALACIA, OSTEOPOROSIS FRACTURES OCCUR DUE TO BONE DISEASE
SIGNS AND SYMPTOMS OF FRACTURES
- LOSS OF MOVEMENT
- PAIN
- EDEMA
- ECCHYOMOSIS (BRUISE)
- HEMATOMA
TREATMENT OF FRACTURES
FIRST AID, REDUCE FRACTURE, DEBRIDEMENT, CASTING, BONE GRAFTING, ELECTRICAL STIMULATION, PHYSICAL THERAPY
- First aid OF TREATMENT OF FRACTURE
SPLINT/TX SHOCK
-ELEVATE
- Reduce fracture
DOCTOR REALIGNMENT OF BONE ..POSSIBLY POPPING JOPINT BACK INTO PLACE
CLOSED REDUCTION
to set (reduce) a broken bone without cutting the skin open IE:POPPING BACK INTO PLACE AND PUTTING CAST ON IT
OPEN REDUCTION
INTERNAL FIXATION:ORIF SURGICALLY PUTTING IT BACK INTO PLACE AND PUTTING CAST ON IT
DEBRIDEMENT
procedure for treating a wound in the skin. It involves thoroughly cleaning the wound and removing all hyperkeratotic (thickened skin or callus), infected, and nonviable (necrotic or dead) tissue, foreign debris, and residual material from dressings.
APPLICATION OF A CAST (CASTING)
(KEEP CAST DRY, CHECK FOR NUMBNESS, TINGLING, COLOR & TEMP OF FINGERS AND TOES) THE CASTS ARE USUALLY FIBERGLASS(CAN GET LIGHTLY WET AND USUALLY SMELL) OR PLASTER (CANNOT GET WET)
BONE GRAFTING
surgical procedure that uses transplanted bone to repair and rebuild diseased or damaged bones
IE: DENTAL IMPLANT
DISLOCATION
is a separation of two bones where they meet at a joint.
LIGAMENTS OVERSTRETCHED OR RIPPED
DISPLACEMENT
process of removing something from its usual or proper place or the state resulting from this : dislocation the displacement of a knee joint.
Sprain
ACUTE INJURY, LIGAMENT EXTREMETIY IS MOVED OUT OF PLACE AND IT IS TORN OR STRETCHED
Subluxation
PARTIAL DISLOCATION D/T TRAUMA
Bone becomes misaligned when compared to the bones located above it and below it
BONE HEALING - DIVIDED INTO 3 PHASES
Inflammatory: HEMATOMA FORMATION (PUDDLING OF BLOOD)
- Reparative: CALLUS FORMATION IE:BRUISING SWELLING
- Remodeling: OSTEOBLASTS&FIBROBLASTS FORM AND GIVE STRENGTH
FACTORS INFLUENCING BONE HEALING
TYPE OF BONE (LONG BONES HEAL QUICKER),AMOUNT OF TRAUMA, BONE LOSS, AGE. DELAYED UNION (HEALING TAKES LONGER)
,NON-UNION (DOESN’T HEAL)
CAUSES OF NON-UNION
INFECTION, CIRCULATORY IMPAIRMENT, SEPARATION OF BONE FRAGMENTS, LOSS OF BONE SUBSTANCES
MAL-UNION
HEALS BUT DOESN’T HEAL CORRECTLY, MAY HAVE TO BE REBROKEN AND SET AGAIN
INFECTION
OSTEOMYELTITIS:BONE INFECTION
CHONDO
RELATING TO CARTILAGE