Flashcards in MSK - Fractures Deck (12)
How do you describe a fracture?
Open or closed?
Types of fracture
Describe the deformity (angulation, displacement, rotation)
Types of fracture
How may fractures be managed?
•Initial management (analgesia, IV antibiotics, tetanus prophylaxis, )
•Immobilisation/ fixation (splints, plaster cast, Internal fixation, External fixation)
(8) Cx of fractures
- haemorrhage (expected blood loss depends on which bone is injured);
- compartment syndrome;
- injuries to adjacent structures (nerves and vessels);
- avascular necrosis (if there is loss of blood supply to a bony fragment (e.g. head of femur);
- complications related to healing of fracture (non-union, delayed union, malunion);
- complex regional pain syndrome;
- epiphyseal fusion (may occur in growth plate injuries in children)
Cx of management of fractures
− Infection of devices
− Complications of immobilisation
o DVT/ PE
o Respiratory tract: collapse; pneumonia
o Urinary tract infection
− Complications of surgery
Can you see scaphoid fractures on initial imaging?
Complication of osteoporosis in fractues
There may be bone loss with fractures in osteoporotic bones which leads to difficulty maintaining reduction
What does a fat-fluid level in a joint or a fat pad sign indicate?
A fat-fluid level in a joint or a fat-pad sign may indicate the presence of a fracture not seen on initial bone views
Posterior dislocation of the glenohumeral joint may be more likely missed on initial assessment because:
as it is associated with less obvious deformity on clinical examination and more subtle radiological abnormalities.
Anterior dislocation is more common
Suspicions of serious underlying cause in joint/limb pain
If worse or particularly severe at night should
If pain at rest.
What may mask signs of inflammation in infection?