Flashcards in Ortho Deck (88)
a fracture that is a break in one cortex
fracture through the bone horizontally
Fracture runs at an oblique angle to the long axis of the bone
Wraps in a spiral fashion along the long axis of the bone
classic is a toddler's fracture (tibia)
a spiral fracture in a femur in child that isn't weight bearing is.....
a fracture that is in pieces
a distinct segment is "broken out"
Bone is pulled off by ligament or tendon
common in runners
Bone fragments driven into one another
common in elderly
injuries in or through the growth plates
SH fracture physis + metaphysis
SH fracture through physis
SH fracture through metaphysis, physis and epiphysis
SH fracture through physis + epiphysis
_________ is more susceptible to injury than ligaments in children
SH type with impaction of physeal plate
what does SALTER stand for?
Separated (through physis)
Above (the physis)
Lower (than the physis)
Thru (the physis)
ER- Everything is ruined
Two ends of the fracture or not separated from each other
fracture where Bone ends are separated
fracture near a joint imprant
how long can ischemic nerves survive?
4 hours w/o irreversible injury
(nerve death w/i 8 hours)
settings for compartment syndrome?
dislocations (especially knee)
what are the 5 Ps of compartment syndrome
what is the most sensitive test for compartment syndrome?
passive stretch of the muscle w/i the compartment
patient should be in extreme pain
what are late findings of compartment syndrome
what drugs can cause compartment syndrome in a relatively underwhelming fracture?
(plavix, coumadin, xarelto, ASA, etc)
what do you need to monitor head injury patients for?
what is the first sign of DIC
H&H good then plummets
Tx for compartment syndrome
excision of necrotic tissue