Tractions

Question 1

4 purpose of tractions

Answer 1

▪ It aligns the ends of a fracture by pulling the limb into a straight position.
▪ It ends muscle spasm.
▪ It relieves pain.
▪ It takes the pressure off the bone ends by
relaxing the muscle.

Question 2

uses 5 to 7 pound weights attached to the skin to indirectly apply the necessary pulling force on the bone. If traction is temporary, or if only a light or discontinuous force is needed, then skin traction is the preferred treatment. Because the procedure is not invasive, it is usually performed in a hospital bed.

Answer 2

Skin traction

Question 3

Is accomplished by surgically inserting metal wires or pins thru distal bones to the # site or by anchoring metal tongs in the skull.

Answer 3

SKELETAL TRACTION:

Question 4

A traction bow is attached to wire or pin and traction force is applied .
● Used to reduce unstable fractures of long bones

Answer 4

SKELETAL TRACTION:

Question 5

CHECK THE FOUR P’S OF TRACTION MAINTENANCE:

Answer 5

▪ Pounds: Inspect traction setup. Is the correct weight in place?
▪ Pull: Is the direction of pull aligned with the long axis of affected bone?
▪ Pulleys: Is the rope gliding smoothly over pulley?
▪ Pressure: Are clamps and connections tight?

Question 6

Skeletal Traction Weight

Answer 6

25-40 pouns

Question 7

Skin traction weight

Answer 7

5-7 pounds

Question 8

SPORTS INJURIES

Common Overuse injuries:

Answer 8

Lower Extremities:
▪ Stress fractures (common in tarsal bones)
▪ Plantar fasciitis (damage of long ligament that
attaches to the sole of the heal bone)
▪ Shin splints (medial tibial area)
▪ Patellar tendinitis (jumper’s knee)
-Upper Extremities
▪ Tennis elbow
▪ Tendinitis (hand & wrist) -Strains & sprains
Rotator cuff tears
- Shoulder muscle injury
Anterior cruciate ligament injuries - Tear of ACL
Meniscal injuries

Question 9

Same day surgery.
Mostly preformed on knee and shoulder by use of a fibroptic arthoscope

Candidates for surgery are people who can flex their joint greater than fourty degrees and the joint is infection free.

Used for obtaining a Biopsy, assessing cartilage, removing loose bodies & trimming cartilage.

Infection is the major complication to arthroscopy.

Answer 9

ARTHROSCOPY

Question 10

The median nerve shares confined space with nine flexor tendons as it travels through the carpal tunnel. Any condition which reduces that space is likely to cause CTS due to compression of the vulnerable median nerve.

Answer 10

Carpal Tunnel Syndrome

Question 11

Any solution which relieves pressure on the nerve and promotes circulation in the microvascular neural blood supply is likely to “cure” CTS and relieve its attendant symptoms of pain, etc.

Answer 11

True

Question 12

A painless thickening of the connective tissue in the palmar hand that can lead to difficulty extending the digits. Causes include hand trauma and genetic predisposition.

Answer 12

DUPUYTREN’S CONTRACTURE

Question 13

Cord-like bands across the palm & thickening of the lines of the palm, and curling (contracture) of the 4th and 5th digits

Answer 13

DUPUYTREN’S CONTRACTURE

Question 14

• can be use conjunction with other forms of internal fixation
• use to treat fracture of small bones

Answer 14

Wires and Pins

Question 15

-extend along the bone and screwed in place
- may be left in the place or removed (in selected cases after
healing is complete.

Answer 15

Plate and Screw

Question 16

• held in place by screw until the fractures is heald. Maybe left in the bone after healing is completed.

Answer 16

Nails and Rods