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25 Cards in this Set

  • Front
  • Back
the reduction of fractures depends upon __
a reversal of the injuring forces
what do you check after you make sure the respiratory and cardio systems are assessed?
the neurovascular status of the limb distal to the injury
how can you demonstrate ligamentous injury with radiographs?
stress radiograph --> part of limb distal to joint is deviated away from the side of the ligament being tested.
the injection of dye into the spinal canal -->
myelography
what dye studies are useful after injury to the pelvis?
cystogram or urethrogram
what are scanograms?
serial radiographs used to determine growth rate
what are Technetium bone scans used for?
radio-nucleotide scans that reflect bone metabolism and circulation which can be used to elucidate an occult fracture (seen as "hot") or avascular necrosis (seen as "cold")
what are some markers of potential fat embolism?
fat in aspiration fluid
fat in urine or sputum
elevated serum lipase
lowered PO2 following fracture
what is a comminuted fracture?
fracture involving more than two fragments
what is a sprain?
partial tear of a ligament
what is a strain?
partial tear of muscle or tendon
after trauma, what is the general order of treatment priority?
Respiratory
Cardiovascular
Neurologic
Abdominal organs
Urologic
MSK
after initial assessment, the principles for preservation of life are ...
1. keep the airway patent
2. control bleeding
3. prevent motion of injured spine
4. splint injured extremities
5. transport gently and avoid unnecessary haste
what are the 4 R's of fracture therapy?
Recognition
Reduction
Retention
Rehab
what types of fractures is traction useful for reducing?
communited
the initial treatment of open fractures is __
devoted to the wound
wound less than 1 cm in length -->
type 1 open fracture
wound from 1-10 cm -->
type 2 open fracture
why does bone healing and remodeling happen quickly in kiddos?
they have more circulating GH
what type of deformity is least corrected by growth?
rotation injuries
what is delayed union?
union has NOT taken place after sufficient time
non-unions are characterized by __
diminished blood supply to the fracture site
what is the usual cause of malunion?
inaccurate reduction
ok, this is dumb, but see if you can name the 13 complications of fractures
1. non-union
2. delayed union
3. malunion
4. neurologic injury
5. vascular injury
6. growth disturbance
7. osteonecrosis
8. infection
9. tendon injury
10. myositis ossificans
11. post-traumatic arthritis
12. embolus (fat or blood)
13. Sudeck atrophy
what is Sudeck atrophy?
a vasomotor d/o assoc w/ intense pain and spotty osteoporosis which is usually relieved by resumption of normal activities.