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37 Cards in this Set
- Front
- Back
A distruption of bone caused by mechanical forces applied either directly to the bone or transmitted along the shaft of the bone.
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Fractures
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*Radiolucent line crossing the bone & interrupting cortical margins.
*Radiopaque line or area due to overlapping bone fragments. |
Radiographic Manifestations
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What are secondary signs of fractures?
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Join Effusion
soft tissue swelling interruption of normal pattern of bony trabeculae |
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The presence or absence of pain or the ability to move the part are signs of an underlying fracture.
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False
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An extent of fracture that results in the discontinuity b/t 2 or more fragments
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Complete Fracture
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An extent of fracture that causes only partial discontinutity b/t fragments, leaving part of cortex in place.
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Incomplete fracture.
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runs at right angle to long axis; usually results from direct blow or pathology
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transverse fracture
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runs about 45 degrees to long axis; results from angulation force
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oblique fracture
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encircles shaft; caused by torsional force
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spiral fracture
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a position of fracture fragments that has no angulation or separation of fragments
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undisplaced
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a position of fracture fragments which bone fragments are seperated; described in relation of distal fragment in relation to proximal.
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displaced
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position of fracture fragments that indicates angular deformity b/t axes of major fragments.
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angulation
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number of fracture lines which describes when there are 2 or more fracture fragments
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comminuted
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number of fracture lines that consists of a segment of the shaft seperated by proximal and distal fracture lines.
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segmental
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integrity of overlying skin which describes when the skin is intact
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closed
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integrity of overlying skin that describes when the skin is disrupted; any type of wound over a fracture site, whether or not bone is produding.
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open/compound.
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a fracture that only occurs in children. the immature bone bends, but the cortex does not actually break.
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plastic fracture
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only occurs in children. the break in one side of the corex w/ opposite bent
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greenstick
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occurs only in children. the cortex folds down on itself
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torus/buckle
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occurs in children. has 5 diff classifications (Salter I-V) according to extent. danger of growth arrest.
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epiphyseal
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this fracture usually results from forces at both ends, pushing bone together. also usually occurs in spine of pos-menopausal women
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compression
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occurs at sites of repeated stresses, none of which alone could cause an effect.
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stress/fatigue
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usually occur near joints; small chip of bone breaks away when a joint is dislocated or may be the result of a tendon pulling a piece of bone away.
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avulsion
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occursed in diseased, weakened bones. force is usually not sufficient to cause effect in normal bone
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pathologic
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effects of distal radius w/ posterior angulation or displacement. very often there is an associated avulsion effects of ulnar syloid.
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colles'
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effects the 5th metacarpal w/ palmar (volar) angulation
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boxer's
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transverse effects base of 5th metatarsal
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jones
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effects of proximal 1/3 of ulna w/ anterior dislocation of radial head
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monteggia
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effects radial shaft with posterior dislocation of distal radioulnar joint
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galeazzi
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effects involving the malleoli; bi=medial and lateral; tri=medial, lateral, and posterior.
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bimalleolar-trimalleolar
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comminuted effects of atlas
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jefferson
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caused by acute hyperextension. effects arch of c2 (usually w/ subluxation).
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hangmans
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avulsion effects of spinous process of lower c or upper t vertebra
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clay shovelers
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caused by compressive force of seat belt. transverse of lumbar vetebra. associated w/ extensive interal injuries.
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seat belt.
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"slipped disc" or ruptured disc
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herniated nucleus pulposus (HNP)
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defect in pars interacularis
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spondylolysis
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displacement of a spondylolysis
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spondylolisthesis
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