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37 Cards in this Set

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