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22 Cards in this Set

  • Front
  • Back

Classifications of bone fractures

Position of bone ends after fracture: nondisplaced/displaced;


Completeness of break: Complete/incomplete;


Whether skin is penetrated: open/closed;


Location of Fracture;


External Appearance;


Nature of Break

Major types of bone fractures

Comminuted, Compression, Spiral, Epiphyseal, Depressed, Greenstick

Comminuted

Bone fragments into three or more pieces

Compression

Bone is crushed

Spiral

Ragged break that occurs when excessive twisting forces are applied to a bone

Epiphyseal

Epiphysis separates from the diaphysis along the epiphyseal plate

Depression

Broken bone portion is pressed inward

Greenstick

Bone breaks incompletely;


Only one side of of the shaft breaks;


the other side bends;


similar to a green twig snapping

Stages of bone repair

1) Hematoma Forms


2)Fibrocartilaginous callus forms;


3) Bony callus forms;


4) Bone Remodeling Occurs

Exercise stimulates bone repair because

Mechanical stressor stimulates bone remodeling by adding mineral salts and collagen fiber deposits

Vitamin D

plays role in bone remodeling;


required for calcium intake from small intestine

Vitamin K

Supports mineralization and assists vitamin D with bone growth

Minerals

Magnesium and Flouride are important to structure and strength

Omega 3 fatty acids

Reduce inflammation, inflammation interferes with osteoblast functioning

Hormonal Controls

determine whether and when remodeling occurs according to changing calcium levels

Mechanical Stress

Determines where remodeling occurs

Growth Hormone

Most important in stimulating epiphyseal plate activity in infancy and childhood

Thyroid Hormone

Modulates activity of growth hormone;


Ensures proper proportions

Testosterone(Male) and Estrogen(Female) at puberty

Promote adolescent growth spurts;


End growth by inducing epiphyseal plate closure

Parathyroid Hormone

produced by PTH glands;


removes calcium from bone regardless of boe integrity

Calcitonin

Produced by parafollicular cells of thyroid gland;


in high doses lowers CA blood levels temporarily

Bone resorption

Osteoclast function:


They dig depressions or grooves as they break down the matrix;


They secrete lysomal enzymes that digest matrix and protons(H);


They phagocytize demineralized matrix and dead osteocytes;


Once resorption is complete they undergo apoptosis