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Diagnostic Imaging

Trauma

QuestionAnswer
fracture that does not defect the skin Closed
fracture defect the skin Open
Fracture that involves the whole cortex Complete
Fracture that involves onyl parts of the fracture Incomplete
Fracture consist of one fragment Non-comminuted
Fracture that consist of two or more fragments Comminuted
Fracture that due to repetitive stress building up of microfractures Stress
What are the radiographic findings found in a stress fracture? 1. lucent and sclerotic regions 2. solid periosteal reaction when healing
A complete fracture through pathologic bone ,usually transverse in orientation. Pathological
Fracture due to compressive forces Impaction
Tearing of the bone by a tendinous or ligamentous pull Avulsion
Hemorrhage and edema associated with microfracutres Bone bruise
what is the most common bone to have a occult fracture? Scaphoid
List and describe the Salter harris physeal fracture classification. 1. physis only 2.physis with metaphysis fragment 3. physis with metaphysis and epiphyseal fragments 4. physis with epiphysis 5. impaction of the physis
what are the three phases of fracture healing 1. inflammatory 2. reparative 3. remodelling
what are the three stages of the inflammatory stage? 1.cellular- hematoma and clot formation.also inflammatory response and granulation tissue 2. vascular formation of the vascular spindles,leads to hyperemia which increases osteoclast activity. 3. 1 callus- callus formation. fracture line hazy and widens
what type of stage of the inflammatory phase is this; hematoma and clot formation,inflammatory response and granulation tissue Cellular stage
Describe the vascular stage in the inflammatory stage. formation of the vascular spindles that lead to hyperemia which increases osteoclastic activity.
Name this stage of the inflammatory stage; callus formation begins,fracture becomes hazy and widens. 1 callus
Describe the reparative phase of fracture healing. last for weeks, callus formation with sealing, bridging,buttressing and uniting.osteoid are replaced with mature bone.
Describe the remodelling phase of fracture healing. last for months or years, new bone is laid down along the line of stress,unnecessary bone is removed, marrow cavity is restored
What factors that may modify healing? 1. underlying conditions 2. location 3. patient age 4. type of injury
What are the immediate complications of trauma? 1. vascular injury 2.fat embolism/thromboembolism 3. compartment syndrome 4.neurologic damage
what are the intermediate complications of trauma? osteomyelitis,gangrene joint mice osteonecrosis disuse osteoporosis myositis ossificans
what are the delayed complications of trauma? DJD non-union growth disturbance pseudoarticulation mal-union
Created by: 775945047
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