Fractures
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3 Common Fractures: Comminuted, Spiral, and Greenstick

3 Common Fractures: Comminuted, Spiral, and Greenstick

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Fractures Fractures Presentation Transcript

  • 3 Common Fractures
  • 3 Common Fractures
  • 3 Common Fractures
  • 3 Common Fractures
  • 3 Common Fracturesand what you need to know about them!By: Casey Bishop
  • Spiral Fractures
  • Spiral FracturesAKA a torsion fracture
  • Spiral FracturesAKA a torsion fractureResults from opposing torqueapplied along the axis of thebone and compression
  • Spiral FracturesAKA a torsion fractureResults from opposing torqueapplied along the axis of thebone and compressionCommon sports injury orpossible sign of abuse inchildren (arm fxs, specifically)
  • Spiral FracturesAKA a torsion fractureResults from opposing torqueapplied along the axis of thebone and compressionCommon sports injury orpossible sign of abuse inchildren (arm fxs, specifically)Looks similar to obliquefractures until x-rays aretaken
  • Spiral Fxs (Cont.)
  • Spiral Fxs (Cont.) Most common in the lower leg
  • Spiral Fxs (Cont.) Most common in the lower leg Very slow to heal, 6+ months
  • Spiral Fxs (Cont.) Most common in the lower leg Very slow to heal, 6+ months Varied treatment depending upon: severity of injury number of bones affected
  • Spiral Fxs (Cont.) Most common in the lower leg Very slow to heal, 6+ months Varied treatment depending upon: severity of injury number of bones affected Surgical repair and fixation of bone is often needed
  • Spiral Fxs (Cont.) Most common in the lower leg Very slow to heal, 6+ months Varied treatment depending upon: severity of injury number of bones affected Surgical repair and fixation of bone is often needed Casts are also common
  • Comminuted Fractures
  • Comminuted FracturesAKA multi-fragmentary fractures
  • Comminuted FracturesAKA multi-fragmentary fracturesFx in which bone is shattered orcrushed into many pieces
  • Comminuted FracturesAKA multi-fragmentary fracturesFx in which bone is shattered orcrushed into many piecesAt least three pieces to beconsidered comminuted
  • Comminuted FracturesAKA multi-fragmentary fracturesFx in which bone is shattered orcrushed into many piecesAt least three pieces to beconsidered comminutedCommon amongst elderly patientsand as a pathological fx
  • Comminuted FracturesAKA multi-fragmentary fracturesFx in which bone is shattered orcrushed into many piecesAt least three pieces to beconsidered comminutedCommon amongst elderly patientsand as a pathological fxOsteogenesis imperfecta andcertain osteomas are commonpathological culprits
  • Comminuted Fxs (Cont.)
  • Comminuted Fxs (Cont.) High incidence of open fxs which leads to risk of infection
  • Comminuted Fxs (Cont.) High incidence of open fxs which leads to risk of infection Surgical repair and fixation of bones almost always necessary
  • Comminuted Fxs (Cont.) High incidence of open fxs which leads to risk of infection Surgical repair and fixation of bones almost always necessary Extremely long healing process (6+ months) that is heavily monitored by one’s physician due to many potential complications such as:
  • Comminuted Fxs (Cont.) High incidence of open fxs which leads to risk of infection Surgical repair and fixation of bones almost always necessary Extremely long healing process (6+ months) that is heavily monitored by one’s physician due to many potential complications such as: non-union of bone tissue
  • Comminuted Fxs (Cont.) High incidence of open fxs which leads to risk of infection Surgical repair and fixation of bones almost always necessary Extremely long healing process (6+ months) that is heavily monitored by one’s physician due to many potential complications such as: non-union of bone tissue vascular necrosis
  • Comminuted Fxs (Cont.) High incidence of open fxs which leads to risk of infection Surgical repair and fixation of bones almost always necessary Extremely long healing process (6+ months) that is heavily monitored by one’s physician due to many potential complications such as: non-union of bone tissue vascular necrosis compartment syndrome
  • Greenstick Fractures
  • Greenstick Fractures AKA a torus fracture
  • Greenstick Fractures AKA a torus fracture Discovered by British- American orthopedist, John Insall, and Polish-American orthpedist, Michael Slupecki
  • Greenstick Fractures AKA a torus fracture Discovered by British- American orthopedist, John Insall, and Polish-American orthpedist, Michael Slupecki Named for its resemblance to the behavior of green (or fresh) wood
  • Greenstick Fractures AKA a torus fracture Discovered by British- American orthopedist, John Insall, and Polish-American orthpedist, Michael Slupecki Named for its resemblance to the behavior of green (or fresh) wood Common among children, as their bones have not yet fully calcified
  • Greenstick Fxs (Cont.)
  • Greenstick Fxs (Cont.)Three types
  • Greenstick Fxs (Cont.)Three types Bow (curves along longitudinal axis)
  • Greenstick Fxs (Cont.)Three types Bow (curves along longitudinal axis) Impaction (buckling fx)
  • Greenstick Fxs (Cont.)Three types Bow (curves along longitudinal axis) Impaction (buckling fx) Transverse (in the cortex of the bone)
  • Greenstick Fxs (Cont.)Three types Bow (curves along longitudinal axis) Impaction (buckling fx) Transverse (in the cortex of the bone)Usually treated by casting orsplinting, though the fx is notalways noticeable