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Deanna Shippee Fractures Ppt
 

Deanna Shippee Fractures Ppt

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Report on greenstick, impacted, and spiral fractures

Report on greenstick, impacted, and spiral fractures

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    Deanna Shippee Fractures Ppt Deanna Shippee Fractures Ppt Presentation Transcript

    • Fractures Deanna Shippee Chapter 4 Presentation
    • Fractures 101
      • A fracture is a break in a bone due to one of a variety of injuries
      • Types of fractures and names are determined by the way in which the bone breaks
      • Three types focused on in this presentation
        • Greenstick Fracture
        • Impacted Fracture
        • Spiral Fracture
    • Greenstick Fracture
      • Bone is flexible so it bends and does not break completely
        • Similar to fresh (“green”) wood
      • Usually occurs in infants and children
        • Bones have not completely calcified and are still pliable
      • Caused by a variety of activities in children but most often falling or receiving a blow to the forearm or shins
      • Prognosis: almost always heal but oftentimes some angular deformity remains
    • Greenstick Fracture
      • Symptoms
        • Pain
        • Swelling
        • Abnormally bent or twisted limb
        • Sometimes no symptoms
      • Tests/Treatment
        • X-rays will show fracture in bone
        • Closed reduction and traction (if necessary) used to straighten the bone
        • If closed reduction fails to adjust the bone correctly, open reduction may be employed
        • Limb is casted to immobilize and allow it to heal
    • Greenstick Fracture
    • Impacted Fracture
      • A fracture in which one of the bone fragments is driven into the cancellous bone of another fragment.
      • Caused most often by falls or collisions
        • Bone breaks into multiple fragments that block one another and are then impacted
        • Bone breaks at an strange angle which causes the insertion of broken ends into one another
      • Prognosis: bones will likely heal but the process may take longer and involve more future complications, depending on the severity of the impacted fracture
    • Impacted Fracture
      • Symptoms
        • Excruciating pain
        • Limited movement
        • Swelling and Bruising
        • Sometimes “cracking” noises upon movement
      • Tests and Treatment
        • X-rays, CT scans and MRIs can diagnose the extent of the fracture
        • Often open reduction and internal immobilization such as screws, pins and rods are necessary
    • Impacted Fracture
    • Spiral Fracture
      • Fracture line curves around the bone shaft
      • Also called a “torsion” fracture
      • Occurs when torque, twisting, is applied to the bone
        • Tension and compressive forces
        • ie: skiing accidents
          • Feet stationed in skis while body and legs twist during a fall
      • Prognosis: Bones will likely heal but require a longer healing time than other fracture types.
        • Complications depend on fragmentation of bone and location of the fracture
        • Nerve complications may arise
    • Spiral Fracture
      • Symptoms
        • Severe pain
        • Deformed limb
        • Swelling
      • Tests/Treatment
        • X-rays initially
          • If bone is fragmented CT and MRI testing is necessary to ensure no damage has been done to surrounding tissue
        • Usually open reduction and internal immobilization techniques are used
          • Rods and pins used to straighten bone and align bone splinters
    • Spiral Fracture