Fractures

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Various types of fractures and treament options.

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Fractures

  1. 1. FRACTURES
  2. 2. Compound Fracture <ul><li>Fracture in which the skin has been broken through to the fracture. </li></ul><ul><li>Also called an open fracture. </li></ul><ul><li>Because it is open there is a very significant risk of developing an infection around the fracture. </li></ul><ul><li>If an infection develops, there can be problems with bone healing. </li></ul>
  3. 3. Compound Fracture Click Image Below for Video
  4. 4. Compound Fracture - Treatments <ul><li>Compound fractures are generally treated with surgery to clean the site of the injury and stabilize the fracture. </li></ul><ul><li>Ice treatments may be used to reduce swelling, decrease inflammation, and diminish pain. </li></ul><ul><li>Prophylactic antibiotics will be used to fight infections. </li></ul>
  5. 5. Compound Fractures – Causes and Healing <ul><li>Compound Fractures are typically caused by high-energy injuries such as car crashes, falls, or sports injuries. </li></ul><ul><li>Compound fractures take longer to heal because of the extent of the injury to the bone and the surrounding soft-tissues. </li></ul><ul><li>Compound fractures also have a higher rate of complications including infection and non-union. </li></ul>
  6. 6. Greenstick Fracture <ul><li>Fracture in which there is an incomplete break; one side of the bone is broken and the other side is bent. </li></ul><ul><li>There are three basic forms of Greenstick Fractures: </li></ul><ul><ul><li>Transverse Fracture </li></ul></ul><ul><ul><li>Torus or Buckling Fracture. </li></ul></ul><ul><ul><li>Bow Fracture </li></ul></ul>
  7. 7. Greenstick Fracture
  8. 8. Greenstick Fracture - Treatments <ul><li>The standard treatment for a greenstick fracture is closed reduction and cast application. </li></ul><ul><li>Post operative traction may be utilized to straighten a resistant fracture. </li></ul><ul><li>Patient should elevate the cast above the level of the heart to reduce swelling and exercise the joints above and below to regain pre-surgery strength and mobility. </li></ul>
  9. 9. Greenstick Fractures – Causes and Healing <ul><li>Usually the result of one small fall or blow to one side of the body. </li></ul><ul><li>Commonly found in children due to their softer and more pliable bone structure. </li></ul><ul><li>Typically takes three or more weeks to heal depending on the severity of the fracture and rate at which the bone heals. </li></ul>
  10. 10. Compression Fracture <ul><li>Fracture involving loss of height of a vertebral body. </li></ul><ul><li>It may be the result of trauma, but in older persons, especially women, it may be caused by conditions such as osteoporosis. </li></ul><ul><li>Back pain is the most common symptom in compression fracture’s. </li></ul>
  11. 11. Compression Fracture Click Image Below for Video
  12. 12. Compression Fractures – Treatments <ul><li>Treatment is aimed at alleviating the pain, and preventing injuries in the future. </li></ul><ul><li>Treatment of Osteoporosis, if the patient has it. </li></ul><ul><li>Vertebroplasty can be done to restore the height of the bone and inject cement into the vetebra to stabilize the fracture and prevent further collapse. </li></ul>
  13. 13. Compression Fractures – Causes and Healing <ul><li>Patients who are involved in traumatic accidents. When a load placed on the vetebra exceeds it stability, it may collapse. </li></ul><ul><li>Patients with osteoporosis. As the bone thins out, it is less able to support a load. </li></ul><ul><li>Compression fractures tend to heal completely in about 8 to 12 weeks. </li></ul><ul><li>Patients who have had a compression fracture are more likely to have another one, so prevention of future fractures must be discussed. </li></ul>
  14. 14. Spiral Fracture <ul><li>Fracture in which the fracture line spirals around the shaft of the bone. </li></ul><ul><li>Can be caused by a twisting injury and is often slower to heal than other types of fractures. </li></ul><ul><li>Also called a torsion fracture. </li></ul><ul><li>Frequently associated with physical abuse. </li></ul>
  15. 15. Spiral Fracture
  16. 16. Spiral Fractures - Treatments <ul><li>Depending on the situation, the doctor may recommend surgery to pin the fracture, ensuring proper healing in the event of a severe break. </li></ul><ul><li>The limb may just be set in a cast to hold it still while the fracture heals. </li></ul>
  17. 17. Spiral Fractures – Causes and Healing <ul><li>Caused by a twisting force. </li></ul><ul><li>Common type of fracture seen in skiing accidents and physical abuse. </li></ul><ul><li>Healing can take months depending on the location of the fracture and the general health of the patient. </li></ul>

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