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07 Fractures


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07 Fractures

  1. 1. Fractures Pages 192-193
  2. 2. Types of Fractures <ul><li>First classified as either closed or compound (open) </li></ul><ul><li>Open- bone is exposed to the outside by opening in skin </li></ul><ul><li>Closed- protected by uninjured skin </li></ul>Comminuted Spiral Oblique Transverse Greenstick Avulsion Compression Osteoporotic Fractures
  3. 3. Osteoporotic fracture <ul><li>Occurs because bones have weakened </li></ul><ul><li>Usually in older people (esp. women) </li></ul><ul><li>Most common in hips, wrists, pelvis </li></ul>
  4. 4. Compression Fracture <ul><li>Bones compress upon themselves </li></ul><ul><li>Especially in the spine </li></ul><ul><li>Often from high impact </li></ul><ul><li>Usually in the elderly </li></ul>
  5. 5. Avulsion fracture <ul><li>Small fragment of bone detaches </li></ul><ul><li>Ligaments/tendons pull the bone off </li></ul><ul><li>Usually in ankles, knees, and hands </li></ul>
  6. 6. Greenstick Fracture <ul><li>Children only </li></ul><ul><li>Partial break and bend in the bone </li></ul><ul><li>How a fresh twig would bend and splinter </li></ul>
  7. 7. Transverse Fracture <ul><li>Simple break cleanly across </li></ul>
  8. 8. Oblique Fracture <ul><li>Break is at an angle across the bone </li></ul><ul><li>If bones stay in place no setting is required </li></ul><ul><li>It hurts if they have to set it  </li></ul><ul><li>Sometimes misdiagnosed as a spiral fracture </li></ul>
  9. 9. Spiral Fracture <ul><li>Occurs when people fall on a limb in a twisting motion </li></ul><ul><li>Produces sharp triangular bone ends </li></ul><ul><li>Sometimes misdiagnosed as an oblique fracture </li></ul>
  10. 10. Comminuted Fracture <ul><li>Bones break into many pieces </li></ul><ul><li>Usually from a high energy trauma </li></ul><ul><li>Can shorten the length of the bone because of the crushing effect </li></ul>
  11. 11. Name that fracture!
  12. 16. Happened in a twisting motion