Fractures

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3 Common Fractures: Comminuted, Spiral, and Greenstick

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  • Fractures

    1. 1. 3 Common Fractures
    2. 2. 3 Common Fractures
    3. 3. 3 Common Fractures
    4. 4. 3 Common Fractures
    5. 5. 3 Common Fracturesand what you need to know about them!By: Casey Bishop
    6. 6. Spiral Fractures
    7. 7. Spiral FracturesAKA a torsion fracture
    8. 8. Spiral FracturesAKA a torsion fractureResults from opposing torqueapplied along the axis of thebone and compression
    9. 9. 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)
    10. 10. 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
    11. 11. Spiral Fxs (Cont.)
    12. 12. Spiral Fxs (Cont.) Most common in the lower leg
    13. 13. Spiral Fxs (Cont.) Most common in the lower leg Very slow to heal, 6+ months
    14. 14. 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
    15. 15. 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
    16. 16. 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
    17. 17. Comminuted Fractures
    18. 18. Comminuted FracturesAKA multi-fragmentary fractures
    19. 19. Comminuted FracturesAKA multi-fragmentary fracturesFx in which bone is shattered orcrushed into many pieces
    20. 20. Comminuted FracturesAKA multi-fragmentary fracturesFx in which bone is shattered orcrushed into many piecesAt least three pieces to beconsidered comminuted
    21. 21. 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
    22. 22. 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
    23. 23. Comminuted Fxs (Cont.)
    24. 24. Comminuted Fxs (Cont.) High incidence of open fxs which leads to risk of infection
    25. 25. Comminuted Fxs (Cont.) High incidence of open fxs which leads to risk of infection Surgical repair and fixation of bones almost always necessary
    26. 26. 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:
    27. 27. 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
    28. 28. 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
    29. 29. 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
    30. 30. Greenstick Fractures
    31. 31. Greenstick Fractures AKA a torus fracture
    32. 32. Greenstick Fractures AKA a torus fracture Discovered by British- American orthopedist, John Insall, and Polish-American orthpedist, Michael Slupecki
    33. 33. 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
    34. 34. 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
    35. 35. Greenstick Fxs (Cont.)
    36. 36. Greenstick Fxs (Cont.)Three types
    37. 37. Greenstick Fxs (Cont.)Three types Bow (curves along longitudinal axis)
    38. 38. Greenstick Fxs (Cont.)Three types Bow (curves along longitudinal axis) Impaction (buckling fx)
    39. 39. Greenstick Fxs (Cont.)Three types Bow (curves along longitudinal axis) Impaction (buckling fx) Transverse (in the cortex of the bone)
    40. 40. 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

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