Bone Fractures Overview
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Questions and Answers

What is the primary cause of most fractures?

  • Pathological diseases
  • Torsional stresses from sports
  • Direct blow or fall trauma (correct)
  • Fatigue from wear and tear
  • Which type of fracture can be caused by repeated minor trauma?

  • Complete fracture
  • Incomplete fracture
  • Pathological fracture
  • Stress fracture (correct)
  • In which situation can torsional stresses from certain sports lead to fractures?

  • Repetitive minor injuries
  • Pathological conditions (correct)
  • During wear and tear
  • Direct trauma
  • What may cause fractures in individuals with Osteoporosis?

    <p>Direct trauma</p> Signup and view all the answers

    How are fractures classified based on the direction or pattern of the fracture line?

    <p>By type</p> Signup and view all the answers

    An interruption/break in the continuity of the bone is known as a fracture (Fx) either complete or ______

    <p>incomplete</p> Signup and view all the answers

    Fractures occur when more stress is placed on the bone than it is able to ______

    <p>adsorb</p> Signup and view all the answers

    Most fractures are due to trauma either from a direct blow or ______

    <p>fall</p> Signup and view all the answers

    Torsional stresses from certain sports can cause fractures and repeated minor trauma may cause ______ fractures

    <p>stress</p> Signup and view all the answers

    Pathological diseases such as Osteoporosis and certain bone cancers may also result in ______

    <p>fractures</p> Signup and view all the answers

    What is the most common type of fracture?

    <p>Colle's fracture</p> Signup and view all the answers

    Which ligament is commonly affected in a Colle's fracture?

    <p>Ulna collateral ligament</p> Signup and view all the answers

    What deformity is associated with a Colle's fracture?

    <p>'Dinner fork' deformity</p> Signup and view all the answers

    What are the mechanisms of injury for a Colle's fracture?

    <p>Falling on an outstretched hand with forearm pronated</p> Signup and view all the answers

    What type of force can cause a Pott's fracture?

    <p>Vertical compression force</p> Signup and view all the answers

    What is the most common carpal bone to dislocate?

    <p>Lunate</p> Signup and view all the answers

    What is a common clinical sign of a scaphoid fracture?

    <p>Localized bony tenderness in the anatomic snuff box</p> Signup and view all the answers

    Why are scaphoid fractures difficult to detect on regular x-rays?

    <p>The scaphoid is small and may not show on regular x-rays</p> Signup and view all the answers

    What type of fracture occurs when the ends of bones break through the skin or into one of the body cavities?

    <p>Compound fracture</p> Signup and view all the answers

    What complication can arise from a scaphoid fracture due to the limited blood supply to the bone?

    <p>Avascular necrosis</p> Signup and view all the answers

    Which carpal bone is particularly prone to avascular necrosis following a fracture?

    <p>Scaphoid</p> Signup and view all the answers

    ______ fracture - bone is broken into 2 or more pieces

    <p>Complete</p> Signup and view all the answers

    ______ fracture - bones are bent/cracked

    <p>Incomplete</p> Signup and view all the answers

    ______- Difficult to keep together but when splinted heals more rapidly

    <p>Spiral</p> Signup and view all the answers

    ______- Difficult to keep together but when splinted heals more rapidly

    <p>Oblique</p> Signup and view all the answers

    ______ fracture- Stays in place after reduction, either by traction or surgery to bring surfaces closer together. Takes a long time to heal

    <p>Transverse</p> Signup and view all the answers

    What type of fracture is difficult to keep together but heals more rapidly when splinted?

    <p>Oblique</p> Signup and view all the answers

    Which type of fracture involves bones being bent or cracked?

    <p>Greenstick</p> Signup and view all the answers

    In which type of fracture do ligaments pull a portion of bone away from its attachment point?

    <p>Avulsion</p> Signup and view all the answers

    Which type of fracture involves fragments of articular cartilage being sheared off during dislocation or sprain?

    <p>Osteochondral</p> Signup and view all the answers

    What type of fracture is hard to heal because it often involves more than 2 unstable pieces?

    <p>Comminuted</p> Signup and view all the answers

    In Stage 1 of healing for fractures, a hematoma forms at the fracture site. A small portion of bone immediately adjacent to the fracture die back several millimeters and get reabsorbed. This stage is characterized by the formation of a ______

    <p>Hematoma</p> Signup and view all the answers

    Soft callus formation or splint from osteoblast occurs in Stage 3 of healing for fractures. Osteoclasts are present to clean up dead bone and debris. Fibrous immature bone or woven bone calcify and movement at the fractured ends decrease. Union at ends occur at 4 weeks. However, because bone is not mature it is unable to withstand stress. Fracture site is tender. At this stage, cast is removed in non-weight bearing limbs. This stage is known as ______ formation.

    <p>Soft callus</p> Signup and view all the answers

    Consolidation from immature woven bone changes to mature lamellar bone in Stage 4 of healing for fractures, which indicates complete repair. There is a thickened mass from the new bone and it varies in size. This stage is called ______.

    <p>Consolidation</p> Signup and view all the answers

    Remodeling of the outer surface and reshaping of marrow space occurs through osteoclastic and osteoblastic activity in Stage 5 of healing for fractures. The bone is strengthened and thickened along the lines of stress (Wolff's law). Surplus of bone formed during the healing process is gradually removed and eventually the bone structure appears very similar to the original. This process is known as ______.

    <p>Remodeling</p> Signup and view all the answers

    Cells osteoblast/preosteoblast in deep surfaces of the periosteum proliferate adjacent to the fracture site in Stage 2 of healing for fractures. As well, cells form endosteum in each fragment proliferates to form a fibrocartilaginous bridge between the two ends. Hematoma is gradually absorbed. This stage is characterized by subperiosteal and endosteal ______.

    <p>Proliferation</p> Signup and view all the answers

    In Stage 3 of healing for fractures, soft callus formation or splint from osteoblast occurs. Osteoclasts are present to clean up dead bone and debris. Fibrous immature bone or woven bone calcify and movement at the fractured ends decrease. Union at ends occur at 4 weeks. However, because bone is not mature it is unable to withstand stress. Fracture site is tender. At this stage, cast is removed in non-weight bearing limbs. This stage is known as ______ formation.

    <p>Soft callus</p> Signup and view all the answers

    What type of reduction may involve the use of weights or screws to relieve muscle spasm?

    <p>Reduction by traction</p> Signup and view all the answers

    In surgical methods of repairing fractures, what does open reduction involve dealing with to prevent complications?

    <p>Soft tissue structures</p> Signup and view all the answers

    Which method of fracture repair is used when alignment is poor and positions are lost with angulation?

    <p>Closed reduction</p> Signup and view all the answers

    What type of fractures stay in place after reduction, either by traction or surgery to bring surfaces closer together?

    <p>Delayed fractures</p> Signup and view all the answers

    What type of reduction may involve the use of intramedullary nails, plates and screws, or wiring?

    <p>Open reduction</p> Signup and view all the answers

    What type of fracture requires a functional brace after a period of traction?

    <p>Spiral fracture</p> Signup and view all the answers

    Which type of immobilization method allows the client to manually pump air to brace the lower limb?

    <p>Functional brace</p> Signup and view all the answers

    In what type of fracture is the frame adjusted to provide correct alignment and compression of fractured bone pieces?

    <p>Comminuted fracture</p> Signup and view all the answers

    Which type of fracture is caused by torsional stresses from certain sports activities?

    <p>Spiral fracture</p> Signup and view all the answers

    What immobilization method involves a pulley to maintain reduction in femur, tibia, and cervical spine injuries?

    <p>Prolonged traction</p> Signup and view all the answers

    Compartment Syndrome - swelling with edema, hematoma, or inflammation increases pressure in fascial compartment. Leads to cycle of decrease circulation (ischemia) of muscles in compartment then more edema to the point of muscle and nervous tissue necrosis within the compartment. Loose cast syndrome- cast too loose rubs on bony prominence causing skin abrasion. Skin necrosis can develop. Late (Few weeks to several to several years): Delayed union-bones do not unite in time frame due to inadequate circulation, excessive traction, infection, and insufficient splint. Can also angulate if stress is placed on it. Non-union-failure of bone to heal before consolidation process finishes; due to excessive traction, bone loss, bone/soft tissue infection. Mal-union-deformity occurs due to improper alignment of bone ends when fracture is reduced or displaced of ends in cast. Leads to altered biomechanics, which can further lead to tendonitis, bursitis, OA, and painful ROM. This process is known as ______.

    <p>remodeling</p> Signup and view all the answers

    In Stage 1 of healing for fractures, a hematoma forms at the fracture site. A small portion of bone immediately adjacent to the fracture die back several millimeters and get reabsorbed. This stage is characterized by the formation of a ______.

    <p>callus</p> Signup and view all the answers

    Soft callus formation or splint from osteoblast occurs in Stage 3 of healing for fractures. Osteoclasts are present to clean up dead bone and debris. Fibrous immature bone or woven bone calcify and movement at the fractured ends decrease. Union at ends occur at 4 weeks. However, because bone is not mature it is unable to withstand stress. Fracture site is tender. At this stage, cast is removed in non-weight bearing limbs. This stage is known as ______ formation.

    <p>union</p> Signup and view all the answers

    Consolidation from immature woven bone changes to mature lamellar bone in Stage 4 of healing for fractures, which indicates complete repair. There is a thickened mass from the new bone and it varies in size. This stage is called ______.

    <p>remodeling</p> Signup and view all the answers

    An interruption/break in the continuity of the bone is known as a fracture (Fx) either complete or ______.

    <p>incomplete</p> Signup and view all the answers

    Most fractures are due to trauma either from a direct blow or ______.

    <p>fall</p> Signup and view all the answers

    Which condition results from a lack of blood supply and can lead to bone death?

    <p>Avascular bone necrosis</p> Signup and view all the answers

    What is the primary cause of metal hardware inflammation in fractures according to the given text?

    <p>Release of metal ions</p> Signup and view all the answers

    Which complication arises when bone ends are too far apart during healing, resulting in a failure to join together?

    <p>Non-union</p> Signup and view all the answers

    What type of fractures may occur due to torsional stresses from certain sports activities?

    <p>Stress fractures</p> Signup and view all the answers

    In which stage of fracture healing does consolidation occur, indicating complete repair with strengthened bone?

    <p>Stage 4</p> Signup and view all the answers

    What is a common symptom immediately post fracture that may indicate a complication?

    <p>Reduced blood pressure</p> Signup and view all the answers

    Which sign immediately post fracture may suggest disuse atrophy as a potential long-term complication?

    <p>Abnormal movement</p> Signup and view all the answers

    What is a possible early complication post fixation/cast for a fracture besides pain and swelling?

    <p>Hypertonicity</p> Signup and view all the answers

    During the immediate post-fracture period, what might indicate fragility in the affected tissue for a patient?

    <p>Decreased strength</p> Signup and view all the answers

    Which symptom following post fixation could suggest the presence of surgical scars and adhesions as long-term complications?

    <p>Edema</p> Signup and view all the answers

    _______ fracture - bone is broken into 2 or more pieces

    <p>Comminuted</p> Signup and view all the answers

    What is the primary cause of most fractures? ______

    <p>Trauma</p> Signup and view all the answers

    Which ligament is commonly affected in a Colle's fracture?

    <p>Radiocarpal</p> Signup and view all the answers

    What is a common clinical sign of a scaphoid fracture?

    <p>Snuffbox tenderness</p> Signup and view all the answers

    ______- Difficult to keep together but when splinted heals more rapidly

    <p>Greenstick</p> Signup and view all the answers

    What is a precaution to take before using deep longitudinal techniques in patients?

    <p>Ensure the patient is fully healed</p> Signup and view all the answers

    When should onsite work be considered for patients with stress fractures?

    <p>If the fracture is not point tender</p> Signup and view all the answers

    What is a potential risk when applying overpressures before consolidation in fracture cases?

    <p>Delayed union</p> Signup and view all the answers

    Which situation warrants caution with passive stretching in patients recovering from fractures?

    <p>After full tissue and muscle health has been regained</p> Signup and view all the answers

    What is an essential consideration when using hot hydrotherapy in patients with metal implants, pins, or plates?

    <p>Ensuring local application without direct contact with the implants</p> Signup and view all the answers

    During the early stages after immobilization/cast off, what is a primary goal?

    <p>Address tissue health</p> Signup and view all the answers

    What is a goal during the later stages after immobilization/cast off?

    <p>Increase joint mobility</p> Signup and view all the answers

    In which stage of healing for fractures does consolidation occur, indicating complete repair?

    <p>Stage 4</p> Signup and view all the answers

    What occurs in Stage 3 of healing for fractures?

    <p>Movement at fractured ends decrease</p> Signup and view all the answers

    What is a common misconception about fractures according to the text?

    <p>Fractures heal faster if left untreated</p> Signup and view all the answers

    What is the purpose of applying heat to compensatory structures in the context of fracture treatment?

    <p>To improve circulation</p> Signup and view all the answers

    Why is Petrissage directly proximal to the cast recommended during fracture treatment?

    <p>To maintain circulation</p> Signup and view all the answers

    What is a potential consequence of continuing lymphatic drainage techniques distal to the fracture site?

    <p>Increased risk of infection</p> Signup and view all the answers

    Why should joint play techniques not be used on fractured bones before union occurs?

    <p>To prevent bone displacement</p> Signup and view all the answers

    Why should a therapist avoid traction on fractured bones before union according to the text?

    <p>To prevent soft tissue injury</p> Signup and view all the answers

    What is the purpose of maintaining circulation using light stroking, muscle squeezing, and vibrations in distal joints during fracture treatment?

    <p>To reduce swelling</p> Signup and view all the answers

    ______ fracture - bones are broken into 2 or more pieces

    <p>Comminuted</p> Signup and view all the answers

    What type of force can cause a Pott's fracture?

    <p>External rotation</p> Signup and view all the answers

    Which ligament is commonly affected in a Colle's fracture?

    <p>Radiocarpal</p> Signup and view all the answers

    In Stage 1 of healing for fractures, a hematoma forms at the fracture site. A small portion of bone immediately adjacent to the fracture die back several millimeters and get reabsorbed. This stage is characterized by the formation of a ______.

    <p>Fibrin meshwork</p> Signup and view all the answers

    Fractures occur when more stress is placed on the bone than it is able to ______

    <p>Withstand</p> Signup and view all the answers

    What is the purpose of maintaining circulation using light stroking, muscle squeezing, and vibrations in distal joints during fracture treatment?

    <p>To prevent stiffness</p> Signup and view all the answers

    Heat can be used immediately proximal to the cast to prevent congestion under the cast.

    <p>False</p> Signup and view all the answers

    In fracture treatment, Petrissage should be done directly proximal to the cast.

    <p>True</p> Signup and view all the answers

    Joint play grade 1 and 2 oscillations should be avoided on fractured bones before union occurs.

    <p>False</p> Signup and view all the answers

    Lymphatic drainage techniques should be continued distal to the fracture site to prevent congestion under the cast.

    <p>False</p> Signup and view all the answers

    Light isometric contractions should only be done on muscles adjacent and under the cast during fracture treatment.

    <p>False</p> Signup and view all the answers

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