Bone Structure and Function Quiz
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Questions and Answers

Which process is NOT a function of bone tissue?

  • Blood formation by bone marrow
  • Mechanical support of body parts
  • Nerve signal transmission (correct)
  • Mineral reservoir
  • What type of bone provides the structure needed for weight-bearing?

  • Cancellous bone
  • Compact bone (correct)
  • Cartilaginous bone
  • Fibrous bone
  • Which type of fracture is characterized by multiple fragments?

  • Transverse fracture
  • Oblique fracture
  • Segmental fracture
  • Comminuted fracture (correct)
  • What primarily causes fracture displacement?

    <p>Force of injury (C)</p> Signup and view all the answers

    Which stage of fracture healing involves the formation of scar tissue?

    <p>Inflammation and granulation tissue formation (C)</p> Signup and view all the answers

    Which of the following fracture types is typically considered incomplete?

    <p>Greenstick fracture (D)</p> Signup and view all the answers

    What is the primary characteristic of a stress fracture?

    <p>Occurs due to repeated minor forces (A)</p> Signup and view all the answers

    Which type of bone is found primarily at the ends of long bones and in the vertebrae?

    <p>Cancellous bone (C)</p> Signup and view all the answers

    Which term describes a fracture where the bone is compressed, often seen in vertebrae?

    <p>Compression fracture (B)</p> Signup and view all the answers

    Pain and swelling are commonly associated with which injury?

    <p>Fracture (B)</p> Signup and view all the answers

    What is a critical step to perform when assessing a limb for fracture?

    <p>Check for neuro-vascular state distally. (C)</p> Signup and view all the answers

    What is the primary treatment method for a fractured clavicle?

    <p>Arm sling. (D)</p> Signup and view all the answers

    Which complication is commonly associated with a supracondylar fracture of the distal humerus?

    <p>Brachial artery injury. (A)</p> Signup and view all the answers

    What characterizes a Colles’ fracture?

    <p>Deformity resembling a dinner fork. (D)</p> Signup and view all the answers

    Which of the following is a local complication that can occur early after a fracture?

    <p>Compartment syndrome. (B)</p> Signup and view all the answers

    What is a common cause of a scaphoid fracture?

    <p>Falling on the wrist with an outstretched hand. (A)</p> Signup and view all the answers

    What general complication may arise from a fracture that involves severe blood loss?

    <p>Hypovolemia and shock. (D)</p> Signup and view all the answers

    What is the typical cause of a fracture of the neck of the femur?

    <p>Indirect trauma often from a fall in older adults. (B)</p> Signup and view all the answers

    What type of treatment method is indicated for closed reduction of a fracture?

    <p>Manipulation followed by casting or splinting. (A)</p> Signup and view all the answers

    Which of the following signs is associated with a fracture shaft of the humerus?

    <p>Loss of function associated with wrist drop. (C)</p> Signup and view all the answers

    Flashcards

    Bone Function: Mechanical

    Bone provides support, protection for organs, allows movement, and enables body growth.

    Bone Function: Biochemical

    Bones store minerals, maintain ion balance, and contribute to blood cell production in the marrow.

    Cortical Bone

    Dense bone found in the outer layer of bones, shaft of long bones, and joint surfaces. It provides strength and support.

    Cancellous Bone

    Spongy bone found inside the body of long bones, vertebrae, and ends of bones. It provides strength and lightweight structure.

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    Fracture Definition

    A complete or incomplete break in the continuity of a bone.

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    Fracture Mechanism: Direct Force

    A fracture caused by a direct impact to the bone.

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    Fracture Mechanism: Indirect Force

    A fracture caused by force applied to a different part of the body, resulting in a break in another location.

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    Incomplete Fracture

    A break in the bone that does not completely separate the bone into two pieces.

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    Complete Fracture

    A break in the bone that completely separates the bone into two or more pieces.

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    Fracture Displacement: Shift

    The bone pieces move apart laterally.

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    Fracture Assessment: Look

    Inspect the injured area for signs of swelling, deformity, bruising, or open wounds.

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    Fracture Assessment: Feel

    Palpate the injured area to check for tenderness, crepitus (a grating sound), and instability.

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    Fracture Assessment: Move

    Do not move the injured limb unless distal to the injury. Assess the neurovascular status of the limb.

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    General Treatment of Fracture

    General treatment includes pain management (analgesia), fluid and blood replacement if needed, and antibiotics to prevent infection.

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    Local Treatment of Fracture

    Local treatment includes reduction of the fracture (closed or open), immobilization (splint, traction, internal or external fixation), and exercises to promote healing and prevent complications.

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    Compartment Syndrome

    A serious condition where increased pressure within a muscle compartment restricts blood flow, leading to tissue damage.

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    Avascular Necrosis

    Death of bone tissue due to lack of blood supply, which can occur following a fracture, particularly at the neck of femur.

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    Clavicle Fracture

    A break in the collarbone, often caused by direct or indirect trauma. The medial segment is displaced upward, and the lateral segment is displaced downward.

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    Fracture Shaft of Humerus

    A break in the shaft of the humerus (upper arm bone), typically caused by direct trauma. Can lead to wrist drop due to radial nerve injury.

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    Colles' Fracture

    A fracture of the distal radius (forearm bone), commonly caused by falling on outstretched hand. The wrist appears deformed (dinner-fork deformity).

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    Study Notes

    Bone Structure and Function

    • Bone is a specialized connective tissue acting as the endoskeleton
    • Mechanical Functions:
      • Enables longitudinal growth of the body and extremities
      • Supports body parts
      • Protects vital soft tissues
      • Forms levers for muscle action and movement
    • Biochemical Functions:
      • Stores minerals
      • Maintains homeostasis of certain ions
    • Blood Formation:
      • Site of erythropoiesis (red blood cell production) in the bone marrow

    Types of Bones

    • Cortical (Compact) Bone:
      • Dense bone, providing support where needed
      • Forms the outer layer of all bones
      • Forms the shaft of tubular bones
      • Found on articular surfaces of bone ends
    • Cancellous (Spongy, Trabecular) Bone:
      • Forms the inner meshwork of all bones
      • Found at the ends of tubular bones
      • Found within the vertebral bodies

    Fractures: Definition and Mechanisms

    • A fracture is a break in the structural continuity of a bone.
    • Mechanisms of Injury:
      • Direct force: A force applied directly to the bone
      • Indirect force: A force applied elsewhere on the body
      • Combined force: A combination of direct and indirect forces
    • Types of Force:
      • Single strong force: Causes classical fractures
      • Repeated minor force: Causes stress fractures
      • Normal force of daily activities: May cause pathological fractures

    Types of Fractures (Incomplete)

    • Crack: A small break in the bone
    • Buckle fracture: Bone bends and the cortex buckles
    • Greenstick fracture: Partially broken bone, common in children
    • Compression (impacted) fracture: Bone is compressed

    Types of Fractures (Complete)

    • 2-fragment fracture: Bone breaks into two pieces
    • Transverse fracture: Break is at a right angle to the bone's long axis
    • Oblique fracture: Break at an angle to the bone's long axis
    • Spiral fracture: Break wraps around the bone's long axis
    • 3 or more fragment fracture: Bone breaks into 3 or more pieces, including butterfly, segmental, and comminuted fractures

    Fracture Displacement

    • Causes:
      • Same injury mechanism
      • Gravity
      • Pulling of attached muscles
    • Types:
      • Shift (translation)
      • Tilt (angulation)
      • Twist (rotation)
      • Length (shortening/lengthening)

    Fracture Healing Stages

    • Hematoma formation: Blood clot forms at the fracture site
    • Inflammation and granulation tissue formation: The body prepares for healing
    • Callus formation: Cartilage and bone form a bridge across the fracture
    • Consolidation: The callus is replaced by bone.
    • Remodeling: Bone is reshaped and strengthened over time

    Clinical Features of Fractures

    • History (symptoms): Pain, swelling, deformity, limitation of movement, loss of function, and bruising
    • Examination (signs): Look for swelling, deformity, bruising, wounds. Feel for tenderness and crepitation. Move the limb appropriately. Check neurovascular status distally

    Investigations

    • X-ray: Visualizes fractures
    • CT scan: Detailed view of fractures, and surrounding soft tissue

    Fracture Treatment

    • General Treatment: Analgesia, fluid replacement, antibiotics
    • Local Treatment: Reduction (closed or open), hold reduction (e.g., splint, traction, internal fixations, external fixations), exercises, and elevation

    Fracture Complications

    • General Complications: Hypovolemia, shock, DVT, PE, bedsores, UTI, and disuse atrophy
    • Early Complications: Vascular injury, nerve injury, visceral injury, compartment syndrome, hemarthrosis, infection, fracture blisters, pressure sores
    • Late Complications: Delayed union, nonunion, malunion, avascular necrosis, joint stiffness, heterotopic ossification, growth disturbances, nerve entrapment, reflex sympathetic dystrophy, osteoarthritis

    Common Fractures (Upper Limb)

    • Clavicle Fracture: Direct or indirect trauma, pain and swelling, medial/lateral segment displacement. Treatment: sling.
    • Humerus Shaft Fracture: Direct trauma, pain, swelling, deformity, potential radial nerve injury. Treatment: surgery.
    • Supracondylar Fracture of Distal Humerus: Indirect trauma, possible brachial artery injury. Treatment: surgery.
    • Colles' Fracture: Fall on the hand, pain, swelling, dinner fork deformity, potential median nerve injury. Treatment: manipulation and cast splint.
    • Scaphoid Fracture: Fall on the hand, pain, swelling, anatomical snuff box tenderness, potential avascular necrosis.

    Common Fractures (Lower Limb)

    • Neck of Femur Fracture: Indirect trauma, pain, inability to ambulate, potential avascular necrosis. Treatment: surgery
    • Shaft of Femur Fracture: Direct or indirect trauma, pain, swelling, loss of function, risk of bleeding. Treatment: surgery.
    • Supracondylar Fracture of Distal Femur: Indirect trauma, risk of popliteal artery injury. Treatment: surgery
    • Proximal Fibula Fracture: Risk of common peroneal nerve injury, possible foot drop.
    • Shaft of Tibia Fracture: Risk of overlying skin break with contamination (compound fracture).
    • Calcaneus Fracture: Fall from height, possible pelvic and spinal fractures, chronic heel pain due to joint distortion.

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    Fractures Lecture Notes PDF

    Description

    Test your knowledge on the structure and functions of bones, including their mechanical, biochemical roles, and types. Additionally, explore fractures and their mechanisms as part of the quiz. Gain a clearer understanding of how bones contribute to the body's overall function.

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