Fracture Types and Management
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Questions and Answers

Which of the following fracture types is characterized by the bone breaking into three or more pieces?

  • Linear fracture
  • Comminuted fracture (correct)
  • Greenstick fracture
  • Oblique fracture

A patient presents with a broken tibia where the ends of the bone are misaligned and no longer meet. How would this fracture be classified?

  • Unstable/Displaced (correct)
  • Stable/Non-displaced
  • Linear
  • Closed/Simple

Which of the following is the MOST likely initial treatment approach for a suspected fracture in a primary care setting?

  • Cast Immobilization (correct)
  • External Fixation
  • Administration of NSAIDs and discharge
  • Open Reduction and Internal Fixation (ORIF)

An elderly patient is diagnosed with a fracture following a minor fall. Which underlying condition is MOST likely to have contributed to this fracture?

<p>Osteoporosis (A)</p> Signup and view all the answers

A child falls off a swing set and fractures their forearm. The fracture line does not completely separate the bone. Which type of fracture is most likely?

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

A patient who is a long-distance runner reports persistent pain in their lower leg that worsens with activity. An X-ray reveals a small hairline crack in the tibia. Which type of fracture is MOST likely causing the patient's pain?

<p>Stress fracture (C)</p> Signup and view all the answers

What is the PRIMARY difference between a closed fracture and an open fracture?

<p>Whether the broken bone has pierced through the skin. (A)</p> Signup and view all the answers

After a fall, a patient complains of localized pain and swelling in their wrist. During the physical examination, the doctor elicits pain upon palpation of the injured area. What is the MOST appropriate term for this finding?

<p>Point tenderness (D)</p> Signup and view all the answers

Which of the following fracture patterns is characterized by a fracture line that spirals around the bone?

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

A patient presents to the emergency department with a severely deformed lower leg following a motor vehicle accident. Besides pain and swelling, which additional clinical sign would MOST strongly suggest a fracture?

<p>Visible bone protruding through the skin (B)</p> Signup and view all the answers

A patient presents with a fracture that runs at a 45-degree angle relative to the long axis of the bone. Which type of fracture is MOST likely?

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

Which of the following assessment findings would be MOST indicative of a fracture rather than a soft tissue injury?

<p>Audible crepitus with gentle palpation (D)</p> Signup and view all the answers

A 10-year-old patient presents with a forearm injury after falling from a tree. The X-ray reveals an incomplete fracture where the bone is bent but not completely broken. Which type of fracture is MOST consistent with this presentation?

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

An elderly patient with known osteoporosis sustains a fall. Which type of fracture is this patient MOST predisposed to?

<p>Pathologic fracture (C)</p> Signup and view all the answers

What is the PRIMARY reason an X-ray is ordered when assessing a suspected fracture?

<p>To confirm the presence, type, and location of the fracture (A)</p> Signup and view all the answers

A patient reports a twisting injury to their lower leg during a soccer game. Radiographic examination reveals a fracture line that encircles the tibia. What type of fracture is MOST likely present?

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

A football player comes off the field after a hard tackle. The trainer suspects a fracture where the bone has broken through the skin. How should this fracture be classified?

<p>Open (A)</p> Signup and view all the answers

A patient has been diagnosed with a stable, non-displaced fracture of the distal radius. Which of the following best describes this type of fracture?

<p>The broken ends of the bone are aligned with minimal displacement. (C)</p> Signup and view all the answers

Following a fracture, what is the PRIMARY goal of immobilization in the initial phase of treatment?

<p>To promote bone healing and prevent further injury (B)</p> Signup and view all the answers

A patient is diagnosed with a stress fracture in their tibia. What is the MOST likely cause of this type of fracture?

<p>Repetitive overuse (D)</p> Signup and view all the answers

A patient has a fracture where the broken ends of the bone are significantly out of alignment. How would this fracture be BEST classified?

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

Which type of fracture is MOST likely to result from repetitive stress rather than a single traumatic incident?

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

Following a fall, an elderly patient presents with hip pain and an externally rotated leg. While an X-ray is pending, which of the following fractures should be suspected based on the clinical presentation?

<p>Displaced femoral neck fracture (C)</p> Signup and view all the answers

A patient injured their arm. Upon examination, the doctor notes a visible deformity. What does this MOST likely indicate?

<p>A possible fracture with displacement. (C)</p> Signup and view all the answers

A patient is diagnosed with osteoporosis, which increases their risk of fractures. What is the underlying mechanism by which osteoporosis increases fracture risk?

<p>Decreased bone mineral density. (C)</p> Signup and view all the answers

A young child presents with a suspected forearm fracture after a fall. Which type of fracture is MORE common in children compared to adults due to the flexibility of their bones?

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

In the initial assessment of a patient with a suspected fracture, which of the following is the MOST important element of the physical examination to help localize the injury?

<p>Palpation for point tenderness (B)</p> Signup and view all the answers

A patient presents with pain, swelling, and bruising following a sports injury. How can a clinician differentiate a fracture from a soft tissue injury like a sprain or strain?

<p>By obtaining an X-ray to visualize the bone structure. (A)</p> Signup and view all the answers

After confirming a fracture, what is the IMMEDIATE next step in management that can be undertaken in a primary care setting to minimize further injury?

<p>Immobilizing the limb. (C)</p> Signup and view all the answers

Which of the following best explains the mechanism by which external fixation assists in the healing of a fracture?

<p>It provides rigid stabilization of bone fragments, promoting proper alignment during healing. (D)</p> Signup and view all the answers

Which fracture type is MOST likely to result from a twisting injury?

<p>Spiral (A)</p> Signup and view all the answers

What is the appropriate initial step you should take when a patient presents with a suspected fracture?

<p>Obtain a detailed history of the injury and examine the area. (B)</p> Signup and view all the answers

A patient has a fracture where the broken ends of the bone are significantly out of alignment. How should this fracture be classified?

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

Why is point tenderness an important clinical sign when assessing a potential fracture?

<p>It helps to precisely localize the site of the injury. (A)</p> Signup and view all the answers

A patient is diagnosed with a greenstick fracture. Based on this information, which of the following is MOST likely?

<p>The patient is a child. (D)</p> Signup and view all the answers

Which of the following imaging techniques is typically used to initially confirm a suspected fracture in a clinical setting?

<p>X-ray (B)</p> Signup and view all the answers

In the context of fracture treatment, what does 'open reduction' refer to?

<p>Surgical intervention to realign the broken bone fragments. (B)</p> Signup and view all the answers

Which of the following is the MOST critical factor in determining the overall recovery time for a fracture?

<p>The type and severity of the fracture. (D)</p> Signup and view all the answers

What is a primary concern when a fracture is classified as an open or compound fracture?

<p>Increased risk of infection. (D)</p> Signup and view all the answers

A patient presents with a suspected stress fracture. What activity is MOST likely the cause of this condition?

<p>Repetitive motions or overuse. (B)</p> Signup and view all the answers

Flashcards

Fracture

A broken bone, ranging from a crack to a complete break.

Closed/Simple Fracture

Bone breaks, but the skin remains intact with no open wound.

Open/Compound Fracture

Bone breaks and pierces through the skin, creating an open wound.

Stable/Non-displaced Fracture

Broken ends of the bone line up or are barely out of place.

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Unstable/Displaced Fracture

Broken ends of the bone are misaligned and do not line up properly.

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Transverse Fracture

Fracture line runs horizontally across the bone.

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Linear Fracture

Fracture line runs vertically along the bone's length.

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Oblique Fracture

Fracture line has an angled pattern across the bone.

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Spiral Fracture

Fracture spirals around the bone, often due to a twisting injury.

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Comminuted Fracture

Bone shatters into three or more pieces.

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Greenstick Fracture

An incomplete fracture where the bone bends and cracks, common in children.

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Stress Fracture

A fracture caused by repetitive stress or overuse, rather than a single injury.

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Point Tenderness (Fracture)

Pain localized at the site of the fracture, worsened by touch or movement.

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Deformity (Fracture)

A visible distortion or misalignment of a limb or body part due to a fracture.

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Fracture Diagnosis

X-rays are the primary imaging technique used to confirm the diagnosis of a fracture.

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Cast Immobilization

Immobilization using a cast to stabilize the bone while it heals.

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Functional Cast/Brace

A brace that allows some protected movement during fracture healing.

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External Fixation

A surgical procedure using pins and screws placed outside the skin to stabilize a fracture.

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Open Reduction Internal Fixation (ORIF)

Surgical repair of a fracture involving incision, bone repositioning, and internal fixation with hardware.

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Common Fracture Causes

The most common causes of fractures are trauma, osteoporosis, and overuse.

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Cause of Most Fractures

The force or pressure exceeds the bone's ability to withstand it.

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Fracture Pain

Pain that increases with movement or weight-bearing specifically at the injury site.

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Fracture Swelling/Tenderness

Swelling and tenderness around the injury site.

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Fracture Bruising

Blood pooling under the skin due to damaged blood vessels near the fracture.

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History of Injury

Taking a description of how the injury occurred.

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Fracture Physical Exam

Examining for pain, swelling, range of motion, and visible deformities.

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Fracture Immobilization

Stabilization of a broken bone, often the first step in treatment.

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Osteoporosis

A condition that weakens bones, making them more prone to fractures.

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Further Fracture Treatment

A method of fracture treatment that may require referral to an orthopedic specialist.

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Open Reduction

A fracture treatment where the bone is surgically exposed and realigned.

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Fracture Reduction

The process by which broken bone fragments are brought back into correct alignment.

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Range of Motion (ROM)

The ability to move a joint or body part; often limited after a fracture.

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Bone Healing

The process of bones repairing themselves after a break.

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Brace Immobilization

Device used to provide support and stabilization for an injured limb

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Repeat Fracture

A break on a bone that happens in a spot with an existing breakage.

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