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What is important about truma routies
always have 2 images 90 degrees from eachother
What is another word for Dislocation
luxation
Subluxation:
partial dislocation
Nursemaid’s elbow
partial dislocation of the radial head
Sprain:
forced wrenching or twisting of a joint
resulting inpartial rupture of tearing of supporting ligament
Contusion:
“bruise”-type injury with possible avulsion fracture
Apposition:
relationship of long axes of fracture fragments
Types of Apposition:
Anatomic apposition: hair-line
Lack of Apposition: pulled apart, not touching
Bayonet apposition: fx and displaced
Angulation:
loss of alignment of the fx
Varus angulation:
inversion, towards midline
Valgus angulation:
eversion, away from midline
Simple fx:
closed, does not break through skin
Compound fx:
open, protrudes through skin
Imcomplete fx:
fx does not transverse through entire bone
Types of Incomplete fx
Torus fx
Greenstick fx
Plastic fx
Greenstick fx
cortex is broken only on one side and bone curving on other side
Complete fx:
two pieces
Types of complete fx
transverse fx
oblique fx
Spiral fx
Comminuted fx:
two or more pieces
Types of comminuted fx
Segmental fx
Butterfly fx
Splintered fx
Segmental fx:
broken into 3 pieces (2 breaks)
Butterfly fx:
triangular wedge
Splintered fx:
sharp fragmants
Impact fx:
one fragment push into another (caprals)
Colles’ Fracture
Posterior displacement of distal radius
(fall on outstretched hand)
Reverse Colles’ fx
anterior displacement of distal radius
(fall backwards)
Monteggia’s
fx of proximal ulna w/dislocated radial head
Pott’s fx
Ankle fx of distal fibula
often medial malleolus too
Baseball (Mallet) fx
Distal phalges
Barton fx
posterior lip of radius
Bennett’s fx
Base of 1st metacarpal
Hangman’s fx
pedicles of C2
Hutchinson’s fx
Radial styloid process
Stellate fx type
fx lines radiate from center point (patella)
Tuft fx
comminuted fx of distal phalanx
Trimalleolar fx
Fracture of the lateral, medial, and posterior malleoli
Avulsion fx
fracture of bone separted by tendon
Blowout/tripod fx
fx due to direct blow to orbit, maxillae, or zygoma
Stress fx
pathologic fracture that is non-traumatic in origin