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simple fracture
skin is not compromised
compound fracture
skin has been compromised (broken)
comminuted fracture
bone is shattered, broken into multiple pieces
compression fracture
bone is crushed, typically from osteoporosis
spiral fracture
bone is twisted
epiphyseal fracture
epiphysis is separated from diaphysis, hard to see, typically through a growth plate
depressed fracture
bone/portion of bone is pressed inward
greenstick fracture
“buckle”; most common in kids; bone doesn’t break all the way through, very fibrous
stress fracture
overuse injury; bone is not in 2 separate pieces
fracture repair
healing takes a few months, or more and occurs in a series of steps
fracture healing step 1
fracture hematoma forms; collection of blood at fracture site
fracture healing step 2
a fibrocartilaginous (soft) callus forms
fracture healing step 3
a hard (bony) callus forms; new bone tissue
fracture healing step 4
bone is remodeled; changing shape of the bone
bone change in aging
loses ability to produce organic matrix (mostly collagen)
bone change in aging
loses calcium and other minerals (bone mineral density)
osteopenia
low bone marrow density; breaks down bone quicker than it’s produced
osteoporosis
bone tissue deteriorates faster than it is produced
osteoporosis
compact bone becomes thinner, spongy bone has fewer trabeculae
osteoporosis
causes bone to become porous, light, and weak; bones are more susceptible to fracture
osteoporosis
common in elderly, especially post-menopausal women