fracture mx - Passmed

Question 1

what is an oblique fracture

Answer 1

Fracture lies obliquely to long axis of bone

Question 2

what is a comminuted fracture

Answer 2

more than 2 fragments

Question 3

what is a segmental fracture

Answer 3

More than one fracture along a bone

Question 4

what is a transverse fracture

Answer 4

Perpendicular to long axis of bone

Question 5

what is a spiral fracture

Answer 5

Severe oblique fracture with rotation along long axis of bone

Question 6

Answer 6

transverse fracture

Question 7

classification for open fractures

Answer 7

Gustilo and Anderson classification system

Question 8

approach to fractures

Answer 8

1. immobilise
2. monitor neurovascular status, particularly after reduction and immobilisation
3. tetanus injection
4. IV broad spectrum abx for open
5. open fractures should be debrided as emergency
6. most cases open fractures are left open -> external fixation

Question 9

definition of open fracture

Answer 9

disruption of the bony cortex associated with a breach in the overlying skin.

Question 10

concerns with open fracture

Answer 10

damage to underlying structures eg muscle/bv etc