What is a fracture ?
A break in the continuity of bone
What are the different causes for fractures?
Diseased bone
Pathological
Twisted/crushed
Overuse
Muscle over contracting
Name the different types of fractures?
Closed/open
Compound
Greenstick
Spiral
Comminuted
Torus/buckle
Transverse
Depressed
Compression
Dislocation/subluxation
Avulsion
What are the clinical signs and symptoms of a fracture?
Pain
Loss of function
Deformity
Shortening
Crepitus
Swelling
Discolouration
What is the radiological investigations for a fracture?
X ray
CT scan
MRI scan
What is the management for a fracture?
Reduction
External/internal fixation
Immobilization
What are the complications of fracture?
Death
Visceral injury
Soft tissue injuries
Shock
Fat embolism
Compartment syndrome
What are the stages of fracture healing
Inflammation-stage of hematoma/stage of granulation
Reparative-woven bone becomes calcified
Remodelling-excess material inside bone is replaced with more compact bone
What factors affect bone healing for fractures?
Age
Soft tissue trauma
Bone loss due to severity of the fracture
Inadequate immobilisation
Infection
Avascular necrosis