1. Fractures:
Answer
-A fracture is a disruption or break in the continuity of the structure of bone.
-Although traumatic injuries account for the majority of fractures, some fractures are
secondary to a disease process (such as pathologic fractures from cancer or osteoporosis).
Complications of Fracture Healing:
-Delayed union:
• Fracture healing progresses more slowly than expected.
• Healing eventually occurs.
-Nonunion:
• Fracture fails to heal despite treatment.
• No x-ray evidence of callus formation.
-Malunion:
• Fracture heals in expected time but in unsatisfactory position, possibly resulting in
deformity or dysfunction.
-Angulation:
• Fracture heals in abnormal position in relation to midline of structure (type of malunion).
-Pseudoarthrosis:
• Type of nonunion occurring at fracture site in which a false joint is formed with abnormal
movement at site.
-Refracture:
• New fracture occurs at original fracture site.
-Myositis ossificans:
• Deposition of calcium in muscle tissue at site of significant blunt muscle trauma or
repeated muscle injury.
Clinical Manifestations:
-The clinical manifestations of fracture include immediate localized pain, decreased
function, and inability to bear weight on or use the affected part.
-The patient guards and protects the extremity against movement.
-Obvious bone deformity may not be present.
-If a fracture is suspected, the extremity is immobilized in the position in which it is found.
-Unnecessary movement increases soft tissue damage and may convert a closed fracture to
an open fracture or create further injury to adjacent nerves and blood vessels.
Interprofessional Care:
-The overall goals of fracture treatment are:
(1) Anatomic realignment of bone fragments through reduction
(2) Immobilization to maintain realignment, and
(3) Restoration of normal or near-normal function of the injured part.
Closed Fracture Reduction:
Category | NSG Exam |
Comments | 0 |
Rating | |
Sales | 0 |