Shared Flashcard Set

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TSM 105
Fracture repair
20
Medical
Undergraduate 2
01/08/2013

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Cards

Term
What 2 types of bone are there?
Definition
1) Lamellar bone
2) Woven bone
Term
What types of lamellar bone are there?
Definition
1) Cortical (or compact)
2) Cancellous (or spongy).
Term
What is Wolff's law?
Definition
Bone responds to mechanical stress.
Term
What are the stages of fracture healing?
Definition
1) Haemorrhage
2) Inflammation
3) Callus repair
4) Callus consideration
5) Remodelling.
Term
What vessels rupture when you break a bone?
Definition
Vessels in the periosteum and endosteum.
Term
Why do you use a splint?
Definition
To decrease the pain and amount of blood lost.
Term
What happens during callus consideration?
Definition
Woven bone is transformed into lamellar bone.
Term
What is a stress fracture?
Definition
Abnormal repetitive stress on normal bone.
Term
What is a fatigue fracture?
Definition
Normal repetitive stress on abnormal bone (i.e. osteoporotic).
Term
What is a pathological fracture?
Definition
A fracture due to infection or neoplasm.
Term
What are the 6 types of fracture?
Definition
1) Transverse
2) Oblique
3) Spiral
4) Commuted
5) Greenstick
6) Crush.
Term
What types of fracture healing are there?
Definition
1) Direct
2) Indirect.
Term
What does indirect bone healing involve?
Definition
Relative stability but micro motion at the fracture site causes callus formation.
Term
What does direct bone healing entail?
Definition
'Absolute' stability. Low fracture gap allows bone units to cross the fracture site and form new bone directly.
Term
What is a Colles' fracture?
Definition
A fracture within an inch of the wrist.
Term
What is enchondral ossification?
Definition
Cartilage cells become calcified and osteoblasts invade.
Term
What is intramembraneous ossification?
Definition
Fibrous tissue fills with undifferentiated cells which are converted to bone forming cells at the fracture site.
Term
What are the pros and cons of using intramedullary nails?
Definition
They damage the endosteal circulation and stimulate the periosteal circulation.
Term
What is compartment syndrome?
Definition
Bleeding into fascia containing muscles.
Term
What are the symptoms of compartment syndrome?
Definition
1) Disproportionate pain
2) Tense compartments
3) Asymmetry
4) Paresthesia.
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