University:
Western Sydney University
Course:
MEDI 2003 | Clinical Sciences 2
Academic year:

2024
Views:

296

Pages:

4
Author:

Mariam A. A.

Orthopaedics History questions • • • • • • Pain and swelling mobility. Mechanism of injury, time of injury, type of injury, fasting status, open wounds, neurological symptoms, first aid and tetanus cover Occupation Comorbidities Demographics - Includes their age and peer group. - Children get growth issues, while elderly get osteoporotic fractures, of which both can happen due to a fracture. Allergies Examinations • Neurological examinations. - This allows us to grade nerve injury from 1 to 5. - It can also tell if the nerve progressed from flickering or something mild to something more severe, such as a palsy. Symptomps • • • • • Pain Swelling Loss if function Wound Paraesthesia Absolute signs (distinguish fracture from a spaint) • • • • Deformed Curetis Swelling Unable to bear or move the limb What happens after a bone breaks. • • • • Haemorrhage -> immediate Clot (when this happens, then it is less painful than when there is a haemorrhage) -> 4 to 6 hours Woven bone -> 4 weeks Organic callus -> 6 weeks (is this every where in the bone and the rmeodeleing in the more stress exposed bits) • • Calcific callus -> 6 weeks to 3 months Remodelling _. 12 to 24 months Types • • Traumatic Pathological - Tumours (primary and secondary i.e. when a tumor from another organ presses on the bone) - Osteoporosis - Stress Classification and types • Compound fracture is an open fracture and can be inside out or outside in. Displacement vs dislocation • When is a fracture and there black space, this means it is lytic as it pathological Distal radius fracture • • • Extra articular Intra articular Colles fracture Weber fracture Graden classification Paediatric fracture Salter Harris classification • Fractures that occur within growth plates. - Specific for children - Traumatic