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Chapter 74 / Orthopaedic Surgery 695 |
Identify each numbered |
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structure: |
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Diaphysis |
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Metaphysis |
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Physis |
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Epiphysis |
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FRACTURES |
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Define the following |
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patterns of fracture: |
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Closed fracture |
Intact skin over fracture/hematoma |
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Open fracture |
Wound overlying fracture, through which |
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fracture fragments are in continuity with |
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outside environment; high risk of infection |
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(Note: Called “compound fracture” in |
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the past) |
Simple fracture |
One fracture line, two bone fragments |
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Comminuted fracture |
Results in more than two bone fragments; |
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a.k.a. fragmentation |
696 Section III / Subspecialty Surgery |
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Segmental fracture |
Two complete fractures with a “segment” |
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in between |
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Segmental fracture |
Transverse fracture |
Fracture line perpendicular to long axis |
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of bone |
Oblique fracture |
Fracture line creates an oblique angle |
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with long axis of bone |
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Chapter 74 / Orthopaedic Surgery 699 |
Jones’ fracture |
Fracture at the base of the fifth |
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metatarsal diaphysis |
Bennett’s fracture |
Fracture-dislocation of the base of the |
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first metacarpal (thumb) with disruption |
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of the carpometacarpal joint |
Bennett’s fracture
Boxer’s fracture |
Fracture of the metacarpal neck, |
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“classically” of the small finger |
Boxer’s fracture
Nightstick fracture |
Ulnar fracture |
Clay shoveler’s avulsion Fracture of spinous process of C6–C7 fracture
Hangman’s fracture |
Fracture of the pedicles of C2 |
Transcervical fracture Fracture through the neck of the femur
700 Section III / Subspecialty Surgery |
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Tibial plateau fracture |
Intra-articular fracture of the proximal tibia |
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(the plateau is the flared proximal end) |
Monteggia fracture |
Fracture of the proximal third of the ulna |
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with dislocation of the radial head |
Galeazzi fracture |
Fracture of the radius at the junction of |
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the middle and distal thirds accompanied |
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by disruption of the distal radioulnar joint |
Tibial “plateau” fracture |
Proximal tibial fracture |
Tibial “plateau” fracture
“Pilon” fracture |
Distal tibial fracture |
“Pilon” fracture
Pott’s fracture |
Fracture of distal fibula |
Pott’s disease |
Tuberculosis of the spine |