Chapter 4 - Skeletal System - Fractures

Spiral fracture

Encircles the shaft, is generally longer than an oblique fracture, and is caused by torsional forces

Colle's fracture

Transverse fracture through the distal radius with dorsal (posterior) angulation and often overriding the distal fracture fragment

Colle's fracture

In more than half the cases, there is an associated avulsion fracture of the ulnar styloid process

Colle's fracture

Usually caused by a fall on the outstretched hand and is the most common fracture of the wrist

Fatigue fracture

Stress fracture

Fatigue fracture

The result of repeated stresses to a bone that would not be injured by isolated forces of the same magnitude

Fatigue fracture

Activities resulting in these fractures are usually strenuous, often new or different, and repeated with frequency before producing pain

Fatigue fracture

Frequently occurs in soldiers during basic training ("march" fracture)

Fatigue fracture

Most common sites are the shafts of the second and third metatarsals, the calcaneus, the proximal and distal shafts of the tibia and fibula, the shaft and neck of the femur, and the ischial and pubic rami

Oblique fracture

Runs a course of approximately 45 degrees to the long axis of the bone and is caused by angulation or by both angulation and compression forces

Avulsion fracture

Generally small fragments torn from bony prominences; they are usually the result of indirectly applied tension forces within attached ligaments and tendons rather than direct blows

Malunion

The healing of fracture fragments in a faulty position; leads to impairment of normal function or a cosmetic appearance that may require surgical correction

Hangman's fracture

The result of acute hyperextension of the head on the neck; appears as a fracture of the arch of C2 anterior to the inferior facet and is usually associated with anterior subluxation of C2 on C3; more commonly the result of MVA

Pathologic fracture

Occurs in bone at an area of weakness caused by a process such as a tumor, infection, or metabolic bone disease

Transverse fracture

Fracture that runs at a right angle to the long axis of a bone and most commonly results from a direct blow or is a fracture within pathologic bone

Dislocation

Refers to the displacement of a bone that is no longer in contact with its normal articulation

Subluxation

If there is only partial loss of continuity of the joint surfaces, the displacement is called a ________

Undisplaced fracture

Occurs when a plane of cleavage exists in the bone without angulation or separation

Comminuted fracture

Fracture composed of more than two fragments; butterfly or segmental fracture

Compression fracture

Results from a compression force that causes compaction of bone trabeculae and results in decreased length or width of a portion of a bone

Compression fracture

Most commonly occur in the vertebral body as a result of flexion of the spine; they may also be seen as impacted fractures of the humeral or femoral heads