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Bone compsosition. Bone anatomy. fracture. it’s the break in the continuity of the bone. it could be: 1-simple(closed) 2-compound (open). Causes of fractures. 1- sudden truma 2-stress’’fatigue fracture’’. 3-pathological fracture. Types of fracture. Complete fractures
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fracture • it’s the break in the continuity of the bone . it could be: • 1-simple(closed) • 2-compound (open) .
Causes of fractures • 1- sudden truma • 2-stress’’fatigue fracture’’. • 3-pathological fracture.
Types of fracture • Complete fractures • In-complete fractures • Physeal fractures • Fracture displacement
Complete fractures: • Transverse fracture • Oblique or spiral • Impacted • comminuted
Incomplete fractures • The bone is incompletely divided and the periosteum remains in continuity. • Exm:greenstick fracture. • Stress fracture • Compression.
Fracture displacement • We describe it in terms of: • Translation ‘’shift’’ • Length • Alignment ’’angulation’’ • Rotation ‘’ twist’’
Soft tissue damage • It could be either: • Low energey fractures like closed spiral fractures,and it coz moderate soft tissue damage. • High energy fractures:like comminuted fracturs and it coz severe tissue damage,no matter whether it open or close.
Fracture healing • Healing by callus • Healing Without callus
Time factor • The rate of the bone depends on: • 1-type of the bone. • 2-type of fracture. • 3- blood supply • 4-general constitution. • 5- pt age.
Fractures that fail to unite(non union) • Distraction and separation of the fragments. • Interposition of soft tissues between the fragments. • Excessive movement at the fracture site • Poor local blood supply. • Severe damage to soft tissues which makes them non viable. • Infx • Abnormal bone.