Terminology of fx
anatomic location-divide bone into thirds
direction of fx lines (transverse, oblique, spiral, comminuted, butterfly, impacted)
relationship of fragments to each other-alignment, apposition, distraction if longitudinal arrangement. Talk about distal fragment in relation to proximal
Stability
Assoc. soft tissue injury.
1st degree-no swelling, minimal fibers torn
2nd-1/3 to almost complete, swelling, tenderness, no abnormal motion
3rd-abnormal joint motion.
Constant itching or burning.
Cool or glossy skin. Leads to
bone demineralization
bone formation in injured muscle. forms
mass preventing full range.
Polymyositis-elevated ck, purple rash around eyes, anti-jo1
consistent
with dermatomyositis. scaly red rash on
knuckles.
Rheumatoid Arthritis and Down's folks prone to this, incidence ~5%.
How to apply a fiberglass cast (Am J EM 2005;23:347)