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Fracture
A fracture is a break in the continuity
of the bone.
Etiology
• RTA
• Fall
• Physical abuse
• Diseases
• Sports
Classification
• A.Morphologically
• On the basis of morphology or appearance, it
is classified as follows
• Transverse- Line of Fracture is transverse.
• Oblique- Line of fracture is oblique
• Spiral- Line of fracture is Spiral
• Comminuted- When bone is broken into more
then two fragments.
• B. Etiologically:-
On the basis of etiology or cause of fracture, it
is classified as-
1.Traumatic
2.Pathological
• C. On the basis of Stability:-
• Complete or incomplete
• Green stick Fracture:-
It is usually occurs in childhood. it is most
common fracture in young children, The soft
bone breaks on outside and bents.
Clinical Features
• 1.Age- Fracture is common in old and children
then in young persons i.e in extremes of age.
Eg.- Greenstick Fracture- Mostly in case of
Children.Fracture of neck of femur- Mostly in
case of Old.
• 2.Sex:-Fracture of neck of femur and colles
Fracture are more common in female.
• 3.History:- History of trauma, Violence,
disease Etc
Symptoms
• 1.Pain and tenderness, swelling and deformity.
• 2.Loss of function.
• 3.Abnormal mobility.
• 4.Restricted movement.
• 5.Complication
Signs
• General– Nothing particular, if there is no
shock.
• Local-
i. Inspection- Swelling, deformity or gout.
ii. Palpation-Tenderness
iii. Movement-Restricted
iv. Measurement–Shortening if overlapping
v. Special– Crepitation
Investigation
• X-ray
• CT-Scan
• MRI
• USG- In case of complicated fractures
Management
• Goals
• To regain and maintain correct position
and alignment.
• To regain the function of involved part.
• To return the patient to usual activities in
the shortest time and at the least expenses.
Management
Closed Open
Bandages Splints Casts Traction Internal F External F
Bone Healing
Stages of Bone Healing
• ■ Fracture hematoma formation
• ■ Soft callus formation
• ■ Hard callus formation
• ■ Remodeling

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Ortho.pptx

  • 1. Fracture A fracture is a break in the continuity of the bone.
  • 2. Etiology • RTA • Fall • Physical abuse • Diseases • Sports
  • 4. • On the basis of morphology or appearance, it is classified as follows • Transverse- Line of Fracture is transverse. • Oblique- Line of fracture is oblique • Spiral- Line of fracture is Spiral • Comminuted- When bone is broken into more then two fragments.
  • 5. • B. Etiologically:- On the basis of etiology or cause of fracture, it is classified as- 1.Traumatic 2.Pathological
  • 6. • C. On the basis of Stability:- • Complete or incomplete
  • 7. • Green stick Fracture:- It is usually occurs in childhood. it is most common fracture in young children, The soft bone breaks on outside and bents.
  • 8. Clinical Features • 1.Age- Fracture is common in old and children then in young persons i.e in extremes of age. Eg.- Greenstick Fracture- Mostly in case of Children.Fracture of neck of femur- Mostly in case of Old. • 2.Sex:-Fracture of neck of femur and colles Fracture are more common in female. • 3.History:- History of trauma, Violence, disease Etc
  • 9. Symptoms • 1.Pain and tenderness, swelling and deformity. • 2.Loss of function. • 3.Abnormal mobility. • 4.Restricted movement. • 5.Complication
  • 10. Signs • General– Nothing particular, if there is no shock. • Local- i. Inspection- Swelling, deformity or gout. ii. Palpation-Tenderness iii. Movement-Restricted iv. Measurement–Shortening if overlapping v. Special– Crepitation
  • 11. Investigation • X-ray • CT-Scan • MRI • USG- In case of complicated fractures
  • 12. Management • Goals • To regain and maintain correct position and alignment. • To regain the function of involved part. • To return the patient to usual activities in the shortest time and at the least expenses.
  • 13. Management Closed Open Bandages Splints Casts Traction Internal F External F
  • 14. Bone Healing Stages of Bone Healing • ■ Fracture hematoma formation • ■ Soft callus formation • ■ Hard callus formation • ■ Remodeling