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Slide 1 - Bone Fractures and Bone Disorders Aws Khanfar, MBBS, MRCSI, MFSEM, CHSOrth, FEBOT
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Slide 3 - What is fracture? Soft tissue injury with discontinuity of bone
Slide 4 - Epiphyseal and diaphyseal bone
Slide 5 - Fractures Simple ; spiral, oblique and transverse Complex Complete separation of bone; major blow, intra-articular , comminution and segmental Open vs close
Slide 6 - Stress – Strain Force (N) Deformation (cm)
Slide 7 - Spiral fracture , mechanism, amount of energy
Slide 8 - Oblique
Slide 9 - Transverse
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Slide 11 - Segmental fx
Slide 12 - Comminuted fx
Slide 13 - Open Fractures
Slide 14 - Llewellyn Starks, who suffered a compound fracture to his right tibia and fibula when attempting a jump at the 1992 New York games. This injury ruined his career.
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Slide 17 - Spiral Fracture
Slide 18 - Comminuted Fracture
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Slide 21 - Avulsion Fracture When a fragment of bone tears away from the main mass Force of muscle contraction pulls tendon and bone from periosteum Athletes
Slide 22 - Avulsion Fracture
Slide 23 - Stress Fractures Type of hairline fracture that occurs after repetative stress Muscles become too fatigued to absorb the shock Common in runners. Which bones?__________ Training too hard too soon
Slide 24 - Management Principles of management of acute fractures
Slide 25 - Principles of management of open fractures
Slide 26 - KRITZ The Healing of Broken Bones
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Slide 31 - Rickets Rickets is a disorder caused by a lack of vitamin D, calcium, or phosphate. It leads to softening and weakening of the bones. Symptoms: Bone pain or tenderness Arms; Legs; Pelvis; Spine. Dental deformities
Slide 32 - Osteoporosis Decrease in bone mass Leads to fragile bone and increases risk of breaks – hip wrist and spine. Why these bones? Called silent disease, painless Post-menopausal women more at risk Young women with “female triad” also at risk (excessive exercise, poor diet, and weight loss)
Slide 33 - Osteoporosis
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Slide 35 - Screening: DEXA scan Osteoporotic fracture
Slide 36 - Treatment HRT Bisphosphonates
Slide 37 - THANK YOU