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Published on : Mar 14, 2014
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Bone Fractures and Bone Disorders Aws Khanfar, MBBS, MRCSI, MFSEM, CHSOrth, FEBOT

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What is fracture? Soft tissue injury with discontinuity of bone

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Epiphyseal and diaphyseal bone

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Fractures Simple ; spiral, oblique and transverse Complex Complete separation of bone; major blow, intra-articular , comminution and segmental Open vs close

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Stress – Strain Force (N) Deformation (cm)

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Spiral fracture , mechanism, amount of energy

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Oblique

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Transverse

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Segmental fx

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Comminuted fx

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Open Fractures

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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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Spiral Fracture

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Comminuted Fracture

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Avulsion Fracture When a fragment of bone tears away from the main mass Force of muscle contraction pulls tendon and bone from periosteum Athletes

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Avulsion Fracture

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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

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Management Principles of management of acute fractures

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Principles of management of open fractures

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KRITZ The Healing of Broken Bones

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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

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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)

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Osteoporosis

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Screening: DEXA scan Osteoporotic fracture

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Treatment HRT Bisphosphonates

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THANK YOU

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