Complications Of Fractures ( My Obj)
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Complications of fractures
complications
early
late
Early • • • • •
Vascular damage Nuerological damage Crush syndrome Thromboembolism Fat embolism
Late • Malunion • delayed union • Non-union
late • Growth disturbance • Joint stifness • Reflex sympathetic dystrophy
Assesment of fractures
Examination
Inspection
palpation
move
History • • • • •
Patient’s age Mechanism of injury Symptoms of associated injuries Previous injuries Musculoskeletal disorders
look • Swelling , bruising & deformity • Skin • Posture of distal extremity
feel • Localized tenderness • Test for the pulses and sensation distal to the fracture site.
Move • Ask the patient if he/she can move the site distal to the fracture.
complications
early
late
Early • • • • •
Vascular damage Nuerological damage Crush syndrome Thromboembolism Fat embolism
Late • Malunion • delayed union • Non-union
late • Growth disturbance • Joint stifness • Reflex sympathetic dystrophy
Assesment of fractures
Examination
Inspection
palpation
move
History • • • • •
Patient’s age Mechanism of injury Symptoms of associated injuries Previous injuries Musculoskeletal disorders
look • Swelling , bruising & deformity • Skin • Posture of distal extremity
feel • Localized tenderness • Test for the pulses and sensation distal to the fracture site.
Move • Ask the patient if he/she can move the site distal to the fracture.
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