Factors Affecting The Rate Of Healing Of A Fracture

Fracture Remodeling Images

Cancellous bone spongy bone Healing in cancellous bone is generally well advanced 6 weeks from he time of the injury, and protection of the fracture can almost invariably be abandoned by that time. This applies to fractures of bones which are composed principally of cancellous issue, and also to fractures involving the cancellous bone to be found at the ends of long bones. This rule is illustrated in the following examples 1. Weight bearing after a fracture of the calcaneus may be permitted...

Epiphyseal plate injuries

Endosteal Callus Formation

Type I The whole epiphysis is separated Type 2 The epiphysis is displaced, carrying with it a small, triangular metaphyseal fragment the commonest injury . Type 3 Separation of part of the epiphysis. Type 4 Separation of part of the epiphysis, with a metaphyseal fragment. Type 5 Crashing of part or all of the epiphysis. 78. Type 1 injuries a The epiphysis is separated from the shall without any accompanying fracture. I'llis may follow trauma in childhood illustrated is a traumatic displacement...

Present Medical History Is Case Of Fracture

In taking the history of a patient who may have a fracture, the following points may prove to be helpful, especially when there has been a traumatic incident. 1. What activity was being pursued at the time of the incident (e.g. taking part in a sport, driving a car, working at a height, etc.) 2. What was the nature of the incident (e.g. a kick, a fall, a twisting injury, etc.) 3. What was the magnitude of the applied forces For example, if a patient was injured in a fall, it is helpful to know...

Complications Of Prolonged Recumbency

Deep venous thrombosis and pulmonary embolism. 4. Muscle wasting and stiffening of joints, making subsequent mobilisation more difficult and prolonged. 5. Skeletal decalcification and the formation of urinary tract calculi. 7. Neurological complications such as i Common peroneal nerve palsy. This sometimes results from a less than ideal posture of the leg when external rotation leads to pressure in the region of the fibular neck, or it sometimes occurs from pressure against a splint, ii...