Fracture in the arm

Description

Mind Map on Fracture in the arm, created by hamda ali on 16/02/2017.
hamda ali
Mind Map by hamda ali, updated more than 1 year ago
hamda ali
Created by hamda ali about 7 years ago
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Resource summary

Fracture in the arm
  1. Anatomy of the arm
    1. Bones
      1. Muscles
        1. Nerves, Arteries, veins
        2. BONE FRACTURE
          1. definition
            1. is a medical condition in which there is a damage in the continuity of the bone
            2. Signs and symptoms
              1. Pain, swelling, tenderness, deformities, limit ROM, stepping, crepitus
              2. Types
                1. Open or closed
                  1. According to the skin
                    1. Open fracture can lead to bone infection
                    2. Displaced or non displaced
                      1. Greenstick
                        1. A portion of the bone is broken
                        2. Spiral
                          1. Helical in shape
                          2. Transverse
                            1. Horizontal straight line
                            2. Oblique
                              1. sloped pattern
                              2. Comminuted
                                1. Breaks in small pieces
                                2. Buckled
                                  1. Segments forced into each others
                                  2. Pathologic
                                    1. Ex: osteoporosis
                                    2. Stress
                                      1. caused by overusing
                                      2. Complicated
                                        1. When it cause damage to internal organs
                                      3. Investigations
                                        1. X-ray
                                          1. CT scan
                                            1. MRI
                                              1. Blood tests
                                                1. Angiogram
                                                  1. it shows the blood vessels
                                                2. to check the surrounding tissues and to get a clearer view
                                            2. Management
                                              1. First line
                                                1. First Aid
                                                  1. D.R.A.B.C. Emergency Response
                                                    1. Immobilize the fracture
                                                      1. Splinting the fracture
                                                      2. Reduce Swelling
                                                        1. Prevent further Injury
                                                          1. Check for complications
                                                            1. Stop any bleeding
                                                          2. Second line
                                                            1. Reduction
                                                              1. Closed Manipulation
                                                                1. Continuous Traction
                                                                  1. Open Reduction
                                                                  2. Immobilization
                                                                    1. Conservative
                                                                      1. POP-slings–traction–collar & cuff
                                                                      2. External fixation
                                                                        1. Bone fragments held by external scaffolding
                                                                        2. Internal fixation
                                                                          1. screw – plates – nails -wires
                                                                        3. Rehabilitation
                                                                    2. Trauma mechanisms
                                                                      1. Low energy trauma
                                                                        1. Simple falls, twisting injuries and sport injuries
                                                                        2. High energy trauma
                                                                          1. Motor vehicle and motorcycle crashes
                                                                        3. Bone Healing
                                                                          1. Stages
                                                                            1. Factors That Influence Bone Healing
                                                                              1. Infection
                                                                                1. Anemia and hypoxia
                                                                                  1. Age and health status
                                                                                    1. Soft tissue injury
                                                                                      1. Chemical or thermal burns
                                                                                        1. Inadequate immobilization
                                                                                      2. Wrist drop
                                                                                        1. an injury to the radial nerve resulting in impaired nerve function causing radial nerve palsy.
                                                                                          1. Signs and symptoms
                                                                                            1. Numbness behind the hand and forearm
                                                                                              1. inability of the patient to bend the wrist backwards or straighten the thumb and fingers
                                                                                                1. persistent pain in the forearm or elbow
                                                                                                2. Muscles affected
                                                                                                  1. All extensor and supinator mucles are paralyzed
                                                                                                  2. Nerves affected
                                                                                                    1. Radial nerve
                                                                                                    2. Management
                                                                                                      1. First line management
                                                                                                        1. Surgery
                                                                                                          1. to repair the radial nerve
                                                                                                        2. No extinsion of elbow
                                                                                                        3. Conditioning
                                                                                                          1. Classical
                                                                                                            1. Operant
                                                                                                              1. Reinforcement
                                                                                                                1. Positive
                                                                                                                  1. Negative
                                                                                                                    1. Escape
                                                                                                                      1. Avoidance
                                                                                                                    2. Punishment
                                                                                                                      1. Positive
                                                                                                                        1. Negative
                                                                                                                      2. type of associative learning when a stimulus becomes associated with a consequence.
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