View
6
Download
0
Category
Preview:
DESCRIPTION
bahan
Citation preview
Fracture in Elderly
Compression FractureHip FractureWrist fracture
Compression FractureOccure when the normal ustebral body of the spine is squished or compressed to a smaller height
Tend to happen to 2 (two) groups :
Traumatic accidentOsteoporosis
Osteoporotic Condition :
Thinning of the boneLess able to support a load
May develop compression without severe injuries even in their daily activity
Symptons :Back painMultiple compression fracture- curring of the spine- kyphotic detormityCompressed in front usually normal in backSpine is curve forwardLoss of overall heightDecreased size of spinal columnNerve complaints are unusual
Treatment :Prevention is the bestAlleviating the pain and preventing injuries in the futureExercise, calcium and medicationSevere pain Vertebroplasty Compression fracture tend to heal completely8 12 weeks
Hip FractureCommon injuries in elderly
How do hip fractures happen ?
FallWeak bone and OsteoporosisOther risk factors : - Female sex - Caucasion race - Slight built individuals - Limited physical activity
Hip Fracture are generally separated into 2 (two) types of fracture :
Femoral neck fractureIntertrochanter fracture
TreatmentAlmost always surgeryNon operative treatment :- stress fracture- severe medical problem
Femoral Neck fracture
Depends on several factors :- the amount of displacement- the age of the patient
Hip PinningSeveral screws across the fractured boneWell aligned and minimal displacedYoung patients
Hip HemiarthroplastyA half of a hip replacementThe ball of ball socket joint is removedMetal prosthesis is implanted into the jointPatient with displaced fractured
Hip Replacement SurgeryThe ball and the socket would also replacedCan be done in patients with pre exiting arthritis of the hip
Rehabilitation is initiated immediately
Intertrochanter FractureUsually repaired with metal plate and screwUses a rod inserted down the center of the bone rather than a plate a long outside of the bone.
Wrist FractureMost commonly under 65 years of age
How is the diagnosis of a wrist fracture made ? Common symptonsWrist painSwellingDetornity of the wrist
The usual treatment for wrist fracture :Most often, broken wrist can be treated in a castReducing a fracture by specific manuver may be able to realign the broken bone
Which Wrist fracture need surgery for treatment ?Some of the following important consideration determining whether or not surgery is necessary for a broken wrist age and physical demand of the patientsBone qualityLocation of the fractureAdequacy of non surgical management
Several options for treatment :PinsExternal FixatorPlate and Screw
Mechanism of TraumaHyperextentionColles Fracture :- Most common distal forearm fracture- Fall on outstretched extended hand- distal fragment of the radius is impacted and displaced radially and dorsally- Bayonet (dinner fork) deformity - extra articular- located 2-3 cm from the articular surface of the distal radius.- Avulsion of the ulnar styloid
Barton FractureThis intra articularInvolve the dorsal margin of distal radiusDislocation of the radio carpal joint, occasionally.Fracture line run through the palmar margin of the distal radius (Volar Barton)
HyperflexionSmith FractureLess frequentFall on the dorsum of the hand or from direct blow to the dorsum of the handDistal fragment is displaced and angled toward the palmar aspectFracture gap can occasionally extend as far as radiocarpal joint.
Recommended