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BONE INJURY (FRACTURE PATTERNS (IN CHILDREN: (GREENSTICK FRACTURES, GROWTH…
BONE INJURY
FRACTURE PATTERNS
BUTTERFLY
SPIRAL
OBLIQUE
COMMINUTED
TRANSVERSE
SEGMENTAL
IN CHILDREN:
GREENSTICK FRACTURES
GROWTH PLATE FRACTURE
FRACTURE HEALING
CHILDREN HEAL FASTER
WEEK 0
HAEMOTOMA
BONE NECROSIS
WEEK 1
INFLAMMATION
OSTEOCLAST ACTIVITY
GRANULATION TISSUE FORMS
PHAGOCYTOSIS
WEEK 2-4
PROVISIONAL CALLUS FORMS
MINERALISATION
OSTEOID
WOVEN BONE FORMED
WEEK 5-12
DEFINITIVE CALLUS
LAMELLAR BONE DEPOSITED
WOVEN BONE & CARTILAGE REMOVED BY OSTEOCLAST
MONTHS
REMODELLING ACCORDING TO STRESS
COMPLICATIONS
NON-UNION
CAUSED BY INTERFERENCE OF SOFT TISSUE
BONES DON'T FUSE JUST ARTICULATE
SURGICAL INTERVENTION REQUIRED
DELAYED UNION
DUE TO
POOR BLOOD SUPPLY
MAL-ALIGNMENT
INFECTION
FIBROUS UNION
FAILURE OF IMMOBILISATION
AETIOLOGY
PATHOLOGICAL
INFECTION ON BONE, WEAKENING BONE, BECOMING EASY TO FRACTURE
LOCAL BONE DISEASE
MECHANICAL OBSTRUCTION
NEOPLASM ( MALIGNANT/BENIGN)
INFECTION
GENERAL SKELETAL DISEASE
METABOLIC
[-] CA2+
MECHANICAL
CONGENITAL
SPREAD NEOPLASM
STRESS
PROLONGED FORCE ON BONE
TRAUMATIC
CAR CRASH