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Kid was brought in with a broken arm due to running accident (Downstream,…
Kid was brought in with a broken arm due to running accident
Downstream
He tripped on a rock and made him fall forward and when he tried to catch him self brook his arm
Friend pushed him down but did not wan to tell his parents
He was going drugs and could have cause him to be disoriented that lead to him falling
The ground was probably on even
Bed nutrition could case for weak bones
He not getting enough calcium in his body
Not getting the proper vitamins for his body to make his bones strong
Upstream
Describe the fracture
the fracture for the upper arm is going to be a compound fracture
compound fracture: because the bone is protruding fromy he skin
its has bone fragments in the wound
the fracture for the elbow is going to be impacted fracture
impacted fracture: one fragment of bone is firmly driven into another
this could caused him tho have a compound fracture in the upper arm because of all of the force that was put on the elbow causing it to break
Downstream pathways
age
he is 12 years old
his bones are not as strong as an adult
could heal back faster
it could heal improperly if not taken care of
needs better nutrients to have stronger bones
location of the break
arm one of the bigger bones
my cause slight loss of mobility
my hurt when lifting heavy my cause pain for a while / it could lead to
could cause him to have a bump
eating habits
need to find a way to get calcium that is not trough dairy
need more vitamins
if he dose not get proper nutrient and the vitamins that he need his bones are going to get weaker over time because his body is going to be tasking what it need from his bones
make sure that he dose everything properly to avoid re injuring it and start to eat healthier to make sure nothing goes wrong with the healing process
Background
The anatomy of long bones
Cells
osteoblast
osteocytes
osteoclasts
chondroblasts
chondrocytes
regions of long bone
Medullary cavity
proximal epiphysis
distal epiphysis
articular cartilagr
metaphysis
Bone marrow
red marrow
blood cells
yellow marrow
fat storage
bone formation
Ossification: the formation and development of bone connective tissue
Different bones
spongy bone: inside the bone
compact bone: outer layer of the bone
bone remodeling
dynamic process of bone deposition and resorption
The stages of bone healing
A Fracture hematoma form
tears blood vessels inside the bone and within the perioseum
A fibrocartilaginous callus form
is reorganized into actively growing connective tissue(procallus) then fibroblasts helps connect the bones back together
A hard Callus form
within a week after injury the fibrocartilaginous callus is then replaced by the bone that forms hard callus
4.the bone is remodeled
the hard callus persists for at least 3 to 4 moths as osteoclasts removes the excess bone
Raw materials needed for bone growth
Appositional growth
formation of new bone on top old bone\ cartilage
osteoblast
lays down bone to form ridges around the blood vessel
what creates new bone
hormones
calcium
protein
vitamin D
potassium
nutrients
osteoblast / osteocytes
Location and role of the epiphyseal plate
role
allows for longitudinal growth of the bone
retain as cartilage during adolescent to allow growth
location
is a hyaline cartilage plate in the metaphysis at each end of a long bone
The classification of bone fractures
Avulsion
colles
comminuted
complete
compound
compression
depression
displaced
epiphyseal
Greenstick
hairline
impacted
linear
oblique
pathologic
pott
simple
spiral
stress
transverse