Академический Документы
Профессиональный Документы
Культура Документы
Diagnosis
&
Management
Diagnosis
• Deformity
• Abnormal movement
• Tenderness
• Swelling
• Presence of wound
• Crepitus
Investigations
• Radiology
• X-rays: easy quick and confirm diagnosis
• Plain X-ray: Rule of 2, 2 views, 2 sides, 2
joints and 2 occasions
• Immobilize before x-ray
• Radiological pattern – line of #: transverse,
oblique, spiral, comminuted, greenstick
• Displacement is the movement of fractured
fragments relative to each other
• Degree of displacement – shift, tilt, twist
• Shift is movement in the horizontal plane –
lateral, antero/posterior
• Tilt is angulation
• Twist is rotation
• MRI and Ct scan can diagnose early hair-
line fractures in small bones and when plain
radiology fails
• Bone scan can show increased uptake
• Other investigations to prepare the patient
for management – assess general condition
Management