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Musculoskeletal

QuestionAnswer
What is a big risk in long bone fractures? Fat embolism
What types of fractures would need surgical intervention to line up the bone? Spiral, comminuted, and segmental would need surgical intervention to line up the bone.
Hip Fx precautions Cannot cross their legs or have an angle greater than 90 degrees
Continous traction is used for Fx treatment
Intermittent traction is used for Relief of muscle spasms
Running traction is done with Opposite direction of counterforce of patients body
Skin traction when is it used? What is it known as? What does it do? 5-10 pounds utilized prior to surgery. Also known as buck's traction. Decreses spasms and improves alignment.
Skeletal traction when is it used? What is it known as? What does it do? Crutchfield traction, used to force together bones 15-30 lbs and prevent infection
Brace traction is used for Pull for correction of deformitites
Plaster traction is the combination of Skeletal traction and a plaster cast
Circumferetential traction is used for Belt and body, used for LBP
Pin care Single Q tip, going around and throwing it all away.
Risks of pin care Infection, osteomyelitis,
Hip spica splint is used for Hip dysplasia or fractured pelvis
With casting what pathology are you looking for Signs of impaired circulation
Where does the stockinette go Over the padding
How long do fiberglass casts take to dry? What about plaster casts? 20-30 minutes. WHile plaster casts take 36-48hours before ambulation
What is the most common complication after cast application Neurovascular compromise due to edema and constriction by the cast.
Wetness of casting Fiberglass is okay to get wet, plaster casts should not get wet, can cause fragments
6 Ps of acute compartment syndrome Pain, pressure, parlaysis, paresthesia, pallor, pulselessness.
 

 



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