MindMap Gallery Introduction to fractures mind map
This is an introduction to fractures mind map, a 9th edition surgical textbook, including the definition, etiology, classification, clinical manifestations, complications, healing, first aid, treatment principles, etc. of fractures.
Edited at 2023-11-15 20:09:02El cáncer de pulmón es un tumor maligno que se origina en la mucosa bronquial o las glándulas de los pulmones. Es uno de los tumores malignos con mayor morbilidad y mortalidad y mayor amenaza para la salud y la vida humana.
La diabetes es una enfermedad crónica con hiperglucemia como signo principal. Es causada principalmente por una disminución en la secreción de insulina causada por una disfunción de las células de los islotes pancreáticos, o porque el cuerpo es insensible a la acción de la insulina (es decir, resistencia a la insulina), o ambas cosas. la glucosa en la sangre es ineficaz para ser utilizada y almacenada.
El sistema digestivo es uno de los nueve sistemas principales del cuerpo humano y es el principal responsable de la ingesta, digestión, absorción y excreción de los alimentos. Consta de dos partes principales: el tracto digestivo y las glándulas digestivas.
El cáncer de pulmón es un tumor maligno que se origina en la mucosa bronquial o las glándulas de los pulmones. Es uno de los tumores malignos con mayor morbilidad y mortalidad y mayor amenaza para la salud y la vida humana.
La diabetes es una enfermedad crónica con hiperglucemia como signo principal. Es causada principalmente por una disminución en la secreción de insulina causada por una disfunción de las células de los islotes pancreáticos, o porque el cuerpo es insensible a la acción de la insulina (es decir, resistencia a la insulina), o ambas cosas. la glucosa en la sangre es ineficaz para ser utilizada y almacenada.
El sistema digestivo es uno de los nueve sistemas principales del cuerpo humano y es el principal responsable de la ingesta, digestión, absorción y excreción de los alimentos. Consta de dos partes principales: el tracto digestivo y las glándulas digestivas.
Introduction to fractures
definition
Continuity and integrity destruction
Cause
direct violence
indirect violence
fatigue fracture
Classification
Skin and mucous membrane integrity classification
openness
closed type
fracture morphology
horizontal shape
oblique
Spiral
Crushed shape
green branches
embeddedness
compressed form
epiphyseal injury
Stability classification
unstable fracture
Stable fractures: fissure fracture, greenstick fracture, transverse fracture, compression fracture, impaction fracture
Displacement of fracture end
Angular displacement, lateral displacement, shortening displacement, separation displacement, rotational displacement
clinical manifestations
Most fractures generally cause only local symptoms, severe fractures and multiple fractures cause systemic effects
systemic symptoms
shock
fever
Absorb heat, and generally does not exceed 38. If it exceeds, it may be infected.
local symptoms
Redness, swelling, heat and pain
disfunction
Severe cases can cause tension blisters and subcutaneous ecchymosis.
Characteristic signs of fracture
1) Deformity 2) Bone friction feeling or bone friction sound 3) Abnormal activities Diagnosis can be made in three to one. Greenstick fractures and other symptoms do not have the above symptoms. p615
examine
X-ray is preferred
Fracture line, anteroposterior and lateral radiographs including adjacent joints
CT, MRI
When there is performance, further improve the inspection
complication
early complications
shock
fat embolism syndrome
Damage to important internal organs
vesicourethral injury
Liver, spleen, lung, and rectal injuries
surrounding soft tissue injury
peripheral nerve damage
Important blood vessel damage
Spinal cord injury
compartment syndrome
Definition: A series of early syndromes caused by acute ischemia in the muscles and nerves within the fascial compartment.
result
On the verge of ischemic myospasm
ischemic muscle spasm
gangrene
diagnosis
1) Feeling abnormal 2) Pain caused by passive stretching activities 3) Active flexion pain 4) Tenderness
treat
Immediate compartmental decompression
late complications
joint stiffness
traumatic arthritis
Injurious ossification, also known as myositis ossificans
avascular osteonecrosis
acute bone atrophy
ischemic muscle contracture
Pressure ulcer
deep vein thrombosis of lower limbs
Infect
accumulating pneumonia
heal
process
1) Organizing stage of hematoma inflammation 2) Primitive callus formation 3) Callus reconstruction and shaping period
standard
1) No tenderness and longitudinal percussion pain 2) No abnormal activity 3) X-ray - continuous callus and blurred fracture line
Factors affecting healing
Whole body: age, nutritional status
local
1) Fracture area 2) Blood supply 3) Degree of soft tissue damage 4) Soft tissue embedding 5) Infection
Inappropriate treatment
1) Repeat the manual reset many times 2) Open reduction 3) Excessive debridement of fractures and removal of bone fragments 4) Continuous bone traction treatment 5) Fracture fixation is not reliable 6) Premature or too much functional exercise
Fracture first aid
rescue shock
wrap the wound
Secure properly
rapid transit
Treatment principles
Reduction, immobilization, rehabilitation training
reset
Anatomical reduction: alignment and alignment are completely good
Function reset: does not affect function
Manual reduction, open reduction
fixed
internal fixation
subtopic
External fixation
Small splint, brace, plaster bandage, continuous traction, external bone fixator
recovery
Early days: muscle movement
Mid-term: Functional exercises with a walker
Late stage: clinical cure is the key to rehabilitation treatment