8/12/2019 SGD 6 LBM 4 Fracture

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SGD 6

LBM 4

Splinted Left-Arm and Left-Leg

STEP 1

Fracture :A term of lost of continuity of bone, cartilago either totally or partily, is usually caused by

trauma or physical exertion, stress, phatology.

A disruption in the integrity of a living bone, involving injury to the bone marrow,

periosteum, and adjascent soft tissue.

STEP 2

1. Why his left arm can not be moved and the left leg can be moved?2. Why in his left leg and arm appear a bruise and swelling?3. Why the left leg seems shorter than the right one?4. Why the patients splinted?5. Why the patient felt pain?6. Whats the meaning of the pulsation of a. Dorsalis pedis at his left leg can still felt?7. How the mecanism of fracture?8. Whats the clinical manifestation of fracture in the scene?9. What are etiology of fracture in general and scenario?10.Whats the classification of fracture?11.The risk factors of fracture?12.What are the treatments for fracture?13.How to diagnose of fracture?14.How the patophysiologi of supracondilaris humeri fracture?15.How the patophysiologi of tibia- fibula fracture?

STEP 3

1. Why his left arm can not be moved and the left leg can be moved?In his left arm the fractured injured the nervusso that the arm can not be moved. The

fractured in the left leg can be moved because the fracture doesnt injured the nervus.

The fracture of left arm located in articulatioof this bone (articulatio humeroulnaris /

humeroradialis) so that the arm can not be moved. But in left leg the fracture located in

the corpus of tibiafibula so the left leg still can be moved.

2. Why in his left leg and arm appear a bruise and swelling?Bruise appears because of bleeding inside tissue (close wound). Swelling because of

inflamation after the trauma (traumadistruption of tissue and boneagregation of

leucocyte to the tissuevasodilatasiincreased the blood supplyrubor and calor

transudat(also eksudat)menumpuktumorswelling) the process !

8/12/2019 SGD 6 LBM 4 Fracture

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Broken bonebroken vascularitationplasma come to the fracture area

3. Why the left leg seems shorter than the right one?The left leg looks shorter from the right one because the bone fracture change the position

of the normally bone (example : overlappin)looks shorter.

Lost part of bonelooks shorter.

What types of fracture in this scene ?

- Segmental : located in more than one area- Dislocation : the bone move to another part (different position)

4. Why the patients splinted (definition, made from, types, how to use it, it functions, and soon) ?

To minimalized the movement of the fracture bone (immobilization) for bone healling

rapidly.To prevent potential neurologic and vascularitation injury

To make the patient feel comfort

5. Why the patient felt pain?Muscle, bone, nervous trapped in the disorder tissueproduce aracidonat acid to produce

tromboksan and prostaglandinInflamationpress the nervousstimulate pain.

6. Whats the meaning of the pulsation of a. Dorsalis pedis at his left leg can still feltin thescene?

It means theres no disruption that injured the arteri.

What will you do if theres no pulsation at his left and why did you check it, is it a must to

check it?

What must be checked beside the arteri?

7. How the mecanism of fracture?Supracondylaris humeri : he felt down with the arm in flexi position, the arm hold the mass

of his bodyfracture of supracondylaris humeri.

Tibiafibula fracture : maybe caused of collided by his rival on the corpus of those bones.

What is the important to know the mecanism?

To give the prediction of bone fracture form, the location, the possibility of complication and

the possibility treatment.

8. Whats the clinical manifestation of fracture in the scene?Bruise, swelling, felt pain, the left arm can not be moved, the left leg looks shorter than the

right leg.

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9. What are etiology of fracture in general and scenario?Etiology (general) :

- Traumatic fractureCaused by sudden force to the bone. Example, accident when playing football.

- Pathologic fractureCaused by weakness of bone in according to its pathology condition. Example,

osteoporosis, bone cancer, etc.

- Stress fractureCaused by long-term cells stress, certain location, multiple repetitur strain cycle,

result in micro cracktes of bone. Example, trauma that continued in the same

place.

Etiology in the scene : traumatic fracture. The force apllied to his bone.

How does the progress of bone fracture healling?

There are 5 steps :

- Hematoma formation : formed fibrin and blood cloth.- Proliferation stage : re-vascularitationfibroblast come to injured area

colagen formed.

- Callus forming stage : cartilago forming- Ossification : calsification by Ca and Phosporformed matrix- Consolidation and remodelling : osteoclast comingeat the matrixperfect

remodelling.

What will be formed if the healling progress is abnormal ?

10.Whats the classification of fracture?11.The risk factors of fracture?12.What are the treatments for fracture?13.How to diagnose of fracture?14.How the patophysiologi of supracondilaris humeri fracture?15.How the patophysiologi of tibia- fibula fracture?

STEP IV

Activity

Trauma

Abnormal movement, Painful, Swelling, Bruise, Difference of body shape/ deformitas

Fracture, Dislocation,

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Bone fracture healling , first treatment splinted