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Adult UE: Fractures Questions and Correct Answers the Latest Update

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● Non-Displaced Fracture: fracture where the periosteum remains intact ○ Initiation of AROM depends on injury & client but typically begins between third to sixth weeks after immobilization ○ By 8-10 weeks after injury, most clients can begin progressive resistive exercises and le...

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  • November 7, 2024
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  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Adult UE
  • Adult UE
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Adult UE: Fractures Questions and
Correct Answers the Latest Update
● Non-Displaced Fracture:


✓ fracture where the periosteum remains intact

✓ ○ Initiation of AROM depends on injury & client but typically begins between third to
sixth weeks after immobilization
✓ ○ By 8-10 weeks after injury, most clients can begin progressive resistive exercises
and leisure or homemaking tasks using the involved extremity



Displaced fracture


✓ ○ Physician required to use reduction: normally realign bone fragments



● Soft tissue injuries commonly associated with wrist fractures:


✓ ○ Triangular Fibrocartilage Complex (TFCC)
✓ ○ Peripheral nerve injuries
✓ ○ Ligament sprain/tear
✓ ○ Aggravation of pre-existing osteoarthritis



Distal forearm fracture


✓ ○ Non-displaced Extra-articular Fracture:
✓ ■ Requires least amount of intervention
✓ ■ Ulnar styloid fracture often falls under this category



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✓ ○ Minimally displaced Intra-articular Fracture
✓ ■ Occur when fractured bone segments shifts and crosses into joint space
✓ ■ Results in greater soft tissue damage
✓ ■ Requires some type of reduction
✓ ■ Chauffeur's fracture falls under this category


✓ ○ Comminuted extra-articular fracture
✓ ■ High-energy injury
✓ ■ Bone breaks in multiple segments
✓ ■ Unstable



Colles fracture


✓ most common
✓ --complete fracture of the distal radius with dorsal displacement of the distal
fragment and radius shortening

✓ --usually extra-articular, minimially displaced, and stable



smith's fracture


✓ complete fracture of distal radius with volar displacement of distal fragement

✓ second most common
✓ frequently unstable and requires internal fixation



nonunion


✓ fracture did not heal despite adequate time and immobilization


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