Types of Fractures
Six P's
DDH
Clubfoot
Scoliosis
100

Does not produce a break in skin

What is Simple/Closed?

100

Pale skin, Risk for poor perfusion, Cap refill >3 seconds

What is Pallor?

100

Condition where head of _____ is improperly seated in the acetabulum of the pelvis.

What is Femur?

100

A congenital abnormality in which the foot and ankle is twisted out of its normal position (SCIENTIFIC NAME)

What is Talipes Equinova?

100

This type of scoliosis makes up about 80% of all cases.

What is Idiopathic Scoliosis?

200

Compressed side of the bone bends but the tension side of the bone breaks, causing an incomplete fracture

What is Greenstick?

200

Movement distal to the fracture site, Inability to move extremity/digits

Paralysis

200

The most common degree of DDH.

What is Subluxation?

200

The classification that is most likely to need surgery.

What is Congenital/Idiopathic?

200

This imaging study definitively diagnoses scoliosis and measures curvature degree.

What is a Standing X-Ray?

300

Fractured bone protrudes through skin

What is Open/Compound?

300

Severe ____ unrelieved by Tylenol/Ibuprofen, ___ with elevation & worse with movement

What is Pain?

300

Mildest form; osseous hypoplasia of acetabular roof

What is Acetabular Dysplasia (Preluxation)?

300

What is the first stage to treatment?

What is Correction of the Deformity?

300

This neuro condition can cause secondary scoliosis and involves abnormal spinal cord attachment.

What is Tethered Cord?

400

Breaks straight through

What is Transverse?

400

When looking at swelling or edema; Involved limb/digits will feel warm, tense, tight, and pressure in compartment

What is Pressure?

400

Femoral head loses contact with acetabulum and is displaced posteriorly and superiorly; ligaments are elongated and taut

What is Dislocation?

400

Serial manipulation, corrective casting, and splints to stretch ligaments and tendons for max anatomic position

What is Ponseti Method (Serial Casting)?

400

Bracing is usually recommended for curves within this degree range.

What is 25–45 degrees?

500

Small fragments of bone are broken from fractured shaft & lie in surrounding tissue

What is Comminuted?

500

Sensation distal to the fracture site, Complains of tingling/burning sensation

What is Paresthesia?

500

The 2 diagnostic studies for DDH.

What is Barlow & Ortolani test?

500

Serial casting is changed every ____ until maximum correction is achieved (can take 6-10 weeks).

What is 1 to 2 Weeks?

500

Surgery is generally considered when curvature exceeds this range.

What is greater than 30–40 degrees?