What is the primary goal of closed reduction in the treatment of fractures?
To surgically realign the fractured bone
To stabilize the fracture with internal fixation
To immobilize the fractured bone with a cast
To restore the fractured bone to its normal position without surgery
The Correct Answer is D
Closed reduction is a non-surgical procedure used to manually realign the fractured bone to its normal position without making an incision. It is often followed by cast immobilization or other forms of stabilization.
a. To surgically realign the fractured bone: Surgical realignment is typically performed through open reduction and internal fixation (ORIF), not closed reduction.
b. To stabilize the fracture with internal fixation: Internal fixation involves the use of screws, plates, or rods to stabilize fractures, and it is not part of the closed reduction procedure.
c. To immobilize the fractured bone with a cast: Immobilization with a cast may follow closed reduction, but it is not the primary goal of the reduction procedure itself.
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Related Questions
Correct Answer is A
Explanation
A compression fracture is commonly seen in osteoporotic bones, especially in older adults, due to decreased bone density and strength. It occurs when the bone is compressed and collapses, often resulting from a fall or minor trauma.
b. Avulsion fracture: An avulsion fracture occurs when a small piece of bone is torn away from the main bone due to the pull of a ligament or tendon. It can happen in individuals of all ages.
c. Greenstick fracture: A greenstick fracture is an incomplete fracture seen in children, where the bone bends and partially breaks on one side but remains intact on the other side.
d. Impacted fracture: An impacted fracture occurs when the broken ends of the bone are driven into each other, often seen in long bones like the femur or humerus. It can occur in individuals of all ages.
Correct Answer is C
Explanation
Numbness and tingling distal to the fracture, along with loss of pulses or capillary refill, may indicate neurovascular compromise. This is a serious complication that requires immediate medical attention to prevent potential tissue damage and complications.
a. Swelling and bruising at the fracture site: Swelling and bruising are common signs of inflammation and injury at the fracture site but do not require immediate medical attention unless accompanied by other concerning symptoms.
b. Mild localized pain with movement: Mild localized pain with movement is expected with a fracture and is not as concerning as neurovascular compromise.
d. Stiffness and limited range of motion in nearby joints: Stiffness and limited range of motion may occur after a fracture but are not as urgent as neurovascular compromise.
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