Which clinical manifestation may indicate a possible stress fracture?
Severe pain and visible deformity
Sudden onset of swelling and bruising
Gradual onset of localized pain with activity
Inability to bear weight on the affected limb
The Correct Answer is C
Stress fractures are small, hairline cracks in the bone that occur due to repetitive stress or overuse. They typically present with a gradual onset of localized pain that worsens with activity.
a. Severe pain and visible deformity: Severe pain and visible deformity are more commonly seen in acute fractures resulting from trauma or high-impact injuries, not stress fractures.
b. Sudden onset of swelling and bruising: Sudden onset of swelling and bruising is more indicative of acute fractures, not stress fractures.
d. Inability to bear weight on the affected limb: Inability to bear weight may be present in some fractures, but it is not a specific characteristic of stress fractures.
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Related Questions
Correct Answer is A
Explanation
Localized swelling and bruising are common signs of inflammation and injury at the fracture site. They may indicate the presence of a fracture, especially if the patient experienced trauma or a fall.
b. Warmth and redness at the site: Warmth and redness are signs of inflammation, but they are not specific to fractures and can occur in various musculoskeletal conditions.
c. Absence of pain with movement: Absence of pain with movement is not a typical finding in fractures. Fractures usually cause pain, especially with movement.
d. Increased range of motion at the joint: Increased range of motion may occur in some injuries, but it is not a reliable indicator of a fracture, especially if there is swelling and bruising present.
Correct Answer is A
Explanation
Infection is a complication of fractures that can occur when bacteria enter the body through an open wound or during surgery. It presents with pain, warmth, redness, and swelling at the site.
b. Compartment syndrome: Compartment syndrome is characterized by severe pain, pallor, and loss of pulses distal to the fracture site, not warmth and redness.
c. Delayed union: Delayed union refers to a fracture that takes longer than usual to heal, and it does not typically present with warmth and redness.
d. Osteomyelitis: Osteomyelitis is a bone infection that can develop as a complication of fractures, but it does not typically present with warmth and redness at the site.
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