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Fracture
- Types
- See Fracture Types
- See Apophyseal Fracture
- See Epiphyseal Fracture
- See Stress Fracture
- Exam
- Document neurovascular examination (and address deficits immediately)
- Perform on initial exam and repeat before and after any intervention
- Keep high index of suspicion for Compartment Syndrome
- Check capillary refill and distal pulses
- Check motor and Sensory Examination
- Evaluate skin over fracture site
- Signs of open fracture
- Signs of displaced fracture (skin tenting)
- Clues suggesting fracture (swelling, Ecchymosis, and point tenderness over fracture site)
- Devitalized skin at risk of necrosis
- Evaluate joints, muscles, ligaments, and tendons above and below the fracture
- Indications: Referral to Orthopedics
- Emergent referral indications
- Fracture with neurologic deficit
- Fracture with vascular deficit
- Fracture with secondary Compartment Syndrome
- Open fracture
- Severe crush or shearing injury resulting in skin devitalization
- Prompt referral indications
- Fracture site and type specific
- See High Risk Fractures
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| Definition (CSP) | breaks or rupture in bones or cartilages. |
| Definition (NCI) | A traumatic injury to the bone in which the continuity of the bone is broken. - 2003 |
| Definition (MSH) | Breaks in bones. |
| Concepts | Injury or Poisoning (T037)
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| ICD9 | 800-829.99, 829, E887 |
| English | Bone Fracture, Bone Fractures, Broken Bone, Broken Bones, Fracture, FRACTURE BONE, Fracture of bone, Fracture of unspecified bones, Fractures |
| Spanish | fractura, fractura ósea, fractura de huesos no especificados, fractura osea |
| Credits | Derived from the NIH UMLS (Unified Medical Language System)
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