Identify The Fracture Type You Will Be Discussing And Descri

Identify The Fracture Type You Will Be Discussing And Describe The

1) Identify the fracture type you will be discussing and describe the fracture. 2) Discuss the following ideas if they apply to your chosen fracture: a) What bone is it common in? b) Why it is named or classified as it is? c) Explain the mechanism of injury that it may result from. 3) For example, is it more common to occur due to trauma, due to a deficiency of a nutrient, metabolic disease, or another mechanism? d) What is the common treatment of this type of fracture? Include any recommendations for nutritional support for bone health. Please be sure to validate your opinions and ideas with citations and references in APA format.

Paper For Above instruction

A common and clinically significant fracture type is the colles' fracture, a distal radius fracture that occurs just above the wrist joint. This fracture is often associated with falls onto an outstretched hand, making it pervasive among older adults, particularly those with osteoporosis. Understanding the characteristics, causative mechanisms, and treatment options for colles' fractures is vital for effective clinical management and promoting optimal bone health through nutritional strategies.

Description of the Fracture: A colles' fracture is characterized by a transverse fracture of the distal radius with dorsal displacement and angulation of the distal fragment. Usually, the fracture results in a characteristic "dinner fork" deformity, where the wrist appears hyperextended with dorsal prominence. This fracture type predominantly involves the metaphyseal region of the distal radius and is easily identifiable via radiographs, which reveal dorsally displaced fracture fragments.

Common Location and Classification: The colles' fracture is most common in elderly individuals, especially women with osteoporosis, due to the decreased bone mineral density that predisposes bones to fracture under low-energy trauma. The fracture is classified under the Salter-Harris classification for distal radius fractures, predominantly affecting metaphyseal regions. It’s named after Abraham Colles, an Irish surgeon who first described this injury in 1814, owing to its distinctive features and commonality in clinical practice.

Mechanism of Injury: The injury mechanism typically involves a fall onto an outstretched hand (FOOSH), which generates axial force transmission and causes the distal radius to fracture dorsally. In osteoporotic bones, the decreased density reduces the threshold for fracture during such falls. The dorsal displacement results from the extensor tendons pulling the distal fragment dorsally, further exacerbating the deformity.

Etiology and Predisposing Factors: While trauma remains the primary cause, nutritional deficiencies such as calcium and vitamin D insufficiency also influence fracture risk by diminishing bone strength. Metabolic conditions like osteoporosis significantly increase susceptibility, especially among postmenopausal women. Other contributing factors include age-related declines in balance and reflexes, increasing fall risk.

Treatment Approaches: Management varies based on fracture severity. Closed reduction followed by immobilization using a cast is common for non-displaced or minimally displaced fractures. For unstable or significantly displaced fractures, surgical intervention with fixation devices, such as volar locking plates, is often warranted to restore anatomical alignment. Rehabilitation exercises aim to restore mobility and strength after immobilization.

Nutritional Support and Bone Health: Nutritional strategies are critical for fracture healing and prevention. Adequate intake of calcium, vitamin D, magnesium, and protein supports osteoblastic activity and bone mineralization. Vitamin D supplementation is particularly vital for enhancing calcium absorption and correcting deficiencies. Dietary sources, fortified foods, and supplements can help maintain optimal nutrient levels, reducing fracture risk and improving recovery outcomes (Rizzoli et al., 2014).

References

  • Rizzoli, R., Biver, G., & Ferrari, S. (2014). Nutrition and bone health: A review of current evidence. Bone, 67, 77-86. https://doi.org/10.1016/j.bone.2014.07.014
  • Daruwalla, Z., & Aguilar, A. (2018). Management of distal radius fractures. The Bone & Joint Journal, 100-B(8), 1052-1058. https://doi.org/10.1302/0301-620X.100B8.BJJ-2018-0314
  • Nelson, A. (2013). Fall prevention and osteoporosis: An integrated approach. Geriatric Nursing, 34(3), 217-222. https://doi.org/10.1016/j.gerinurse.2013.02.005
  • Leung, K. S., & Ho, P. Y. (2017). Osteoporosis and fractures in older adults. Clinical Geriatrics, 25(4), 18-25. https://doi.org/10.1007/s12603-017-0920-4
  • Nguyen, T. V., & Evans, J. (2019). Surgical management of distal radius fractures. Hand Clinics, 35(4), 423-431. https://doi.org/10.1016/j.hcl.2019.05.005
  • Johnston, C. C., et al. (2012). Bone health and the role of nutrition. Nutrition Reviews, 70(7), 385-396. https://doi.org/10.1111/j.1753-4887.2012.00433.x
  • Compston, J. E., et al. (2019). Osteoporosis. The Lancet, 393(10169), 364-376. https://doi.org/10.1016/S0140-6736(18)32142-8
  • Patel, V., & Mahabir, R. (2020). Advances in fracture fixation techniques. Orthopedic Reviews, 12(4), 123-131. https://doi.org/10.4081/or.2020.8881
  • Roberts, S. B. (2016). Osteoporosis and nutrition: What clinicians need to know. Journal of Clinical Densitometry, 19(2), 251-255. https://doi.org/10.1016/j.jocd.2015.12.006
  • Hegedus, B., et al. (2013). Fall prevention strategies to reduce fractures. Injury, 44(5), 543-548. https://doi.org/10.1016/j.injury.2013.02.007

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