Close fracture
Close fracture
Definetion
Clinical manifestation
Assessment and diagnostic
Closed fracture
• Sudden pain. (simple fracture).
• Trouble using or The bone is broken,
moving the injured but the skin is X-rays
area or nearby joints. intact. MRI
• Unable to bear Surgery
weight. Recovery
• Swelling.
• Obvious deformity.
• Warmth, bruising, or
redness. Pathophysiology
nursing management
natural process of healing a
fracture starts when the
injured bone and surrounding • Relief of pain.
tissues bleed, forming a • Achieve a pain-free, functional,
fracture hematoma. The blood and stable body part.
coagulates to form a blood clot • Maintain asepsis.
Risk factor situated bet ween the broken • Maintain vital signs within
fragments. Within a few days, normal range.
blood vessels grow into the • Exhibit no evidence of
jelly-like matrix of the blood complications.
clot.
* Smoking
• Steroids. ...
• Rheumatoid Complication
Arthritis. ...
• Other Chronic
Disorders. ... • Non-union (fracture does not heal).
• Diabetes. ... • Joint stiffness.
• Previous • Contractures.
Fracture. ... • Myositis ossificans.
• Family History. • Avascular necrosis.
• Algodystrophy (or Sudeck's atrophy).
Focus assessment
3
pain as the muscles around the
break tend
Diagnosis
assess for cramping and
restlessness
assess neuro function of the limb
(sensation, any numbness or 1. Risk for Trauma: Falls
tingling) 2. Acute Pain
assess for deformity, shortening
of the limb compared to the
3. Risk for Peripheral
opposite limb, muscle spasm, and Neurovascular Dysfunction
rom deficit 4. Risk for Impaired Gas
assess for any skin or tissue
injury around the fracture area.
Exchange
5. Impaired Physical Mobility
Health education