MEDRADSC 3J03 Midterm: Skeletal System

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I(cid:374)ju(cid:396)ies to pi(cid:374)e, tho(cid:396)a(cid:272)i(cid:272) cage & pel(cid:448)is this pt ofte(cid:374) has (cid:373)ultiple i(cid:374)ju(cid:396)ies: requires rapid medical intervention, most important initial images: Location (regions with greatest mobility): 13% - upper c- pi(cid:374)e c(cid:1005)-2, 53% - lower c- pi(cid:374)e c(cid:1009) 7, 10%- upper t-spine, 1%- t6 t10, 23% - tho(cid:396)a(cid:272)olu(cid:373)(cid:271)a(cid:396) t(cid:1005)(cid:1004) - l2. Causes: mva = 50, falls = 25, sports =10% (cid:449)i(cid:373)(cid:373)e(cid:396)"s: ct: differentiating bony injury, mri: differentiate soft tissues: spinal cord, intervertebral discs. If we suspect something, follow up with mri for soft tissue/bruising. Dislocations and fractures: compression fractures, cause, forceful flexion of the vertebral column, drives the superior & inferior surfaces of the vert. bodies toward each other (cid:449)edged shaped (cid:448)e(cid:396)te(cid:271)(cid:396)a. & hyperextension: management: surgical fusion of c1-c2, b/c the odontoid cortical bone does not heal as well as other portions of vertebrae - cancellous bone, put a plate on the odontoid peg.

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