PAtho Fracture
PAtho Fracture
Precipitating Factors -accidents; -under influence in illegal drugs and alcohol; -violence
-Age, Asian and Caucasoid, Malnutrition -Sensory Neural Problems, Immobility and Sedentary lifestyle, Low estrogen Level/Postmenopausal women ,Smoking ,Excessive alcohol and caffeine intake, Medication, Rheumatoid Arthritis, Endocrine disorders, Gastrointestinal disorders, Malignant and benign tumors, Occupation, gender
Fracture
(Dead tissue and bone fragments ) Fat Embolus
Infection
If Inadequate Immobilization
Nonunion
Delayed Union
Histamine
Rapid Constriction of Smooth Muscle Post capillary venules Dilation Retraction of endothelial lining Neutrophil Chemotactic Factor
Chemotatic Factors
Muscle Spasm
blood flow
vascular permeability
Neutrophil Eosinophil
Histaminase
Macropages Hypothalamus Cytokines Phagocytosis of bacteria and debris for long term Purulent exudates and pus
Degrade histamine
Fever
Control of Infalammation
Leukotrines
Prostaglandins
Vasodilation
Vascular permeability
Pain induction
Fluids and plasma proteins into compartment Fluid Exudates blood flow intracompartmental pressure
Pain/Compartment Syndrome
ischemia
Platelet Activation
Activation of Osteoblast
Excess Callus are Reabsored and trabeculae are formed along the lines of stress by repair tissues