Full transcript
0:00here we have strain versus sprain
0:04strain defined as over stretching of a
0:07muscle or a tendon sprain tearing of a
0:10tendon ligament or cartilage of a joint
0:14so strain is going to be muscle or
0:16tendon sprain tendon ligament cartilage
0:20of a joint
0:22now the treatment is the same for both
0:24we have rice which is rest ice
0:26compression and elevation
0:29and some providers will prescribe what's
0:32called ice which is just ice compression
0:35and elevation so you'll want to make
0:37sure that you pay attention to
0:39documentation in the patient's chart to
0:42see which one they're recommending for
0:43either one of these conditions
0:46here we have fractures and so fractures
0:50are looked at as something that is
0:52important it does need to be seen
0:54depending on the type of fracture it is
0:57depends on whether or not it's going to
0:58be an Urgent Care situation or if this
1:01is something more along the lines of the
1:03emergency room
1:04the term fracture really just means that
1:07there's a break in the bone and the
1:09breaks and the way that they occur are
1:11actually put into classifications by
1:13type
1:14so starting at the top there you have
1:16what's called a complete fracture
1:19and a complete fracture is going to be a
1:22break across the entire bone all the way
1:24through that bone is literally slapped
1:27uh kind of
1:29broken in half I should say
1:31and then we have incomplete incomplete
1:34is through only one part of the bone so
1:37maybe it broke uh but we've got a little
1:40piece of the bone that's still connected
1:42there so the brake didn't go all the way
1:44through like we would expect for
1:45complete we still have a little bit that
1:48is still intact next one down is
1:50communuted now communuted is a bone
1:53that's broken into several fragments
1:55communative fractures require a little
1:57bit more attention in order to be able
1:59to promote proper healing
2:03and our last two we have closed and we
2:06have open a closed fracture is no break
2:09in the skin so the bone may be broken in
2:12certain areas but it did not rupture
2:14through the skin an open fracture is a
2:18break in the skin the bone is broken and
2:20it has in fact started to protrude
2:22outward on the skin
2:24here are some pictures for comparisons
2:27here there is your complete break or
2:30complete fracture versus your incomplete
2:33fracture
2:35and you're open and you're closed and
2:37notice with the open here you have the
2:40break in the skin this is simulating the
2:42bone breaking through the skin versus
2:45here same bone is broken it just did not
2:48make its way to the outside of the body
2:51complete fracture all the way through
2:53this bone is stabbed in half incomplete
2:56we've got a break but we have a little
2:58bit that was unaffected that would be
3:00considered incomplete there's your
3:03common unit that's broken into several
3:05fraction fragments
3:07and the green stick green stick is named
3:10after believe it or not this tree branch
3:13here and the structure of it so the bone
3:15is bit but only one side is fractured
3:19and with green sticks these are mostly
3:22seen in children and primarily because
3:24their bones haven't completely uh made
3:27their way from cartilage to Bone and so
3:30rather than having that complete break
3:32that we're used to seeing with a
3:34complete fracture you're going to see
3:36green sticks with children because they
3:37still have a little bit of flexibility
3:39in their bones