Can someone please help me answer the following question? Please do not attempt
ID: 3476064 • Letter: C
Question
Can someone please help me answer the following question? Please do not attempt to answer this question if you cannot answer all parts. Thank you
Clinical Case 5 Skeletal System: Osteoporosis Margaret Donovan, a 72-year-old white female, was brought to the emergency room after falling in her bathtub. She was previously in having a 30-pack-year history of cigarette smoking. The only upon entering the bathtub when her right leg slipped out from under good health, despite leading a relatively sedentary lifestyle and medication she currently takes is for mild hypertension. She fell her; she landed on her right hip. She reports severe pain in the right hip and upper thigh, and was unable to get up after her fall. An injection of oxymorphone hydrochloride helped relieve her pain. Physical Examination: The right thigh and hip were extremely tender splint. Radiology Report: The X-ray of the right hip revealed a complete, comminuted, intertrochanteric fracture of the right hip. No other fractures were noted in the right leg. There were also long-term osteoporotic changes in the femur, tibia, and fibula. Questions: 1. What is meant by a "complete, comminuted, intertrochanteric fracture of the right hip"? 2. The radiologist reported signs of osteoporosis. Describe the characteristics of an osteoporotic femur as seen on an X-ray (How does it differ in appearance from a normal femur?) 3. Describe the changes (steps) that a broken bone undergoes as it is healing 4. During her long recovery, Margaret is advised by her physician to begin weight-bearing as soon as she can. How does weight- bearing influence the process? (Be specific in your answer and describe what weight-bearing does to bone at the microscopic level.) 5. Why Margaret's physician want her to avoid a prolonged period of bed-ridden inactivity? Why astronauts find loss in bone volume upon their return to earth? 6. What risk factors does Margaret have for osteoporosis? 7. Which part of the skeletal system is affected more by osteoporosis?Explanation / Answer
1. A comminuted hip fracture is the breakage in the bone that forms more than two fragments. The fragments formed due to communited hip fracture are the femoral head, the lesser trochanter, greater trochanter and the remaining femur.
When the fracture occurs in the upper part of the femur and thigh bone, it is known as Intertrochanteric fractures.
Complete fracture of hip is defined as when bone breaks into separate pieces.