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What Are The Applied Aspects Of Blood Supply Of Long Bones

Jones Fracture Healing?

I have a Jones Fracture - rolled my foot 6 weeks ago yesterday running. I'm in a boot and had stayed off of my foot for 5 weeks. Last week, I had to go back to work so I started walking on the heal (in my boot) without crutches. I don't put weight on my entire foot just the heal. Today, I went to the doctor and he said its not healed so stay off of it for 4 more weeks. At that time if it is still not healed we will look at surgery. My question is - did I screw up my healing by walking on my heal? I only get to spend about 5 minutes with the doctor so when I asked him he just gave me the answer that the doctors recommend to stay completely off of the heal. I felt like I was being rushed out of there.
Thanks!
Marilyn

How long does it take for a fractured tibia to heal?

It depends on the type of fracture, and the age of the patient. If it's a newborn it's just a matter of days. If it's a long spiral fracture with a wide surface area of bone that's broken it could be a matter of six to eight weeks. Four weeks if it's a toddler. If the bone is broken near the ends of the bone it doesn't take too long because it's cancellous bone and that bone has good blood supply, about six to eight weeks. If it's a transverse fracture where the bone snaps right in the middle like breaking a pencil then it can take months because the surface area of bone healing is real small. And the middle of the bone is very hard to heal because it's made of cortical bone meaning the blood supply isn't that great. You need good blood supply and circulation to get bone to heal. Usually those fractures are operated on with a rod placed down the middle. If the bone pierced through the skin it can take a very long time because you're now talking about an infection and other things like skin coverage. Usually those fractures are operated on and an external fixator is applied. Then there are segmented tibial fractures where the bone is broken in three places and they can take almost a year to heal.

What does bone consist of?

Protein and minerals (mainly calcium compounds)

What is the function of the outer membrane in the bone?

Periosterum is the outer most covering layer of the bone. This layer is provided with vascular supply as well as nerve supply. With blood supply it nourishes the bone and nerve supply provide sensation to bones. It is the attachment region for muscles, tendons and ligaments. When the bone gets damaged it helps in healing process of the bone.

please visit:http://www.indiastudychannel.com/resources/90456-Metabolic-Bone-Disease.aspx
http://www.britannica.com/EBchecked/topic/451978/periosteum

What are the important questions of upper limb in anatomy?

Every university has a particular patern of exam. So the question will depend on the exam pattern. Also you have not mentioned which course you are in. Assuming you as a Medical student, I'm going to list a few topics which are must know.Mammary gland, Clavipectoral fascia, brachial plexus, axillary artery, axillary lymph nodes, brachial artery, deltoid muscle and structure under cover.Scapular anastomosis, anastomoses around elbow, brachial artery (mainly the branches), erb's point, radial and ulnar artery.Flexor retinaculum, extensor retinaculum, surgical spaces of hand,palmar arch thenar and hypothenar muscles.These topics for theory.

Is a broken bone any more or less likely to break again after it has healed? Is it the same for all bone, or would a fractured wrist heal differently than a fractured tooth socket?

Fractures, Healing and the Benefits of Physical TherapyBy Jeanette Calara, PT, DPT, MBA, OCS, COMT, GCFP, COS-CThe extent of a person's injury and their compliance with doctor's recommendations will determine how well and how quickly the fracture heals.Everyone who has a fractured bone occurrence will heal differently. The healing process depends on the nature and extent of the injury, the stability of fracture fixation, and biological processes, a good healing process is quite essential.Three stages of healing:The inflammatory phase is often called fracture hematoma formation, is the first stage of healing that occurs immediately after the injury.In about 48 hours after the injury. This blood starts to clot and forms a fracture hematoma.This stage ends approximately one week post-fracture.The repairing or reparative phase commences within the first few days and lasts for about two to three weeks. The tissue forms a soft collar around the broken ends of the bones and grows until the two ends meet. These are known as calluses which stabilizes the fracture. Over the following weeks, the trabecular bone, calluses, replaces the tissue callus.Bone remodeling phase is the final phase in fracture healing. As the solid bone replaces the spongy bone completes the healing process.One of the goals of treatment is to restore the normal anatomy so a doctor will manipulate and reset each part of the bone into its correct anatomic position.Exercise when performed under a physical therapist supervision, can improve blood flow to the injured site, help to rebuild muscle around it, and speed up bone fracture healing. Furthermore, some people may regain limb function through exercise.Conversely, Wolff's law, by Julius Wolff, states The internal architecture of the trabeculae undergoes adaptive changes, followed by secondary changes to the external cortical portion of the bone, perhaps becoming thicker as a result. However, there is no evidence that a bone that breaks will heal to be stronger than it was before.

Ever know anyone who had a bone die after and accident?

It's Called Keinbock' Disease.
Anwhy, the doc thinks I have it.
I just wonderedmwhat all the patient goes through with this diseaase.
Does surgery help?

What is the hardest bone to heal?

The scaphoid bone due to its bad blood supply, location inside a joint, and heavy stresses applied by the neighboring bones.

What are the important topics for long questions for anatomy in 1st prof of MBBS?

I have just given anatomy exam of first MBBS.Anatomy is very vast subject and due to limited duration of first MBBS, long answer questions are asked on certain important topics only.Here are they:1. Upper LimbRadial NerveUlnar NerveMedian NerveShoulder jointBrachial plexus2. ThoraxMediastinum ( mostly superior and posterior)Bronchopulmonary segments of both lungsRight atrium along with its development (interatrial septum development can also be asked)Blood supply of HeartArch of aorta and its development3. Abdomen and PelvisRectus sheathInguinal canalTestis with histology or with descentStomachBiliary apparatusPancreas with histology and developmentSuprarenal with histology and developmentUrinary bladder with histology or developmentOvariesUterus with supportsProstate gland with histologyAnal Canal4. Lower limbFemoral TriangleSciatic NerveHip jointKnee jointPopliteal fossaVenous drainage of lower limb5. Head, Neck, Face, BrainParotid gland with histologyThyroid gland and development and histologyTounge and development (histo sometimes asked)TM JointSuperolateral cerebrum ( sulci, gyri, functional areas)Internal CapsuleFloor of fourth ventricleGlossopharyngeal NerveFacial NerveGive special attention to diagrams, applied anatomy, nerve supply and movements-muscles causing movements in case of joints.Don't need to mug up all relations like anterior-posterior relations, superior-inferior relations. Remember only important relations.& all the best!!

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