stages

Bone Healing

Stages

 

Inflammation

- hematoma due to blood vessel disruption

- neutrophils / macrophages / fibroblasts

- remove dead bone

 

Soft Callus

- collagen formation

- new blood vessels

- osteoblasts and chondroblasts

 

Hard Callus

- osteoid deposition and mineralisation

- woven bone

 

Remodelling

CRPS

Definition

 

Chronic Regional Pain Syndrome

 

CRPS 1

 

Sympathetically mediated pain syndrome

- excessive or exaggerated response of extremity to injury, surgery or disease

 

Manifested by

- intense or unduly prolonged pain

- vasomotor disturbances

- trophic changes

- delayed functional recovery

 

CRPS 2

 

Background

Definition

 

A fixed equinus deformity of the forefoot in relation to the hindfoot 

- resulting in an abnormally high arch that fails to flatten with weight bearing

- deformity may be forefoot, hindfoot or combination

 

Foot CavusFoot Cavovarus

 

Aetiology

 

HIV

Epidemiology

 

1% of US population

0.1% of Australia

 

M:F = 20:1

 

Groups

- homosexual 80%

- IV User 5%

- heterosexual 8%

- haemophilia 2%

- blood transfusion 1.5 %

 

Aetiology

 

Unprotected Sex

 

Blood

- needle sharing

- blood products

- accidental transmission with infected blood in health care setting