American Board of Surgical Assistants (ABSA) Orthopedic Practice Test

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What is a common consequence of neglected complete fractures?

Increased mobility
Infections
Osteoarthritis
Growth abnormalities

The correct answer is: Growth abnormalities

Neglected complete fractures can lead to significant complications, one of which is growth abnormalities. When a fracture is not treated properly, particularly in children whose bones are still growing, it can disrupt the normal development of the skeletal system. This may result in conditions such as limb length discrepancies or deformities. In younger patients, if the growth plate is affected, it can prevent the normal growth and development of the bone, leading to lasting changes in the structure and function of the limb. While infections and osteoarthritis can also arise from untreated fractures, they are typically associated with specific circumstances such as open fractures or improper joint healing. Increased mobility is generally not a consequence of neglected fractures; in fact, they usually result in restricted movement due to pain, instability, or misalignment. Therefore, the most pertinent outcome of neglected complete fractures in terms of long-term physical consequences is growth abnormalities.