Fracture (Description): Difference between revisions

Revision as of 20:23, 8 June 2015

Open versus Closed
Location
- Intra-articular versus articular
- Mid-shaft, proximal 1/3, or distal 1/3
- Supracondylar
- Intertrochanteric, subtrochanteric, femoral neck, or subcapital
Orientation of the fracture line
- Transverse
- Oblique
- Spiral
- Comminuted
- Segmental
- Torus / Greenstick (Peds)
Displacement
- Extent to which fracture fragments are offset from each other
  - State in terms of direct measurement (e.g. 4mm) or %width of bones (50% displacement)
- Direction of displacement is based on position of distal fragment relative to proximal
Separation
- Distance the two fragments have been pulled apart (but not offset from each other)
Shortening
- Amount by which a bone's length has been reduced (expressed in mm or cm)
- May occur by impaction or by overriding
Angulation
- Described in terms of degree and direction
  - Degree
    - Calculate amount of "unbending" needed to make fx fragments parallel
  - Direction
    - Described by direction of the apex of the angle formed by the two fragments OR
    - Described by direction the terminal fragment is deviated
    - Examples: anterior or posterior, lateral or medial, radial or ulnar, dorsal or volar
Rotational Deformity
- Usually apparent on physical exam, not on radiographs
Fracture-Dislocation
- Be careful not to describe these injuries as fractures with displacement
Salter Harris

Source

Tintinalli

Authors:

@@ Line 1: / Line 1: @@
-#Open versus Closed
+*Open versus Closed
-#Location
+*Location
-##Intra-articular versus articular
+**Intra-articular versus articular
-##Mid-shaft, proximal 1/3, or distal 1/3
+**Mid-shaft, proximal 1/3, or distal 1/3
-##Supracondylar
+**Supracondylar
-##Intertrochanteric, subtrochanteric, femoral neck, or subcapital
+**Intertrochanteric, subtrochanteric, femoral neck, or subcapital
-#Orientation of the fracture line
+*Orientation of the fracture line
-##Transverse
+**Transverse
-##Oblique
+**Oblique
-##Spiral
+**Spiral
-##Comminuted
+**Comminuted
-##Segmental
+**Segmental
-##Torus / Greenstick (Peds)
+**Torus / Greenstick (Peds)
-#Displacement
+*Displacement
-##Extent to which fracture fragments are offset from each other
+**Extent to which fracture fragments are offset from each other
-###State in terms of direct measurement (e.g. 4mm) or %width of bones (50% displacement)
+***State in terms of direct measurement (e.g. 4mm) or %width of bones (50% displacement)
-##Direction of displacement is based on position of distal fragment relative to proximal
+**Direction of displacement is based on position of distal fragment relative to proximal
-#Separation
+*Separation
-##Distance the two fragments have been pulled apart (but not offset from each other)
+**Distance the two fragments have been pulled apart (but not offset from each other)
-#Shortening
+*Shortening
-##Amount by which a bone's length has been reduced (expressed in mm or cm)
+**Amount by which a bone's length has been reduced (expressed in mm or cm)
-##May occur by impaction or by overriding
+**May occur by impaction or by overriding
-#Angulation
+*Angulation
-##Described in terms of degree and direction
+**Described in terms of degree and direction
-###Degree
+***Degree
-####Calculate amount of "unbending" needed to make fx fragments parallel
+****Calculate amount of "unbending" needed to make fx fragments parallel
-###Direction
+***Direction
-####Described by direction of the apex of the angle formed by the two fragments OR
+****Described by direction of the apex of the angle formed by the two fragments OR
-####Described by direction the terminal fragment is deviated
+****Described by direction the terminal fragment is deviated
-####Examples: anterior or posterior, lateral or medial, radial or ulnar, dorsal or volar
+****Examples: anterior or posterior, lateral or medial, radial or ulnar, dorsal or volar
-#Rotational Deformity
+*Rotational Deformity
-##Usually apparent on physical exam, not on radiographs
+**Usually apparent on physical exam, not on radiographs
-#Fracture-Dislocation
+*Fracture-Dislocation
-##Be careful not to describe these injuries as fractures with displacement
+**Be careful not to describe these injuries as fractures with displacement
-#[[Salter Harris]]
+*[[Salter Harris]]
 ==See Also==