Fracture (Description): Difference between revisions

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*Open versus Closed
#REDIRECT[[Fractures (Main)]]
*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]]
 
==See Also==
*[[Fractures (Main)]]
 
==Source==
Tintinalli
 
 
[[Category:Ortho]]

Revision as of 20:25, 8 June 2015

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