(see also: Trauma Workup; Open Frx; Frx Healing; AO Foundation; ON FRACTURES by Hippocrates.)
– Discussion: – characterized by frx of volar margin of the carpal surface of the radius which is associated w/ subluxation of radiocarpal joint; – similar to Smith’s type III; – comminuted frx of distal radius may involve either anterior or posterior cortex and … Read more
– See: Radiographic Findings – Unstable Frx Patterns: – Barton’s frx, Radial-styloid frx, and Smith’s frx, will often be unstable; – dorsal angulation: > initial 20 deg implies instability; – radial shortening of 5 mm or more; – articular frxs that involve radiocarpal joint; … Read more
– Type I: extra articular, undisplaced; – Type II: extra articular, displaced; – Type III intra articular, undisplaced; – Type IV: intra articular, displaced Intra-articular fractures of the distal end of the radius in young adults.
– night stick fracture: mechanism: direct trauma w/ forearm used to block blow – stable frx: – diplaced < 50% = Stable; – periosteum & interosseous membrane are intact & act as restraint to rotation; – unstable fracture: … Read more
(see also: Both Bone Forearm Fracture: / Ulnar Styloid Process) Anatomy radius & ulna lie parallel to each other when forearm is supinated; during pronation radius crosses ulna, rotating on axis that passes from capitulum through the distal end of ulna; ular side of wrist is supported by TFCC, which articulates w/ both lunate and triquetrium; … Read more
– See: Surgical Approach – Treatment Options: – No Reduction – elevation, compression, early ROM (ROWE) – Closed Reduction – Bohler: distraction/M-L – compression – Open Reduction – Palmer: lateral approach (1948) – Goals of Open Reduction: … Read more
(see also: – Trauma Workup; Open Frx; Frx Healing; AO Foundation; ON FRACTURES by Hippocrates.) Acetabular Fracture Ankle Fractures Barton’s Fracture: Dorsal Barton’s Fracture Volar Barton’s Fracture Bennet’s Fracture Both Bone Forearm Frx Boxer’s Frx Burst Fractures (of spine) Calcaneus, Frx Capitulum Fractures Chauffeur’s Fracture Chance Fracture Clavicle Fracture Colles Fracture Compression Frx (Spinal) Condylar … Read more
– Discussion: – if secondary frx line travels parallel w/ plantar aspect of foot, exiting at posterior border of the calcaneus, tounge frx will develop; – secondary fracture line extends posteriorly from superior part of primary frx line (at crucial angle), creating 1 single posterior, superior, & lateral fragment; – hence, the coronal fracture occurs posterior to … Read more
– Discussion: – torus is derived from Latin (tori) meaning a swelling or protuberance; – failure of cortex on compression side, 2-3 cm proximal to physis; – torus (buckle) frxs of distal metaphysis of radius & ulna is most common frx in lower forearm in young children; … Read more
Discussion: – Seymour’s frx: – open type of fracture in which germinal matrix of the nail bed is trapped in the fracture site; – needs to be treated with ORIF (K wires) as well as IV antibiotics The Stubbed Great Toe: Importance of Early Recognition and Treatment of Open Fractures of the Distal Phalanx