Shaft fracture posterior fractures comminuted. Medical search. Frequent questions

Femoral shaft fractures are high energy injuries to the femur that are associated with life-threatening injuries (pulmonary, cerebral) and ipsilateral femoral neck fractures. (orthobullets.com)
Diagnosis is made radiographically with radiographs of the femur as well as the hip to rule out ipsilateral femoral neck fractures. (orthobullets.com)
It can be hard to control proximal femur fractures with manual traction, so I hope you have somebody to help pull traction. (hwbf.org)
Car crashes, for example, are the number one cause of femur fractures. (peninsulaboneandjoint.com)
The long, straight part of the femur is called the femoral shaft. (peninsulaboneandjoint.com)
Femur fractures vary greatly, depending on the force that causes the break. (peninsulaboneandjoint.com)
A prospective study was conducted in five private hospitals in the district of Bankura, West Bengal over a period of two years (April 2010 to March 2012) on 70 patients with closed shaft femur fractures between 6- 14 years age of either sex. (openorthopaedicsjournal.com)
The aim was to find out the short term complications of titanium elastic nailing in diaphyseal fracture of femur in children and compare the findings of this study with pre- existing studies in this field. (openorthopaedicsjournal.com)
The treatment of paediatric shaft femur fracture has been drastically changed over the last two decades to internal fixation by elastically stable intra- medullary nail (ESIN). (openorthopaedicsjournal.com)
Distal femur fractures are fractures extending from the distal metaphyseal-diaphyseal junction of the femur to the articular surface of the femoral condyles. (teachmesurgery.com)
They account for around 3-6% of femur fractures . (teachmesurgery.com)
There is also an increasing number of whom have a distal femur fracture related to a knee replacement (known as a peri-prosthetic fracture ). (teachmesurgery.com)
The classification is commonly used to classify distal femur fractures into extra-articular (type A), partial articular (type B), and complete articular (type C). (teachmesurgery.com)
The majority of distal femur fractures are managed surgically . (teachmesurgery.com)
The mainstay of surgical management for distal femur fractures is retrograde nailing or open reduction internal fixation (ORIF). (teachmesurgery.com)
The management of a peri-prosthetic distal femur fracture is more complex, and may require intramedullary nailing, open reduction internal fixation, revision to a long stem prosthesis, or a distal femoral replacement. (teachmesurgery.com)
Complications following a distal femur fracture include malunion (more common for fractures that have been plated), non-union (can occur in up to 19%, most common in the metaphyseal area), and secondary osteoarthritis , especially those with intraarticular extension of the fracture. (teachmesurgery.com)
The use of skeletal traction should be reserved only for selected open fracture types (i.e., pelvis fractures and very proximal femur fractures) and if used, it should only be for a short selected time. (passmed.uk)

An external fixator brings many advantages like a rigid fixation in a precarious form of immobilization especially in open fractures in which traction or casting or plates or rods are unable to be applied because of risk of infection or the loss of an extremity. (amhe.org)
So, an external fixation is a surgical way to stabilize a fracture with rods screwed into bone and exiting the body attached to a stabilizing structure on the outside of the body. (amhe.org)
One has to understand that an external fixation may be a way of treating any long bone open or comminuted fractures while the damaged sot tissues is managed. (amhe.org)
5] As surgeons became more adept at surgical reduction and internal fixation, the Arbeitsgemeinschaft für Osteosynthesefragen-Association for the Study of Internal Fixation (AO-ASIF) group described a classification based on fracture pattern and degree of comminution (see Classification). (medscape.com)
The "bag of bones" treatment was used when bone quality or fracture pattern was not sufficient to gain stable fixation. (medscape.com)
Because of these limitations, this author believes that the classification of bicolumn fractures of the distal humerus introduced by Mehne and Matta proves useful in planning bicolumn surgical fixation. (medscape.com)
Although the medial and lateral lambda fractures are not technically bicolumn fractures, they are included in this classification because they require similar operative fixation techniques (see the image below). (medscape.com)
We'd prioritize the acetabular accurate reduction and stable fixation initially (the selected exposure depends on the fracture details that you have from his radiographic scans), then stabilize the sacral (and possibly ramus) fracture percutaneously, then antegrade statically locked femoral medullary nailing. (hwbf.org)
Surgical fixation is consequently recommended for fractures with residual displacement greater than 5 mm, or 3 mm in active patients involved in frequent overhead activity. (beemed.com)
Conventional plating involved opening of the fracture site and fixation, while in nailing entry through the rotator cuff had issues in performing overhead activities. (medresearch.in)
BACKGROUND: This study was conducted to compare the radiological and clinical outcomes of internal fixation using a Polarus humeral nail for treatment of a humeral shaft fracture according to fracture. (koreamed.org)
In certain cases, external fixation may be used in severe comminuted or open fractures. (teachmesurgery.com)
Locked plate technology for fixation of fractures associated with poor bone quality has expanded in recent years. (scielo.org.za)
In a recent prospective randomised control trial (PRCT) of 50 patients comparing non-operative management and locked-plate fixation for complex displaced fractures, it was reported that at 12 months the functional scores (American Shoulder and Elbow Score ASES, and Constant Score CS) were similar, and that the only significant difference was better radiographs in the operated group. (scielo.org.za)
A nail offers good fixation for the metaphyseal fracture if it must be disimpacted to correct significant angulation. (aofoundation.org)
We hypothesize that the number of screws in the articular segment of distal humerus AO/OTA C-type fractures treated with open reduction internal fixation (ORIF) will be inversely proportional to the complication rate. (sicot-j.org)
In C-type fractures, the use of three or fewer articular screws was significantly associated with nonunion or loss of fixation (RR 17, p = 0.006). (sicot-j.org)
In this retrospective study, the use of three or fewer screws to fix articular fragments in AO type C fractures was a significant risk for nonunion or loss of fixation. (sicot-j.org)
Recent literature in adults fractures favors open reduction and plate fixation for significantly displaced and/or shortened midshaft clavicle fractures, although whether this applies to adolescents remains debatable. (musculoskeletalkey.com)
External fixation is a procedure in which fracture stabilization is done at a distance from the site of the fracture. (londonarmdoc.com)
It also restores length, alignment, and rotation-all vital principles of fracture fixation. (passmed.uk)
External fixation is a valuable tool in the surgeon's arsenal for acute open fracture management. (passmed.uk)
Indications for external fixation are grossly contaminated open fractures with extensive soft-tissue compromise, the Type IIIA-C injuries, and when immediate fixation is needed for physiologically unstable patients. (passmed.uk)
View of Is Fusion Mandatory with Spinal Fixation of Traumatic Thoracolumbar Burst Fractures? (pdfplayer.org)
Posterior pedicle screw fixation provides easier exposure and a less morbid approach, but with higher incidence of implant failure and recurrent kyphosis. (pdfplayer.org)
and soft tissue healing similar to internal fixation of limb fractures. (pdfplayer.org)

This classification remains somewhat deficient in describing the mechanically important concept of the medial and lateral columns and their fracture involvement. (medscape.com)
Use a retrograde nail because with the medial displacement of the acetabular fracture, it will be difficult to get your awl or guidewire into the pyriformis fossa because you will be hitting the pelvis or the patients body. (hwbf.org)
Although conventional anteroposterior radiographs may demonstrate elevation of the medial end of the clavicle in anterior dislocations and depression below that of the normal side with posterior dislocations, computed tomographic (CT) scanning is now considered the imaging modality of choice. (aafp.org)
Partial articular fractures can be further classified into sagittal fractures of lateral condyle, sagittal fractures of medial condyle, and coronal fractures. (teachmesurgery.com)
Avascular necrosis (AVN) complicates between 21 and 75% of three- and four-part fractures, and is related to the initial injury, the fracture pattern, the integrity and size of the medial cortical hinge, and surgical dissection. (scielo.org.za)
Medial and posterior are the most common. (crashingpatient.com)
In proximal humeral fractures which consist of a fracture of the greater tuberosity the trajectory of bent nails often passes through the fracture line between the greater tuberosity and the humeral head whereas straight nails penetrate the humeral head medial to the fracture line. (aofoundation.org)
Also called a McLaughlin lesion, this is a depression of the anterograde-medial aspect of the humeral head occurring during posterior dislocation. (dislocation.com.au)
Typical displacement of clavicle shaft fracture fragments with the medial fragment pulled cephalad by the sternocleidomastoid and the lateral fragment pulled caudad by the weight of the arm. (musculoskeletalkey.com)

The fractures are usually transverse and complete, although some may be comminuted, with overriding of fragments. (aafp.org)
Transverse fracture. (peninsulaboneandjoint.com)
Isolated transverse or vertical sacral fractures ( Fig. 15.36 ) are rare and have to be differentiated from insufficiency fractures in osteopenia that have usually both a vertical and horizontal course. (radiologykey.com)
A lateral force vector characteristically causes transverse fractures of the pubic rami, vertical compression fractures of the sacrum, and fractures of the iliac wings, as well as pelvic instability caused by rotation of one or both hemipelvises (rotational instability). (radiologykey.com)
Fracture of the transverse process of L5 where the iliolumbar ligament attaches is a harbinger of an unstable pelvic injury. (radiologykey.com)

Intra-articular Fractures of the Distal Humerus in the Adult. (uth.edu)
In cases where there are many pieces or severe intra articular fractures, a CT(Computed Tomography) Scan is ordered to help guide surgical treatment. (renoortho.com)

Distal humerus fractures in adults are relatively uncommon injuries, representing only about 3% of all fractures in adults. (medscape.com)
In young adults, most distal humerus fractures occur from high-energy trauma, sideswipe injuries, motor vehicle accidents, falls from heights, and gunshot wounds. (medscape.com)
Anterior dislocations occur more commonly, but the posterior (retrosternal) type of dislocation is most important to recognize because of its potential for concomitant injuries to the structures of the superior mediastinum, including the great vessels, esophagus, trachea and nerves. (aafp.org)
Locking plates associated with coracoclavicular buttons are an alternative to stabilize ligament injuries associated with Craig's type IIB fractures. (bvsalud.org)
Radiographs showed comminuted fracture of the distal clavicle associated with ligament injuries (Craig's type IIB). (bvsalud.org)
When subtrochanteric and supracondylar fractures are included the femoral shaft fractures represents about 1.6% of all bony injuries in children. (openorthopaedicsjournal.com)
Stable pelvic fractures ( Fig. 15.34 ) do not disrupt the osseous ring formed by the pelvis and sacrum (type 1 injuries) or disrupt it in only one place (type 2 injuries), whereas unstable fractures ( Fig. 15.35 ) completely disrupt the ring in two or more places (type 3 injuries). (radiologykey.com)
Type 1 injuries include avulsion fractures that occur at tendinous attachment sites, such as the anterosuperior and anteroinferior iliac spines, ischial tuberosity, and iliac crest. (radiologykey.com)
Type 2 injuries (single break in the pelvic ring) include ipsilateral fractures of the superior and inferior pubic (ischiopubic) rami, fracture of the pubic body adjacent to the symphysis, subluxation of one sacroiliac joint ( Fig. 15.37 ) or the pubic symphysis, and a fracture paralleling the sacroiliac joint ( Fig. 15.38 ). (radiologykey.com)
Type 3 injuries (double breaks in the pelvic ring) include straddle fractures (vertical fractures of both superior pubic and ischiopubic rami or unilateral vertical rami fractures associated with symphyseal diastasis) ( Fig. 15.39 ) and injuries with complete disruption of both the anterior and posterior pelvic ring (e.g. (radiologykey.com)
Pelvic fractures are frequently associated with severe soft tissue injuries, including vascular lacerations, compression or disruption of peripheral nerves, and perforation of the urinary bladder, urethra, rectosigmoid, and anus. (radiologykey.com)
The complexity of these injuries is a function of fracture severity (and the associated risk of avascular necrosis), and the difficulty in attaining union of the greater and lesser tuberosities in anatomical position. (scielo.org.za)
2) Achilles tendon injuries-Physicians miss injuries to the Achilles tendon in 25% of cases, most often due to preservation of foot plantar flexion by the posterior tibial, peroneal, and toe flexor muscles? (crashingpatient.com)
Distal clavicle fractures are traumatic injuries usually caused by direct trauma to the shoulder from a fall in adults. (orthobullets.com)
Hand fractures represent commonly encountered injuries in pediatric patients. (bvsalud.org)
The incidence of clavicle shaft fractures in the pediatric population is 15% among all upper extremity injuries. (musculoskeletalkey.com)
Severe displacement or comminution of the clavicle fracture should alert the clinician to a high-energy mechanism, and one should be vigilant in looking for potential associated injuries, including pneumothorax, or fractures of the scapula and ribs. (musculoskeletalkey.com)
Pins use smaller incisions and are usually used for less serious injuries or in kids with wrist fractures. (renoortho.com)

Scapular fractures are rare (incidence: about 10 per 100,000 person-years) and often a consequence of high-energy trauma. (orthopaedia.com)
Assessment of an acute proximal humerus fracture includes a complete trauma series radiography and, where surgical treatment is considered, a CT scan with three-dimensional reconstruction. (beemed.com)
They occur both in younger patients (as the result of high energy trauma) or in older patients (from low energy trauma as a pathological fracture secondary to osteoporosis or malignancy). (teachmesurgery.com)
As most cases present following a fall or trauma , differentials include tibial plateau fractures , haemarthrosis , or tibial shaft fractures . (teachmesurgery.com)
The association of these complications with important elements of operative decision making such as plate and/or screw construct is poorly understood, with certain literature suggesting that more screws in the distal articular segment of AO Foundation/Orthopaedic Trauma Association (AO/OTA) C-type fractures may be associated with fewer complications [ 4 ]. (sicot-j.org)
Cervical spine fractures can occur secondary to exaggerated flexion or extension, or because of direct trauma or axial loading. (radiopaedia.org)
Generally, scaphoid bone fractures result from indirect trauma when an individual falls onto the outstretched hand with a hyperextended and radially deviated wrist. (passmed.uk)
On the other hand, achievement of solid fusion reduces risk of re-kyphosis and implant failure.Methods: Study was prospectively conducted on 40 patients with T10-L2 traumatic burst fractures, assigned into 2 equal groups: a fusion and a non-fusion group.Results:Mean age of patients was 37.2 years with minimal male predominance.Fall from height was the most common mode of trauma (62.5%) followed by RTAs. (pdfplayer.org)

Any fracture pattern can be seen, but the displacement of all components must be less than 1 cm, except anatomic neck fractures, to be considered in this group according to Neer's concept. (teachmeorthopedics.info)
concluded, generally in 2 to 3 weeks, a program to regain shoulder motion is started as for fractures with minimal displacement and anatomic neck fractures. (teachmeorthopedics.info)
The likelihood of a second break in the pelvic ring (type 3 injury) increases with a greater degree of joint diastasis or fracture displacement at the primary injury site. (radiologykey.com)
Non-operative management requires a long period of immobilisation and non-weight bearing, however is sometimes indicated for fractures with minimal displacement in a non-ambulatory or very co-morbid patient. (teachmesurgery.com)
The direction of displacement depends on both the location of the fracture and the initial force causing the injury. (musculoskeletalkey.com)
Minor fractures with minimal displacement do very well with nonsurgical treatment. (renoortho.com)

Check for glenohumeral joint dislocation - Dislocations with associated isolated greater tuberosity fracture can be reduced under conscious sedation. (orthojournalhms.org)
Plain radiographs remain pivotal in the initial assessment of patients with a suspected fracture or dislocation. (aafp.org)
This injury commonly constitutes an epiphyseal separation with a fracture through the unfused physis of the proximal clavicle, rather than a true dislocation. (aafp.org)
Malgaigne fracture, bucket handle fracture, and pelvic "dislocation") ( Fig. 15.40 ). (radiologykey.com)
An anteroposterior or posteroanterior force vector produces vertically oriented pubic rami fractures and disruption of the pubic symphysis and the sacroiliac joints, resulting in pelvic "dislocation" ("sprung" pelvis or "open book" injury). (radiologykey.com)
This fracture occurs in approximately 22% of anterior dislocations and is the result of impaction of the humeral head against the antero-inferior glenoid labrum during dislocation, and is associated with rupture of the joint capsule and inferior gleno-humeral ligament damage. (dislocation.com.au)
A Hill-Sach's lesion is an impact fracture causing a depression of the postero-lateral aspect of the humeral head occurring during anterior dislocation. (dislocation.com.au)

Complications in fractures of the wrist are strongly related to the location of the fracture. (aafp.org)
This endeavour is an honest effort to analyse the short term complications of titanium elastic nailing in paediatric diaphyseal femoral fractures in a new set up where conservative treatment was performed in greater magnitude and to look in to factors causing them and possibly to provide a way as to how to minimise these complications. (openorthopaedicsjournal.com)
Serious complications of fractures are unusual but may threaten life or limb viability or cause permanent limb dysfunction. (msdmanuals.com)
Risk of complications is high with open fractures (which predispose to infection) and with fractures that disrupt blood vessels, tissue perfusion, and/or nerves. (msdmanuals.com)
Closed fractures that do not involve blood vessels or nerves, particularly those that are quickly reduced, are least likely to result in serious complications. (msdmanuals.com)
Surgical treatment of distal humerus fractures can lead to numerous complications. (sicot-j.org)
We hypothesized that there would be an association between a number of screws in the articular segment of an AO/OTA C-type fracture and complications, with an association between a decreasing number of screws and an increased complication rate. (sicot-j.org)

Undisplaced linear fractures that extend into the humeral head can occur. (teachmeorthopedics.info)
Neurovascular injury can occur in this type of fracture because the shaft may be displaced into the axilla. (teachmeorthopedics.info)
These fractures occur commonly in children before closure of the corresponding physis (cartilage plate) and athletes secondary to forcible muscular contraction. (radiologykey.com)
Pathologic fractures occur when mild or minimal force fractures an area of bone weakened by a disorder (eg, osteoporosis, cancer, infection, bone cyst). (msdmanuals.com)
Ulnar neuropathy has been reported to occur in 7-15% of cases, is more common in C-type fractures, and may be related to plate placement [ 5 - 10 ]. (sicot-j.org)
Fractures occur when the bone is subjected to excessive stress than normal. (londonarmdoc.com)
Growth plate fractures occur more often because it is the weakest area in the bone. (londonarmdoc.com)
A torus or buckle fracture is one of the most common fractures that occur in children. (londonarmdoc.com)
Greenstick fractures occur most often during infancy and childhood when bones are soft. (passmed.uk)

Others like Gavril Ilizarov of Kurgan in the Soviet Union, invented a new method in treating fractures, deformities or other bone defects. (amhe.org)
Scapular fractures can be categorized by the affected region of the bone: namely, the coracoid, the acromion, the glenoid, the scapular neck, and the scapular body. (orthopaedia.com)
When there is a break anywhere along this length of bone, it is called a femoral shaft fracture. (peninsulaboneandjoint.com)
The pieces of bone may line up correctly or be out of alignment (displaced), and the fracture may be closed (skin intact) or open (the bone has punctured the skin). (peninsulaboneandjoint.com)
In this type of fracture, the bone has broken into three or more pieces. (peninsulaboneandjoint.com)
If a bone breaks in such a way that bone fragments stick out through the skin or a wound penetrates down to the broken bone, the fracture is called an open or compound fracture. (peninsulaboneandjoint.com)
When a fracture happens, bone union is delayed and nonunion often occurs. (koreamed.org)
1) fractures of the os trigonum-The os trigonum is an accessory bone (sesamoid) located posterior to the posterior tubercle of the talus. (crashingpatient.com)
A fracture is a break in a bone. (msdmanuals.com)
Most fractures result from a single, significant force applied to normal bone. (msdmanuals.com)
A hematoma forms at the fracture site, and a small amount of bone in the distal fracture fragments is resorbed. (msdmanuals.com)
If a fracture line is not evident initially (eg, in some nondisplaced fractures), one typically becomes evident about 1 week after the injury as this small amount of bone is resorbed. (msdmanuals.com)
The reparative phase ends with clinical union of the fracture (ie, when there is no pain at fracture site, the injured extremity can be used without pain, and clinical examination detects no bone movement). (msdmanuals.com)
Bone - The shaft of a long bone. (powershow.com)
Letter to the Editor: Does Osteoarticular Allograft Reconstruction Achieve Long-term Survivorship After En Bloc Resection of Grade 3 Giant Cell Tumor Of Bone? (ucdavis.edu)
Fractures are more common in children due to their activities as well as their bone properties. (londonarmdoc.com)
If there is a non-displaced fracture in which the broken bone ends remain aligned in the correct anatomic position, then casting is the treatment option. (londonarmdoc.com)
This is a unique fracture in children that involves bending one side of the bone without any break in the bone. (londonarmdoc.com)
Early fracture management is aimed at controlling bleeding, preventing ischemic injury (bone death), and removal of sources of infection such as foreign bodies and dead tissue. (londonarmdoc.com)
In skeletal traction, a pin is inserted through the bone distal to the fracture. (londonarmdoc.com)
A greenstick fracture is a fracture in a young, soft bone in which the bone bends and breaks. (passmed.uk)
Some clinical features of a greenstick fracture are similar to those of a standard long bone fracture - greenstick fractures normally cause pain at the injured area. (passmed.uk)
Greenstick fractures are stable fractures as a part of the bone remains intact and unbroken so this type of fracture normally causes a bend to the injured part, rather than a distinct deformity, which is problematic. (passmed.uk)
The scaphoid bone is the most commonly fractured carpal bone. (passmed.uk)
Fractures are most often localized in the middle third of the scaphoid bone. (passmed.uk)
Pain when applying pressure to the anatomical snuffbox is highly suggestive of a scaphoid bone fracture. (passmed.uk)
A distal radius fracture is a break of the larger bone of the wrist. (renoortho.com)

Intramedullary nailing of humeral shaft fractures also has given excellent results [5-8]. (medresearch.in)
BACKGROUND: Intramedullary (IM) nailing is widely performed in elderly patients with trochanteric fractures. (koreamed.org)
PURPOSE: To evaluate the clinical characteristics of intertrochanteric or subtrochanteric fractures associated with ipsilateral femoral shaft fractures and assess the surgical outcomes of a novel, closed intramedullary nailing surgical approach. (koreamed.org)
PURPOSE: This study examined the outcomes of exchange nailing for the hypertrophic nonunion of femoral shaft fractures treated with intramedullary nailing as well as the factors affecting the treatment outcomes. (koreamed.org)

Rolando fracture - There is intra-articular comminution. (medscape.com)

The lateral offset of the greater tuberosity relative to the diaphyseal axis is another important anatomic variable, but sometimes difficult to restore due to the comminuted, and often porotic nature of fractured tuberosities, giving them an eggshell appearance. (beemed.com)
Role of the lateral offset: A) Superomedial malposition of the greater tuberosity after a subtubercular varus impacted fracture. (beemed.com)
In the unstable jumper's fracture ( Fig. 15.41 ), dissociation of the central portions of the sacrum from its lateral portions occurs by bilateral vertical sacral fractures, most commonly through the neural foramina representing the weakest points in the sacrum. (radiologykey.com)

We performed a single-center retrospective cohort study of 27 patients who underwent ORIF of distal humerus fractures C-type with at least six months of radiographic and clinical follow-up. (sicot-j.org)
This is a single-center retrospective cohort study of 27 consecutive unselected patients who underwent ORIF of distal humerus fractures AO type C between 2007 and 2017. (sicot-j.org)

Numerous classification schemes have been devised to categorize and discuss supracondylar fractures. (medscape.com)
The classification of Mehne and Matta describes the specific characteristics of bicolumn fractures and allows for better preoperative planning. (medscape.com)
Doctors describe fractures to each other using classification systems. (peninsulaboneandjoint.com)
Classification systems of pelvic fractures combining the direction of the force that created the injury with the fracture pattern seen radiographically allow a highly specific injury description and are preferred by orthopedic surgeons ( Table 15.1 ). (radiologykey.com)
Patients were grouped according to a 3D classification of fracture pattern. (scielo.org.za)

Different situations or pathological position of the greater tuberosity cause impingement and loss of strength: A) Type II cephalotubercular valgus impacted fracture and B) displaced fracture of the greater tuberosity resulting in decreased mobility and loss of strength through relaxation of the cuff. (beemed.com)
Rarely, a three-part fracture is encountered involving the lesser or greater tuberosity as well as the surgical neck. (teachmeorthopedics.info)
Anterior dislocations with Bankart's or Hill-Sach's lesions, greater tuberosity avulsion fractures are all suitable for closed reduction. (dislocation.com.au)
What is the significance of a greater tuberosity fracture? (dislocation.com.au)
Not every greater tuberosity fracture is the same. (dislocation.com.au)

Non-operative treatment in the form of sling immobilization followed by rehabilitation is indicated for the vast majority of scapula fractures. (orthopaedia.com)
Operative treatment is chosen for the more displaced fractures, especially if there is joint instability present. (orthopaedia.com)
Fractures which are displaced extending into articular surfaces definitely need operative management in form of plating, nailing and external fixator if it is compound in nature [3-8]. (medresearch.in)
2.85% encountered acute reactive synovitis, 5.71% developed angulation of fracture site and 2.85% developed per operative breakage of nail. (openorthopaedicsjournal.com)
While most simple, minimally or non-displaced fractures can be managed successfully with non-operative means, the more complex three- and four-part displaced fractures remain difficult to treat and have worse outcomes. (scielo.org.za)
To achieve this, maintenance of fracture reduction with immobilization technique is done by either non-operative or surgical methods. (londonarmdoc.com)
If non-operative care is chosen, regular follow-up care for a physical exam and x-rays is important to ensure that the fracture stays in good position and heals appropriately. (renoortho.com)

In the early 1980s, the AO-ASIF group reported good and excellent results in 27 of 39 patients with comminuted fractures of the distal humerus. (medscape.com)
Surgical options may be considered for specific fracture patterns in younger patients. (orthojournalhms.org)
They represent 5% of all fractures in patients over 40 years of age. (beemed.com)
Appropriate splinting will assist with haemodynamic control as well as providing an analgesic affect, but remember that all patients with confirmed or highly suspected femoral fractures should have early consideration for regional analgesia (femoral nerve block, FNB or fascia iliaca block, FIB), upon arrival in the ED. (nsw.gov.au)
After pre-anaesthetic fitness, patients were operated for midshaft fracture humerus. (medresearch.in)
Fractures of the proximal humerus are seen in all age groups but are more common in older patients. (teachmeorthopedics.info)
Reduction of the fracture depends on an intact posteromedial periosteal sleeve in younger patients. (teachmeorthopedics.info)
Femoral shaft fractures in the paediatric patients have traditionally been treated non- operatively with either early spica cast or a period of traction followed by application of hip spica cast until the time of fracture union. (openorthopaedicsjournal.com)
Another common type 1 injury represents a unilateral pubic ramus fracture (usually in the superior ramus) occurring in elderly patients after a fall or prosthetic hip replacement surgery and in athletes as stress fracture. (radiologykey.com)
PURPOSE: Recent literature has noted incidences of subtrochanteric atypical femoral fractures (AFFs) in patients who have taken long-term bisphosphonates (BPs). (koreamed.org)
performed a prospective observational study of 76 patients with complex proximal humerus fractures managed non-operatively. (scielo.org.za)
Patients with a fracture of the os trigonum often give a history of having sustained an ankle sprain weeks to months earlier, at which time radiographs were interpreted as normal. (crashingpatient.com)
All patients aged between 0 and 17 years treated in our Department in 2019 with fractures of the phalanges, metacarpus, or carpus were included. (bvsalud.org)
A total of 731 patients with 761 hand fractures were treated during the 1-year study period. (bvsalud.org)
Patients with fractures of the carpus were significantly older compared to children sustaining fractures of the metacarpus or phalangeal bones (p (bvsalud.org)
Initial femoral stem position in cementless bipolar hemiarthroplasty for femoral neck fracture in elderly patients is associated with early implant subsidence: a radiographic analysis. (gov.tw)
Risk factors for cut-out failure of Gamma3 nails in treating unstable intertrochanteric fractures: An analysis of 176 patients. (gov.tw)
Methods: The study included a total of 77 patients aged over 70 years with an AO type 31-A1 or 31-A2 fracture. (journaltocs.ac.uk)
The ideal treatment for patients with a thoracolumbar burst fracture remains controversial. (pdfplayer.org)
Sometimes patients with wrist fractures can develop acute carpal tunnel syndrome with numbness in the thumb, index and middle fingers. (renoortho.com)

Hippocrates may have been the first one 2400 years ago to describe an apparatus reminding of an external fixator to stabilize a tibia fracture. (amhe.org)
Jean- Francois Malgaine chooses a spike driven into the tibia in guise of strap to stabilize a fractured tibia in 1840 while he innovated even better with a claw-like device in 1843 to kept the fragments of a patella fracture in position percutaneously. (amhe.org)
All had a 25° decrease in plantar flexion of the ankle and pain to palpation posterior to the tibia but anterior to the Achilles tendon. (crashingpatient.com)

In this type of fracture, the break is a straight horizontal line going across the femoral shaft. (peninsulaboneandjoint.com)
This type of fracture has an angled line across the shaft. (peninsulaboneandjoint.com)
A twisting force to the thigh causes this type of fracture. (peninsulaboneandjoint.com)

Nondisplaced complete fractures may be missed unless an image is obtained with 15 degrees of cephalic angulation. (aafp.org)

Through a direct region route over the mediolateral clavicle, the fracture fragments were anatomically reduced and fixed with a locked plate for the distal clavicle and seven screws. (bvsalud.org)
It protects the soft tissues around the zone of injury by preventing further damage from mobile fracture fragments. (passmed.uk)

The treatment of distal clavicle fractures can be accomplished through several options. (bvsalud.org)
The purpose of this study is to evaluate the association between a number of screws in the distal segment and complication rate for surgical treatment of distal humerus fractures. (sicot-j.org)

The clinical presentation of a supracondylar humerus fracture (SCHF) is that of a painful swollen elbow that the patient is hesitant to move. (medscape.com)
Multiple views should be obtained in adults with a suspected fracture of the elbow. (aafp.org)
Treatment of fractures, osteotomies and arthrodesis of bones e.g. in the hand, wrist, elbow, foot with the appropriate screw size. (medartis.com)
Fractures of the distal humerus make up 2-6% of all humeral fractures and 30% of all elbow fractures [ 1 ]. (sicot-j.org)

This 19 yo lady substained a fracture of the pelvis and a femoral fracture the day before yesterday attempting suicide. (hwbf.org)
In a "wind-swept" pelvis, anterior rotation of the hemipelvis at the side of the impact is associated with posterior rotation of the contralateral hemipelvis. (radiologykey.com)

The scapula constitutes the posterior aspect of the shoulder girdle, with its ventral (anterior) surface articulating with the posterior chest wall. (orthopaedia.com)
Figure 3: X-ray of an anterior-posterior (AP) view of the right shoulder. (orthopaedia.com)
In the awake patient, the chief complaint is often pain along the scapula and posterior chest wall, along with limited range of motion of the shoulder joint itself. (orthopaedia.com)
The use of reverse total shoulder arthroplasty for the management of complex proximal humerus fractures has gained popularity in the last five to ten years. (scielo.org.za)
We present a concise review of conservative and surgical treatment of proximal humerus fractures and a more detailed review of published series of reverse shoulder arthroplasty for fracture treatment. (scielo.org.za)
If your patient has fallen directly onto the shoulder, is elderly or at some other risk of osteoporosis/pathological fracture, then I would want to exclude a humeral shaft fracture prior to any manipulation. (dislocation.com.au)
The clavicle shaft is most commonly injured by an axial load to the clavicle transmitted through a fall onto the shoulder. (musculoskeletalkey.com)

Figure 1: Anterior view of the thorax showing the scapulae in gold (left) and posterior view showing them in red (right). (orthopaedia.com)
In conclusion anterior bridge plating (ABP) is very good technique in treating midshaft humeral fractures with minimal soft tissue dissection, smaller scars, and early return to overhead activities. (medresearch.in)
In anterior bridge plating, there are two small incisions made one proximally and one distal to the fracture site. (medresearch.in)
Anterior Bridge Plating (ABP) which utilizes the minimally invasive approach popularly known as Minimally Invasive Percutaneous plate Osteosynthesi (MIPPO) is the latest technique in the management of humeral shaft fractures. (medresearch.in)
Because all ligaments stabilizing the osseous pelvic ring (e.g., iliolumbar, anterior and posterior sacroiliac, and sacrospinous and sacrotuberous ligaments) are affected in this type of injury, the pelvic instability is most severe and both rotationally and vertically unstable. (radiologykey.com)

The superior edge of the pectoralis major and the top of the humeral head is a reliable measure that can be used intraoperatively to decide the height of the humerus prosthesis or humeral head in comminuted fractures of the proximal humerus. (beemed.com)
Reduce and fix the tuberosity to the humeral head (thereby converting the 3-part fracture into a 2-part situation). (aofoundation.org)

Such devices are used to repair open and unstable fractures allowing dressing changes. (amhe.org)

C2 (~30%) and C7 (~20%) are the most commonly fractured levels 7 . (radiopaedia.org)

It also is somewhat deficient in describing the level through which the fracture occurs in each column and related important surgical considerations. (medscape.com)
This fracture occurs most commonly following a fall onto an outstretched hand. (aafp.org)
The fracture generally occurs with the arm in abduction. (teachmeorthopedics.info)
It is also important to look for any evidence of an open fracture , which occurs in 5-10% of cases. (teachmesurgery.com)

If any of these clinical examinations caused pain, the diagnosis was acute fracture. (crashingpatient.com)
If there was no pain during the examination, the diagnosis was no sign for acute fracture. (crashingpatient.com)

With comminuted bicolumn fractures, repeat films following initial reduction or with longitudinal traction maintained often prove helpful. (medscape.com)
3) The reduction maneuvers in the acetabular fracture are capable to displace it? (hwbf.org)
A reduction will be necessary if the fracture is displaced and this is done under local or general anesthesia. (londonarmdoc.com)
A confirmatory X-ray will be taken to ensure the correct positioning of the fracture ends after reduction. (londonarmdoc.com)
The next step in fracture management is the reduction of the fracture and its maintenance. (londonarmdoc.com)
Closed reduction is done for any fracture that is displaced, shortened, or angulated. (londonarmdoc.com)
This is a surgical procedure in which the fracture site is adequately exposed and reduction of the fracture is done. (londonarmdoc.com)

The same principles are applied with patient suffering from pelvic fractures. (amhe.org)
Pelvic fractures must be assessed for both stability and acetabular involvement. (radiologykey.com)

In a study of 4536 consecutive fractures in adults seen in the Massachusetts General Hospital emergency department, only 0.31% were supracondylar (bicolumn) fractures of the distal humerus. (medscape.com)
Surgical treatment of supracondylar fractures has evolved significantly over the past few decades. (medscape.com)
In 1936, Reich originally classified supracondylar fractures into T and Y variations. (medscape.com)

I would go ahead and fix the sacral fracture, but there are others who would say it's stable and doesn't need fixing. (hwbf.org)
The fracture may be stable enough to permit immobilization of the arm at the side in a sling-and-swathe but may require a spica cast or abduction pillow splint to hold the arm in the reduced position. (teachmeorthopedics.info)
Disimpaction may be unnecessary for a stable impacted fracture. (aofoundation.org)
Yang TC, Tzeng YH, Wang CS, Lin CC, Chang MC, Chiang CC (2019, Oct). Are proximal screws necessary for osteosynthesis of stable-stem periprosthetic femoral fractures fixed with non-locking plate and cable? (gov.tw)

My intention is to fix the acetabular fracture with a plate and the femoral fracture with a nail on the same day. (hwbf.org)
I would've waited 'til later to fix the acetabular fracture. (hwbf.org)

therefore, the incidence of these fractures is likely to increase. (medscape.com)

Take home message - if your patient is at higher risk of underlying pathological fracture, has an impact mechanism, or an impact fracture pattern of GT then CT to exclude an undisplaced proximal humeral fracture before you manipulate. (dislocation.com.au)

Midshaft clavicle fractures in adolescents are common. (musculoskeletalkey.com)

The optimal treatment of clavicle shaft fractures for older children and adolescents is a topic of major controversy because the literature has shifted more in favor of surgical treatment of displaced clavicle fractures in adults, although whether the research on outcomes in adults is applicable to this younger population remains debatable. (musculoskeletalkey.com)

Sutures placed through the rotator cuff tendons and the bolts increase stability, and should be used as well as the nail and screws, particularly for more comminuted and/or osteoporotic fractures. (aofoundation.org)
Distal radius fractures can be fixed with plates and screws or pins. (renoortho.com)

Also, 78.7% of the fractures affected the phalanges, 17.6% the metacarpals, and 3.7% the carpal bones. (bvsalud.org)

Anatomy56

Diseases76

Chemicals and Drugs15

Analytical, Diagnostic and Therapeutic Techniques and Equipment78

Psychiatry and Psychology1

Phenomena and Processes21

Disciplines and Occupations1

Anthropology, Education, Sociology and Social Phenomena3

Technology, Industry, Agriculture8

Information Science6

Health Care21

Femur18

Fixation26

Medial9

Transverse5

Intra-articular fractures2

Injuries18

Trauma8

Displacement6

Dislocation7

Complications7

Occur9

Bone27

Intramedullary4

Comminution1

Lateral3

ORIF2

Classification5

Greater tuberosity5

Operative7

Patients20

Tibia3

Type of fracture3

Angulation1

Fragments2

Treatment of distal2

Elbow4

Pelvis2

Shoulder7

Anterior5

Humeral head2

Unstable fractures1

Commonly fractured1

Occurs4

Acute2

Reduction7

Pelvic2

Supracondylar3

Stable4

Acetabular fracture2

Incidence1

Proximal Humeral Fracture1

Midshaft clavicle fractures1

Surgical treatment1

Screws2

Carpal1