Unstable transverse fracture articular fractures fractures comminuted. Medical search. Frequent questions

INTRODUCTION: Bridge plating of distal femur fractures with lateral locking plates is susceptible to varus collapse, fixation failure, and nonunion. (stanford.edu)
While medial and lateral dual plating has been described in clinical series, the biomechanical effects of dual plating of distal femur fractures have yet to be clearly defined. (stanford.edu)
to simulate comminuted extraarticular distal femur fractures (AO/OTA 33A). (stanford.edu)
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)
It can be hard to control proximal femur fractures with manual traction, so I hope you have somebody to help pull traction. (hwbf.org)
Distal femur fractures occur when the thighbone (femur) breaks just above the knee joint. (almuderis.com.au)
Distal Femur Fractures are categorised based on the way the bone breaks and the severity of the break. (almuderis.com.au)
Distal femur fractures typically occur for different reasons in younger patients (under 50) and the elderly. (almuderis.com.au)
In the elderly, weakened and fragile bones due to degeneration can lead to distal femur fractures even with lower-force injuries, like a fall from standing. (almuderis.com.au)
Distal femur fractures are confirmed through X-rays to assess the severity of the injury and any related damage. (almuderis.com.au)

citation needed] Most olecranon fractures are displaced and are best treated surgically: Tension band fixation is the most common form of internal fixation used for non-comminuted olecranon fractures. (wikipedia.org)
Unstable or irreducible fracture patterns require open or closed reduction and fixation. (medscape.com)
This fracture tends to varus and should be treated with open reduction, medial support plate, and cancellous bone screw fixation. (xcmedico.com)
Fractures of the phalanges, if unstable, need fixation secure enough to allow early motion to prevent adhesion formation and permanent stiffness. (medscape.com)
It should be reserved for multifragmentary fractures that require multiplanar fixation. (aofoundation.org)
Locking fixation in these plates is helpful considering the significant forces across the patella fracture and the need for unicortical fixation. (aofoundation.org)
2 mm step-off) of an articular fracture of the distal phalanx is an indication for open reduction and internal fixation. (upcm-pghorthopedics.com)
Unacceptable displacement of fracture fragments or an incongruous joint is an indication for open reduction and internal fixation (Fig. 8). (upcm-pghorthopedics.com)
As most displaced fractures are unstable (they redisplace after a closed reduction), internal fixation (applied either percutaneously or by an open method) is often required. (upcm-pghorthopedics.com)
With numerous fixation options the surgeon can address both simple and complex fractures. (medartis.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)
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)
View of Is Fusion Mandatory with Spinal Fixation of Traumatic Thoracolumbar Burst Fractures? (pdfplayer.org)
and soft tissue healing similar to internal fixation of limb fractures. (pdfplayer.org)

It is a fracture -dislocation. (wikipedia.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)
Acute knee dislocations often spontaneously reduce, but dislocation involves significant intra-articular injury, including neurovascular injury. (patient.info)

Type III: Displaced unstable fracture - In this case, the fracture fragments are displaced and the forearm is unstable in relation to the humerus. (wikipedia.org)
This can be cut and contoured to precisely outline the fracture fragments of the patella. (aofoundation.org)
Treatment depends on the type and severity of the fracture and may include pain relievers, PRICE (protection, rest, ice, compression, and elevation), maneuvers or procedures to move the fractured bone fragments back into their normal position (reduction), immobilization of the injured part (for example, with a cast or splint), and sometimes surgery. (msdmanuals.com)
With the help of percutaneously placed towel clips fracture fragments are approximated (Fig. 5). (traumainternational.co.in)
If closed reduction is unsuccessful, an additional skin incision is made at fracture site for open reduction of the fragments (Fig. 5). (traumainternational.co.in)
Some of these displaced intra-articular fractures are due to bone fragments being avulsed off by the attached flexor, as n the Jersey finger (Fig. 5), or extensor tendon as in the Mallet finger (Fig. 6). (upcm-pghorthopedics.com)
In more severe cases, the bone may be broken into several fragments, known as a comminuted fracture . (wikipedia.org)
It protects the soft tissues around the zone of injury by preventing further damage from mobile fracture fragments. (passmed.uk)
Instead, a plate or rod will be fixed at both ends of the fracture without directly repositioning the numerous small fragments in between. (almuderis.com.au)
In more severe instances, when the fracture is too complicated and the bone quality is too poor to repair, the fragments are removed and the bone is replaced with a knee replacement implant. (almuderis.com.au)

A true lateral x-ray is essential to determine the fracture pattern, degree of displacement, comminution, and the degree of articular involvement. (wikipedia.org)
citation needed] There are several classifications that describe different forms of olecranon fractures, yet none of them have gained widespread acceptance: Based on the stability, the displacement and the comminution of the fracture. (wikipedia.org)
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)
If there is displacement, it can be fixed with two transverse cancellous bone screws. (xcmedico.com)
Stability of phalangeal fractures depends on location, fracture orientation, integrity of the periosteal sleeve, and degree of initial displacement. (medscape.com)
Fractures with an intact periosteal sleeve and no initial displacement are usually stable. (medscape.com)
If the extensor mechanism is disrupted due to displacement of the fracture, then the patellar button is likely also unstable. (aofoundation.org)
Fractures involving the articular surfaces will tolerate very little displacement as this will lead to loss of motion due to a bone block or painful motion. (upcm-pghorthopedics.com)
Fractures with unacceptable displacement need to be reduced by either closed or open methods. (upcm-pghorthopedics.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)

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)
For example, fractures can range from a small, easily missed crack in a foot bone to a massive, life-threatening break in the pelvis. (msdmanuals.com)
His clinical interests include nonunions, periarticular fractures, fractures of the pelvis and acetabulum, and infections. (stanford.edu)
This 19 yo lady substained a fracture of the pelvis and a femoral fracture the day before yesterday attempting suicide. (hwbf.org)

Undisplaced or acceptably displaced fractures of the shaft may be treated in-situ (by initial immobilization and subsequent protected motion) similar to undisplaced intra-articular fractures. (upcm-pghorthopedics.com)
Intra-articular Fractures extend into the knee joint and separate the bone's surface into multiple pieces. (almuderis.com.au)

Phalangeal fractures are common injuries that may significantly affect hand function if not managed appropriately. (medscape.com)
Oblique radiographs may be especially helpful for injuries around the distal interphalangeal joint (DIPJ) and proximal interphalangeal joint (PIPJ) or to detect subtle shaft fractures. (medscape.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)
Tibial plateau fractures are complex injuries caused by high- or low-energy trauma that primarily affect young adults or those in retirement. (xcmedico.com)
Tibial plateau fractures are often accompanied by soft tissue injuries of the knee joint, and the specific injury conditions determine the final treatment plan. (xcmedico.com)
Unicondylar fractures at the head of the proximal phalanx are common athletic injuries and can often be missed because the athlete can bend his or her finger after the initial injury. (medscape.com)
Fractures usually result from injuries or overuse. (msdmanuals.com)
Fractures (and other musculoskeletal injuries) vary greatly in severity and in the treatment needed. (msdmanuals.com)
These injuries can complicate treatment of the fracture and/or cause temporary or permanent problems. (msdmanuals.com)
BACKGROUND: Ankle syndesmosis injuries are common and range in severity from subclinical to grossly unstable. (bvsalud.org)
These fractures can sometimes be accompanied by other injuries due to the forceful nature of the impact. (almuderis.com.au)
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)

Type II: Displaced, stable fractures - In this pattern, the proximal fracture fragment is displaced more than 3 mm, but the collateral ligaments are intact. (wikipedia.org)
Transverse fractures in the proximal phalanx assume an apex volar deformity secondary to the pull of the intrinsic tendons on the proximal fragment, which causes the phalanx to flex, and the pull of the extensor tendon on the middle phalanx, which causes it to hyperextend. (medscape.com)
Fractures of the middle phalanx angulate with the distal fragment dorsally if the fracture is distal to the flexor digitorum sublimis (FDS) insertion and palmarly if the fracture is proximal to the FDS insertion. (medscape.com)
A typical wedge-shaped non-comminuted fracture fragment is split outward and downward, and this type of fracture is common in young patients without osteoporosis. (xcmedico.com)
Mini fragment screws and plates assist in the management of complex phalangeal fractures. (medscape.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)

These fractures occur commonly in children before closure of the corresponding physis (cartilage plate) and athletes secondary to forcible muscular contraction. (radiologykey.com)
The articular surface is compressed into the platform, and the lateral cortex is intact, which is prone to occur in osteoporosis. (xcmedico.com)
Fractures and dislocations of the phalanges occur from various mechanisms. (medscape.com)
Soft tissue infection or osteomyelitis may occur with open fractures. (patient.info)
Periprosthetic patella fractures occur typically through fall onto a bent knee. (aofoundation.org)
Cervical spine fractures can occur secondary to exaggerated flexion or extension, or because of direct trauma or axial loading. (radiopaedia.org)
Greenstick fractures occur most often during infancy and childhood when bones are soft. (passmed.uk)
Transverse Fractures occur when the bone breaks straight across the femur. (almuderis.com.au)

extra-articular. (nsw.gov.au)

The ideal treatment for patients with a thoracolumbar burst fracture remains controversial. (pdfplayer.org)

Trauma to the elbow often results in comminuted fractures of the olecranon. (wikipedia.org)
[1] A bone fracture may be the result of high force impact or stress , or a minimal trauma injury as a result of certain medical conditions that weaken the bones, such as osteoporosis , osteopenia , bone cancer , or osteogenesis imperfecta , where the fracture is then properly termed a pathologic fracture . (wikipedia.org)
Fractures caused by direct or indirect trauma are quite frequent and often intra-articular. (medartis.com)
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)

Loss of length or of normal knuckle contour may be indicative of fracture shortening or angulation. (medscape.com)
In a fracture of the neck of the 5th metacarpal, the Boxer's fracture, up to 70 degrees of angulation may be accepted (Fig. 10). (upcm-pghorthopedics.com)

Single intramedullary screws can be used to treat simple transverse or oblique fractures. (wikipedia.org)
In addition to unicondylar or bicondylar and articular surface fractures, there are also transverse or oblique fractures of the proximal tibia. (xcmedico.com)

Minifragment screws and plates assist in the management of complex phalangeal fractures. (medscape.com)

If the compression is severe or the X-ray film of the stress position proves unstable, the compressed articular surface should be raised by bone grafting, and the outer cortical bone should be fixed with a support plate. (xcmedico.com)

Pelvic fractures must be assessed for both stability and acetabular involvement. (radiologykey.com)
The distal beveled end of the nail aids in fracture reduction and helps in engaging in the subchondral area of the bone, thereby imparting stability. (traumainternational.co.in)
The Clavicle System 2.8 focuses on stability especially in lateral fractures. (teufels-test.de)

The intercondylar eminence, which is not covered by articular cartilage in the middle of the tibial plateau, is attached by the anterior cruciate ligament. (xcmedico.com)
METHODS: The clinical data of 57 patients with closed Lauge-Hansen pronation-external rotation type â £ ankle fracture treated by full repair strategy (fracture, ligament, and cartilage repair) under small incision between January 2012 and January 2017 were retrospectively analyzed. (bvsalud.org)
The ends of the femur are covered with a smooth surface called articular cartilage, which cushions the bone and facilitates knee movement. (almuderis.com.au)
Because these fractures damage the cartilage surface of the bone, they can be more challenging to treat. (almuderis.com.au)

My intention is to fix the acetabular fracture with a plate and the femoral fracture with a nail on the same day. (hwbf.org)
3) The reduction maneuvers in the acetabular fracture are capable to displace it? (hwbf.org)
I would've waited 'til later to fix the acetabular fracture. (hwbf.org)

simple split fracture of the lateral condyle. (xcmedico.com)
Type II: Lateral condyle split type combined with compression fracture. (xcmedico.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)
Type III: Pure central compression fracture. (xcmedico.com)
This type of fracture can be a simple wedge-shaped split or a comminuted, compression fracture, etc., often involving the tibial spine. (xcmedico.com)

Powerful pull of the triceps muscle can also cause avulsion fractures. (wikipedia.org)

Studies have confirmed that in the experience of treating tibial plateau fractures, the probability of wound dehiscence or infection is higher after both the medial and lateral sides of bicondylar fractures are fixed with bone plates. (xcmedico.com)
Unicondylar and bicondylar fractures involving the interphalangeal joints are inherently unstable. (medscape.com)

Damage to adjacent structures such as nerves, muscles or blood vessels, spinal cord, and nerve roots (for spine fractures), or cranial contents (for skull fractures) may cause other specific signs and symptoms. (wikipedia.org)
6. Fredø HL, Rizvi SA, Lied B, Rønning P, Helseth E. The epidemiology of traumatic cervical spine fractures: a prospective population study from Norway. (radiopaedia.org)

Compound Fracture occurs when the skin around the fractured bone breaks. (almuderis.com.au)

Distal tuft fractures are usually stable despite comminution. (medscape.com)
Tuft fractures, which usually present with a subungual hematoma, are often treated symptomatically with a tip protector or fold-over splint (Fig. 2) and pain management. (upcm-pghorthopedics.com)

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)

Frontal and lateral X-ray views of the elbow are typically done to investigate the possibility of an olecranon fracture. (wikipedia.org)
It is typically reserved for noncomminuted fractures that are proximal to the coronoid. (wikipedia.org)
compressive fractures of the articular surface, typically from extreme force such as fall from a height or being hit by a vehicle, although in patients with osteoporosis minimal force may be needed. (patient.info)

This type of fracture is most common in elderly patients. (xcmedico.com)

The reduction of this fracture requires careful planning. (aofoundation.org)
In frontal/coronal (transverse) fractures, the reduction is easier with the knee extended. (aofoundation.org)
The reduction is checked in image-intensifier and then the nail is advanced through the fracture site till it reaches distal end of clavicle. (traumainternational.co.in)
Those fractures where closed reduction (done under adequate anesthesia) achieves an acceptable alignment may sometimes be held reduced by being immobilized until with fracture union. (upcm-pghorthopedics.com)
Radius and Ulna Shaft System 2.8 - A standard taken to the next level.The precontoured and straight shaft plates are designed to facilitate anatomical reduction of fractures in the forearm. (medartis.com)
Maybe the displaced transverse won't allow stable reduction using closed techniques until Monday. (hwbf.org)
The quality of reduction of distal tibial articular surface (based on Ketz-Sanders standard), the reduction of tibiofibular syndesmosis (the anterior and posterior distances of distal tibiofibular syndesmosis and the lateral ankle twist angle measured by CT scan at 10 mm above the ankle joint line), and the fracture healing were evaluated. (bvsalud.org)

Sagittal fractures are more easily reduced with the knee flexed. (aofoundation.org)
Sagittal and transverse planes images were used to determine the bone bruise location in the lateral-medial and superior-inferior directions of the MR images. (preprints.org)

Plates can be used for all proximal ulna fracture types including Monteggia fractures, and comminuted fractures. (wikipedia.org)
Usually, the displaced and severely comminuted tibial condyle fractures can be fixed with supporting plates. (xcmedico.com)
The anatomic plates have a combination of 2.8 and 3.5 mm screws and allow for the capture of small comminuted fractures in the head while still having the required strength in the shaft. (teufels-test.de)

Clinical presentation of finger fractures and dislocations depends primarily on the mechanism of injury. (medscape.com)

Tibial plateau fractures are one of the most common fractures, accounting for about 1.66% of systemic fractures. (xcmedico.com)
Fractures of the distal phalanx are the most common fractures of the hand and are usually due to a crushing injury, particularly the fingertip being caught between two hard objects. (upcm-pghorthopedics.com)
Fractures in the shoulder girdle belong to the most common fractures. (teufels-test.de)

Percutaneous pinning allows the conversion of more unstable fracture patterns to stable configurations capable of tolerating early motion. (medscape.com)

Although conservative treatment is the gold standard for clavicle fractures, there may be some issues like shoulder impairement, a bump at the fracture site that is cosmetically unacceptable or nonunions which happen when grossly displaced fractures are treated conservatively. (traumainternational.co.in)

See also the separate Complications from Fractures article. (patient.info)
Some fractures may lead to serious complications including a condition known as compartment syndrome . (wikipedia.org)
Other complications may include non-union, where the fractured bone fails to heal, or malunion, where the fractured bone heals in a deformed manner. (wikipedia.org)
[5] Complications of fractures may be classified into three broad groups, depending upon their time of occurrence. (wikipedia.org)
Immediate complications - occurs at the time of the fracture. (wikipedia.org)
Early complications - occurring in the initial few days after the fracture. (wikipedia.org)
Late complications - occurring a long time after the fracture. (wikipedia.org)

The distal phalanx is divided into three parts, the tuft (the distal portion adherent to the nailbed), the shaft and the articular surface (Fig. 1). (upcm-pghorthopedics.com)
Shaft fractures, which are usually due to bending forces, may be angulated, leading to avulsion of the proximal part of the germinal matrix. (upcm-pghorthopedics.com)
A 34 year old mechanic suffers from a Gustilo and Anderson type IIIA fracture of the femoral shaft after being hit by a fork lift truck. (passmed.uk)
The following video has been prepared by the Queensland Ambulance Service and demonstrates the correct application of the CT-6 Splint on an adult patient with a femoral shaft fracture. (nsw.gov.au)

This report describes the technique of using the screw intramedullary nail for displace clavicle fracture. (traumainternational.co.in)
clavicle fracture, intramedullary nailing. (traumainternational.co.in)

Distal phalanx fractures, usually secondary to a crush injury, generally do not displace, because both the flexor and extensor tendons insert on the base of the distal phalanx. (medscape.com)
Displaced fractures involving the diaphyses of the proximal and middle phalanges are also unstable secondary to the pull of the intrinsics and flexor tendons. (medscape.com)
10-15O) will cause the tendons to catch against the fracture. (upcm-pghorthopedics.com)

Fractures of the proximal phalanx are the most common, followed by the distal phalanx, and then the middle phalanx. (medscape.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)
May be associated NOF fractures and risk for bilateral in MVAs. (nsw.gov.au)

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)
This article shares the classification, clinical manifestations, diagnosis and treatment of tibial plateau fractures through actual cases, aiming to improve doctors' understanding and ability to deal with the disease. (xcmedico.com)
There are many classification methods for tibial plateau fractures, but no one classification can cover all fracture types seen clinically. (xcmedico.com)

Diagnosis is made radiographically with radiographs of the femur as well as the hip to rule out ipsilateral femoral neck fractures. (orthobullets.com)

establishing intra-articular involvement. (nsw.gov.au)

Conservative treatment remains the gold standard in treatment of simple undisplaced midshaft clavicle fractures, but for displaced and comminuted fractures surgical intervention is appropriate especially in young active adults. (traumainternational.co.in)

C2 (~30%) and C7 (~20%) are the most commonly fractured levels 7 . (radiopaedia.org)
The scaphoid bone is the most commonly fractured carpal bone. (passmed.uk)

Anatomy28

Diseases43

Chemicals and Drugs5

Analytical, Diagnostic and Therapeutic Techniques and Equipment37

Phenomena and Processes9

Disciplines and Occupations1

Technology, Industry, Agriculture2

Information Science3

Health Care10

Femur fractures10

Fixation16

Dislocation4

Fragments10

Displacement10

Pelvis4

Intra-articular fractures2

Injuries15

Fragment5

Unilateral1

Occur8

Extra-articular1

Burst Fracture1

Trauma5

Angulation2

Oblique fractures2

Phalangeal fractures1

Cortical1

Stability3

Cartilage4

Acetabular3

Lateral condyle2

Compression3

Avulsion fractures1

Bicondylar fractures2

Spine fractures2

Compound fracture1

Tuft fractures2

Stable fractures1

Typically3

Type of fracture1

Reduction7

Sagittal2

Plates3

Dislocations1

Common fractures3

Patterns1

Grossly1

Complications7

Shaft4

Intramedullary2

Tendons3

Proximal phalanx1

Bilateral2

Classification3

Ipsilateral1

Involvement1

Midshaft1

Commonly2