Fracture Fixation, Intramedullary
Fracture Fixation, Internal
Femoral Neck Fractures
Trauma Severity Indices
Abbreviated Injury Scale
Orthopedic Fixation Devices
Injury Severity Score
Anterior Compartment Syndrome
Surgical Procedures, Minimally Invasive
Range of Motion, Articular
Recovery of Function
Fractures of the tibia. Can their outcome be predicted? (1/693)We have carried out a prospective study to determine whether the basic descriptive criteria and classifications of diaphyseal fractures of the tibia determine prognosis, as is widely believed. A number of systems which are readily available were used, with outcome being determined by standard measurements including fracture union, the need for secondary surgery and the incidence of infection. Many validated functional outcomes were also used. The Tscherne classification of closed fractures proved to be slightly more predictive of outcome than the others, but our findings indicate that such systems have little predictive value. (+info)
Treatment of tibial bone defects with the Ilizarov circular external fixator in high-velocity gunshot wounds. (2/693)One of the applications for circular external fixators is the treatment of large-bone defects which may be difficult to manage with conventional methods. Successful results have been reported with the use of circular external fixators, particularly in the treatment of infected tibial pseudoarthroses and those with bone loss. In this study, a total of 43 cases with tibial bone defects (18 infected) as a result of high-velocity gun-shot injuries were treated with circular external fixators between January 1, 1988 and December 31, 1995. The mean follow-up period was 50 months (range: 28-98 months) after the removal of the Ilizarov device. Satisfactory union was obtained in 40 cases without any major complication or additional surgical intervention, in spite of the large and in some cases infected defects. We conclude that this is a safe method for the treatment of infected or noninfected tibial bone defects. (+info)
Case report. Post-traumatic tibial recurvatum: resolution with growth. (3/693)The outcome of proximal tibial fractures in children is often complicated by the development of malalignment. Progressive valgus deformity is frequently seen, but is known to correct spontaneously in a high proportion of cases; however, recurvatum of the tibia usually requires surgical intervention. We present a child with a proximal tibial metaphyseal fracture who developed increasing tibial recurvatum which corrected spontaneously. (+info)
Percutaneous autologous bone marrow grafting on the site of tibial delayed union. (4/693)Six months after injury, 150 mL of autogenous bone marrow was applied percutaneously at the site of delayed union to stimulate the healing of a tibial delayed union fracture in a 44 year-old man. Five months following the procedure, the fracture gaps and bone defects were completely filled with callus, the external fixator was removed, and the patient started using normal leg loading. (+info)
Enhancement of osteogenesis in vitro and in vivo by a novel osteoblast differentiation promoting compound, TAK-778. (5/693)TAK-778 [(2R,4S)-(-)-N-(4-diethoxyphosphorylmethylphenyl)-1,2,4, 5-tetrahydro-4-methyl-7, 8-methylenedioxy-5-oxo-3-benzothiepin-2-carboxyamide; mw 505.53], a novel osteoblast differentiation promoting compound, was characterized in vitro and in vivo models. TAK-778 at doses of 10(-6) M and higher promoted potently bone-like nodule formation in the presence of dexamethasone in rat bone marrow stromal cell culture. This was accompanied by increases in cellular alkaline phosphatase activity, soluble collagen release, and osteocalcin secretion. Under the culture conditions, TAK-778 also stimulated the secretion of transforming growth factor-beta and insulin-like growth factor-I, indicating that TAK-778 may exert regulatory effects on osteoblast differentiation via autocrine/paracrine mechanisms. Furthermore, the in vivo osteogenic potential of TAK-778 was studied in bony defect and osteotomy animal models, using sustained release microcapsules consisted of a biodegradable polymer, poly (dl-lactic/glycolic) acid (PLGA). Single local injection of TAK-778/PLGA-microcapsules (PLGA-MC) (0.2-5 mg/site) to rat skull defects resulted in a dose-dependent increase in new bone area within the defects after 4 weeks. When the pellet containing TAK-778/PLGA-MC (4 mg/pellet) was packed into place to fill the tibial segmental defect in rabbit, this pellet induced osseous union within 2 months, whereas the placebo pellet did not. In addition, single local application of TAK-778/PLGA-MC (10 mg/site) to rabbit tibial osteotomy site enhanced callus formation accompanied by an increase in breaking force after 30 days. These results reveal for the first time that a nonendogenous chemical compound promotes potently osteogenesis in vitro and enhances new bone formation during skeletal regeneration and bone repair in vivo and should be useful for the stimulation of fracture healing. (+info)
Nonunion of tibial stress fractures in patients with deformed arthritic knees. Treatment using modular total knee arthroplasty. (6/693)In two years we treated four women with ununited stress fractures of their proximal tibial diaphyses. They all had arthritis and valgus deformity. The stress fractures had been treated elsewhere by non-operative means in three patients and by open reduction and internal fixation in one, but had failed to unite. After treatment with a modular total knee prosthesis with a long tibial stem extension, all the fractures united. A modular total knee prosthesis is suitable for the rare and difficult problem of ununited tibial stress fractures in patients with deformed arthritic knees since it corrects the deformity and the adverse biomechanics at the fracture site, stabilises the fracture and treats the arthritis. (+info)
Correction of genu recurvatum by the Ilizarov method. (7/693)The Ilizarov apparatus was used to carry out opening-wedge callotasis of the proximal tibia in ten patients who had suffered premature asymmetrical closure of the proximal tibial physis and subsequent genu recurvatum. In four knees, the genu recurvatum was entirely due to osseous deformity, whereas in six it was associated with capsuloligamentous abnormality. Preoperatively, the angle of recurvatum averaged 19.6 degrees (15 to 26), the angle of tilt of the tibial plateau, 76.6 degrees (62 to 90), and the ipsilateral limb shortening, 2.7 cm (0.5 to 8.7). The average time for correction was 49 days (23 to 85). The average duration of external fixation was 150 days (88 to 210). Three patients suffered complications including patella infera, pin-track infection and transient peroneal nerve palsy. At a mean follow-up of 4.4 years, all patients, except one, had achieved an excellent or good radiological and functional outcome. (+info)
Transcranial doppler detection of fat emboli. (8/693)BACKGROUND AND PURPOSE: The fat embolism syndrome (FES) is characterized by the simultaneous occurrence of pulmonary and neurological symptoms as well as skin and mucosal petechiae in the setting of long-bone fractures or their surgical repair. Its pathophysiology is poorly understood, and effective treatments are lacking. We present 5 patients with long-bone fractures in whom in vivo microembolism was detected by transcranial Doppler. METHODS: Five patients with long-bone fractures were monitored with transcranial Doppler for microembolic signals (MESs) after trauma. Two patients also had intraoperative monitoring. A TC-2020 instrument equipped with MES detection software was used. Detected signals were saved for subsequent review. Selected signals satisfied criteria defined previously and were categorized as large or small. RESULTS: Cerebral microembolism was detected in all 5 patients and was transient, resolving within 4 days of injury. Intraoperative monitoring revealed an increase in MESs during intramedullary nail insertion. The characteristics of MESs after injury varied among patients, with large signals being more frequent in the only patient with a patent foramen ovale. CONCLUSIONS: Cerebral microembolism after long-bone fractures can be detected in vivo and monitored over time. These findings may have potential diagnostic and therapeutic implications. (+info)
Tibial fractures are breaks or fractures in the tibia, which is the larger of the two bones in the lower leg. The tibia is located between the knee and ankle and is responsible for supporting the weight of the body. Tibial fractures can occur as a result of trauma, such as a fall or a car accident, or as a complication of osteoporosis or other bone diseases. Symptoms of a tibial fracture may include pain, swelling, bruising, and difficulty bearing weight on the affected leg. Treatment for tibial fractures may include immobilization with a cast or brace, surgery to repair the fracture, and physical therapy to help the bone heal and regain strength.
In the medical field, "Fractures, Open" refers to a type of bone fracture where the broken bone pierces through the skin and soft tissues, creating an open wound. This type of fracture is also known as an "open fracture" or a "compound fracture." Open fractures are more serious than closed fractures (also known as simple fractures) because they are at a higher risk of infection and have a longer healing time. The broken bone can damage the surrounding tissues, including nerves, blood vessels, and muscles, which can lead to complications such as nerve damage, blood loss, and infection. Treatment for open fractures typically involves cleaning and debriding the wound to remove any debris or foreign objects, followed by stabilization of the bone with a cast or surgery. Antibiotics may also be prescribed to prevent infection. In severe cases, amputation may be necessary to prevent the spread of infection or to save the patient's life.
In the medical field, "Fractures, Closed" refers to a type of bone injury where the bone is broken but the skin remains intact and there is no open wound or bleeding. This type of fracture is also known as a "closed fracture" or a "simple fracture." Closed fractures can be caused by a variety of factors, including falls, accidents, sports injuries, and even some medical conditions such as osteoporosis. Symptoms of a closed fracture may include pain, swelling, tenderness, and difficulty moving the affected area. Treatment for closed fractures typically involves immobilizing the affected bone with a cast or brace to allow it to heal properly. In some cases, surgery may be necessary to realign the broken bone and ensure proper healing. It is important to seek medical attention for a suspected closed fracture to prevent complications and ensure proper treatment.
Fractures, bone refer to a break or crack in a bone that occurs due to trauma or injury. Fractures can be classified based on their severity, location, and type. There are several types of bone fractures, including: 1. Simple fractures: These are clean breaks in the bone with no displacement of the broken ends. 2. Compound fractures: These are breaks in the bone that involve the skin and/or soft tissues surrounding the bone. 3. Comminuted fractures: These are fractures in which the bone is broken into multiple pieces. 4. Stress fractures: These are small cracks in the bone that occur due to repetitive stress or overuse. 5. Open fractures: These are fractures in which the broken bone pierces through the skin. 6. Closed fractures: These are fractures in which the broken bone is contained within the skin. The treatment for bone fractures depends on the severity and location of the fracture, as well as the patient's overall health. Treatment options may include rest, ice, compression, and elevation (RICE), casting, surgery, or physical therapy.
Femoral fractures are breaks or fractures that occur in the femur, which is the longest and strongest bone in the human body. The femur is located in the thigh and is responsible for supporting the weight of the body and facilitating movement of the lower limbs. Femoral fractures can occur as a result of a direct blow to the thigh, a fall from a height, or a severe impact during a motor vehicle accident. They can also occur as a complication of osteoporosis, a condition that weakens bones and makes them more susceptible to fractures. Femoral fractures can be classified based on their location, severity, and the presence of any associated injuries. Some common types of femoral fractures include: 1. Intertrochanteric fractures: These occur in the region between the greater and lesser trochanters, which are bony projections on the femur. 2. Subtrochanteric fractures: These occur below the greater trochanter and are often associated with a high risk of complications. 3. Femoral neck fractures: These occur at the junction between the shaft and the neck of the femur and are often associated with a high risk of complications, including nonunion and avascular necrosis. 4. Shaft fractures: These occur in the middle of the femur and can be caused by a direct blow or a fall from a height. Femoral fractures can be treated with a variety of methods, including surgery, casting, and physical therapy. The choice of treatment depends on the severity of the fracture, the patient's overall health, and the presence of any associated injuries. In some cases, surgery may be necessary to realign the bones and stabilize the fracture, while in other cases, casting or physical therapy may be sufficient for proper healing.
In the medical field, "Fractures, Ununited" refers to a condition where a bone that has been broken has not healed properly, resulting in the two broken ends of the bone remaining separated. This can occur due to a variety of factors, including inadequate treatment, poor bone quality, or underlying medical conditions that affect the healing process. Ununited fractures can cause pain, swelling, and limited mobility in the affected area. In some cases, they can also lead to complications such as infection, deformity, and chronic pain. Treatment options for ununited fractures may include surgery to realign and stabilize the bone, physical therapy to improve range of motion and strength, and pain management to alleviate discomfort. The specific treatment approach will depend on the severity and location of the fracture, as well as the overall health of the patient.
A hip fracture is a type of bone fracture that occurs in the hip joint, which is the ball-and-socket joint where the femur (thigh bone) meets the pelvis. Hip fractures are typically caused by a fall or other type of trauma, and they are most common in older adults, particularly those who are osteoporotic or have other conditions that weaken the bones. There are two main types of hip fractures: intracapsular fractures and extracapsular fractures. Intracapsular fractures occur within the joint capsule, while extracapsular fractures occur outside of the joint capsule. Both types of fractures can be very serious and can lead to complications such as infection, blood clots, and difficulty walking. Treatment for hip fractures typically involves surgery to repair the fracture and stabilize the joint. In some cases, nonsurgical treatment may be appropriate, particularly for older adults who are not good candidates for surgery. After treatment, physical therapy is often recommended to help patients regain strength and mobility in the affected leg.
In the medical field, "bone nails" typically refer to a type of internal fixation device used in orthopedic surgery to stabilize fractures or other injuries to long bones. Bone nails are typically made of metal and are inserted into the bone through a small incision, where they are used to hold the broken bone fragments in place while they heal. There are several types of bone nails, including intramedullary nails, which are inserted into the center of the bone, and external fixators, which are attached to the bone on the outside. Bone nails are commonly used to treat fractures of the femur, tibia, and humerus, as well as other long bones in the body. The use of bone nails can help to reduce the risk of complications associated with open fractures, such as infection, and can also help to speed up the healing process. However, as with any surgical procedure, there are potential risks and complications associated with the use of bone nails, and patients should discuss these with their healthcare provider before undergoing the procedure.
In the medical field, "fractures, comminuted" refers to a type of bone fracture where the bone is broken into multiple pieces or fragments. This type of fracture is often caused by a severe impact or force, such as a fall from a great height or a car accident. Comminuted fractures can be more difficult to treat than other types of fractures because the bone fragments are often misaligned or displaced, making it harder to set the bone properly. In addition, comminuted fractures may take longer to heal and may be more prone to complications such as infection or nonunion (where the bone fails to heal properly). Treatment for comminuted fractures typically involves surgery to realign and stabilize the bone fragments using plates, screws, or other hardware. Physical therapy may also be necessary to help the patient regain strength and mobility in the affected area.
Spinal fractures refer to a break or crack in one or more of the bones that make up the spine, also known as vertebrae. These fractures can occur in the cervical, thoracic, or lumbar regions of the spine and can be caused by a variety of factors, including trauma, degenerative conditions, and tumors. Spinal fractures can be classified into several types, including compression fractures, burst fractures, andChance fractures. Compression fractures occur when the vertebrae are compressed, causing the bone to collapse. Burst fractures occur when the vertebrae are crushed, resulting in a "burst" or "explosion" of the bone. Chance fractures occur when the vertebrae are twisted or bent, causing a crack or fracture to occur. Spinal fractures can cause a range of symptoms, including pain, numbness, weakness, and difficulty moving. In severe cases, spinal fractures can lead to paralysis or even death if the spinal cord is damaged. Treatment for spinal fractures depends on the severity of the injury and may include rest, physical therapy, pain management, and surgery.
In the medical field, bone plates are surgical implants used to stabilize and repair fractures or other injuries to bones. They are typically made of metal, such as titanium or stainless steel, and are designed to fit precisely onto the bone to provide support and promote healing. Bone plates are usually secured to the bone using screws, pins, or other types of fixation devices. They can be used to treat a wide range of bone injuries, including fractures, dislocations, and osteotomies (surgical cuts made in bones to realign them). The use of bone plates has revolutionized the treatment of bone injuries, allowing for faster and more accurate healing, and reducing the risk of complications such as nonunion (failure of the bone to heal) or malunion (healing of the bone in the wrong position).
A bony callus is a hard, dense mass of bone tissue that forms on the surface of a bone in response to injury or healing. It is a natural process that occurs when the bone is broken or damaged, and new bone tissue is laid down to repair the injury. The bony callus helps to stabilize the bone and prevent further damage, and it eventually fades away as the bone heals completely. Bony calluses can also form on the ends of long bones, such as the femur or tibia, in response to repetitive stress or overuse. They are typically asymptomatic and do not require treatment unless they cause pain or interfere with normal function.
In the medical field, "Fractures, Malunited" refers to a type of bone injury where a bone has been broken and has not healed properly, resulting in an incorrect alignment or position of the bone fragments. This can occur when the bone fails to heal in the correct position due to various factors such as improper immobilization, lack of blood supply to the bone, or underlying medical conditions. Malunited fractures can cause pain, swelling, and limited mobility in the affected area. They can also lead to long-term complications such as arthritis, joint stiffness, and reduced function. Treatment options for malunited fractures may include surgery to realign the bone fragments and stabilize the area, physical therapy to improve range of motion and strength, and pain management to alleviate discomfort.
Osteoporotic fractures refer to bone fractures that occur as a result of osteoporosis, a condition characterized by low bone density and increased bone fragility. Osteoporosis is a common condition, particularly in older adults, and can lead to an increased risk of fractures, particularly in the spine, hip, and wrist. Osteoporotic fractures can be caused by a variety of factors, including falls, trauma, and normal daily activities. They can be debilitating and can significantly impact a person's quality of life. Treatment for osteoporotic fractures may include medications to increase bone density, physical therapy, and surgery, depending on the severity and location of the fracture.
Radius fractures are a type of bone fracture that occurs in the radius bone, which is one of the two bones in the forearm. The radius bone is located on the lateral (thumb) side of the forearm and extends from the elbow to the wrist. Radius fractures can occur as a result of a direct blow to the forearm, a fall onto an outstretched hand, or a twisting injury. The severity of the fracture can vary, ranging from a simple crack in the bone to a complete break that involves the joint. Treatment for radius fractures depends on the severity of the injury. Simple fractures may be treated with a cast or splint, while more complex fractures may require surgery to repair the bone. In some cases, physical therapy may be necessary to help the affected arm regain strength and range of motion. Overall, radius fractures are a common injury that can have a significant impact on a person's ability to perform daily activities. Proper diagnosis and treatment are essential for a successful recovery.
In the medical field, "Fractures, Spontaneous" refers to a type of bone fracture that occurs without any external force or trauma. These fractures are also known as spontaneous or stress fractures and are typically caused by repetitive stress or overuse on a particular bone. Spontaneous fractures are more common in older adults, especially those with osteoporosis, a condition that weakens bones and makes them more susceptible to fractures. Other risk factors for spontaneous fractures include prolonged bed rest, certain medications, and medical conditions such as hyperparathyroidism or Paget's disease. Symptoms of spontaneous fractures may include pain, swelling, tenderness, and difficulty moving the affected area. Diagnosis is typically made through imaging tests such as X-rays, CT scans, or MRI scans. Treatment for spontaneous fractures depends on the severity of the fracture and the underlying cause. In some cases, rest and immobilization may be sufficient for the bone to heal on its own. In more severe cases, surgery may be necessary to repair the fracture and stabilize the bone.
A wound infection is an infection that occurs in a cut, scrape, or surgical incision. It can be caused by bacteria, viruses, fungi, or other microorganisms that enter the body through the wound. Symptoms of a wound infection may include redness, swelling, warmth, pain, pus, and a foul odor. If left untreated, a wound infection can lead to serious complications, such as sepsis, which is a life-threatening condition that can cause organ failure and even death. Treatment for a wound infection typically involves antibiotics, wound cleaning and dressing changes, and in some cases, surgery. It is important to seek medical attention if you suspect you have a wound infection to prevent further complications.
In the medical field, "Fractures, Stress" refers to a type of injury that occurs when the bone is subjected to excessive stress beyond its ability to withstand it, resulting in microcracks or tiny fractures in the bone. These microcracks can occur without any apparent trauma or injury, and are often referred to as stress fractures. Stress fractures are common in athletes and people who engage in repetitive or high-impact activities, such as long-distance running or weightlifting. They can also occur in people who have weakened bones due to age, osteoporosis, or other medical conditions. Symptoms of stress fractures may include pain and tenderness in the affected area, swelling, and difficulty with weight-bearing activities. Diagnosis is typically made through a combination of physical examination, medical imaging (such as X-rays or bone scans), and a thorough medical history. Treatment for stress fractures typically involves rest, ice, compression, and elevation (RICE) to reduce pain and inflammation. In some cases, a cast or brace may be necessary to immobilize the affected area. More severe cases may require surgery to repair the fracture. It is important to seek medical attention if you suspect you may have a stress fracture, as untreated stress fractures can lead to more serious complications.
Femoral neck fractures are a type of bone fracture that occurs in the upper part of the femur, or thigh bone, near the hip joint. The femoral neck is a curved, narrow section of bone that connects the shaft of the femur to the ball-shaped head of the femur, which fits into the hip socket. Femoral neck fractures are typically caused by a fall or a direct blow to the hip, and they are more common in older adults, especially women, due to the thinning and weakening of bone that occurs with age. Femoral neck fractures can be classified into several types based on their location and severity, including simple fractures, comminuted fractures, and displaced fractures. Treatment options for femoral neck fractures may include non-surgical management, such as bed rest and pain medication, or surgical intervention, such as internal fixation with screws or pins, or replacement of the femoral neck with a prosthetic device. The choice of treatment depends on the age and overall health of the patient, as well as the type and severity of the fracture.
Ulna fractures are breaks or fractures in the ulna bone, which is one of the two bones in the forearm. The ulna is located on the side of the forearm, next to the radius bone. Ulna fractures can occur as a result of a direct blow to the forearm, a fall onto an outstretched hand, or a twisting injury to the forearm. Ulna fractures can be classified based on their location and severity. Simple ulna fractures involve a single break in the bone, while complex ulna fractures involve multiple breaks or a displacement of the broken bone. Ulna fractures can also be classified as transverse, oblique, or spiral, depending on the direction of the fracture line. Treatment for ulna fractures depends on the severity of the fracture and the patient's overall health. Simple ulna fractures may be treated with a cast or splint, while more complex fractures may require surgery to realign and stabilize the bone. Physical therapy may also be recommended to help the patient regain strength and range of motion in the affected arm.
Compartment syndrome is a medical condition that occurs when there is increased pressure within a closed space, or compartment, within the body. This pressure can cause damage to the nerves, blood vessels, and muscles within the compartment, leading to a range of symptoms and complications. There are several types of compartment syndrome, including: 1. Acute compartment syndrome: This type of compartment syndrome occurs suddenly, often as a result of trauma or surgery. It can cause severe pain, swelling, and muscle weakness, and if left untreated, can lead to permanent damage or loss of function. 2. Chronic compartment syndrome: This type of compartment syndrome occurs gradually over time, often as a result of repetitive strain or injury. It can cause ongoing pain, swelling, and muscle weakness, and can be difficult to diagnose and treat. 3. Neurogenic compartment syndrome: This type of compartment syndrome occurs when there is increased pressure within a compartment that contains nerves. It can cause numbness, tingling, and weakness in the affected area, and can be caused by a variety of factors, including trauma, surgery, or underlying medical conditions. Compartment syndrome can be a serious medical condition that requires prompt diagnosis and treatment. Treatment typically involves relieving the pressure within the affected compartment, either through surgery or other medical interventions.，。
Debridement is a medical procedure that involves the removal of dead, damaged, or infected tissue from a wound or surgical site. This can be done using various techniques, such as surgical incision, irrigation with saline or other solutions, or the use of specialized tools or enzymes. The goal of debridement is to remove any material that may be hindering the healing process or increasing the risk of infection. By removing this debris, the body can better respond to the injury and promote the growth of healthy tissue. Debridement is often performed in a hospital or clinic setting by a healthcare professional, such as a doctor, nurse, or wound care specialist. It may be used in a variety of medical situations, including the treatment of burns, ulcers, surgical wounds, and infections.
In the medical field, bone screws are a type of orthopedic implant used to stabilize and secure bones during surgery. They are typically made of metal and are designed to be inserted into the bone to provide support and hold the bone in place while it heals. Bone screws are commonly used in orthopedic procedures such as fracture repair, joint replacement, and spinal surgery. They are usually inserted using a specialized surgical tool, and may be secured with a plate or other type of fixation device to provide additional stability. There are many different types of bone screws, including cortical screws, cancellous screws, and pedicle screws, which are used in different parts of the body and for different types of procedures. The specific type of bone screw used will depend on the location and severity of the injury or condition being treated, as well as the surgeon's preference and experience.
Rib fractures are breaks or cracks in one or more of the 12 pairs of ribs that make up the rib cage. They can occur as a result of direct trauma, such as a car accident or a fall, or from indirect trauma, such as a sports injury or a coughing fit. Rib fractures can be classified as either stable or unstable. Stable fractures involve only a crack in the bone, while unstable fractures involve a complete break or displacement of the bone. Stable fractures typically heal on their own within a few weeks to a few months, while unstable fractures may require medical intervention, such as surgery or casting, to promote healing and prevent complications. Symptoms of rib fractures may include pain, swelling, bruising, difficulty breathing, and a limited ability to move the affected area. Treatment for rib fractures may involve pain management, rest, and physical therapy to promote healing and prevent complications such as pneumonia or deep vein thrombosis. In severe cases, surgery may be necessary to repair or stabilize the fracture.
Skull fractures are breaks or cracks in the bones of the skull. They can occur as a result of a blow to the head, such as in a car accident or sports injury, or from a fall or other type of trauma. Skull fractures can be classified as either linear or depressed. Linear fractures are cracks in the skull that do not cause the bone to or collapse. Depressed fractures, on the other hand, cause the bone to or collapse, potentially causing damage to the brain or other structures within the skull. Skull fractures can be treated with surgery or conservative measures, depending on the severity of the injury and the location of the fracture.
In the medical field, "Casts, Surgical" refers to a type of medical device used to immobilize and support a broken or injured bone or joint. Surgical casts are typically made of a plaster-like material and are applied by a healthcare professional in a hospital or clinic setting. They are designed to provide stability and protection to the affected area while the bone heals. Surgical casts may also be used to hold organs in place during surgery or to provide support for soft tissues. They are typically removed by a healthcare professional once the bone has healed.
Mandibular fractures refer to breaks or cracks in the mandible, which is the lower jawbone. These fractures can occur as a result of trauma, such as a blow to the face, or as a complication of other medical conditions, such as osteoporosis or cancer. Mandibular fractures can be classified based on their location, the number of fractures, and the displacement of the broken pieces. Some common types of mandibular fractures include: 1. Condylar fracture: This type of fracture involves the condyle, which is the rounded end of the mandible that articulates with the temporal bone of the skull. 2. Fracture of the angle of the mandible: This type of fracture involves the area where the ramus (the vertical part of the mandible) meets the body (the horizontal part). 3. Fracture of the body of the mandible: This type of fracture involves the central part of the mandible. 4. Fracture of the symphysis: This type of fracture involves the joint that connects the two halves of the mandible. Mandibular fractures can cause a range of symptoms, including pain, swelling, difficulty speaking or chewing, and difficulty opening or closing the mouth. Treatment for mandibular fractures may involve conservative measures, such as the use of a splint or a mouthguard, or surgical intervention, such as the use of plates and screws to stabilize the broken pieces.
The Abbreviated Injury Scale (AIS) is a standardized system used to assess the severity of injuries sustained by individuals in accidents or trauma. It was developed in the 1970s by a group of researchers led by Frank B. Mosteller and is widely used in emergency medicine, trauma care, and insurance industries. The AIS system assigns a numerical value (ranging from 1 to 6) to each body region based on the severity of the injury. The body regions include the head and neck, face, chest, abdomen, pelvis, upper extremities, and lower extremities. The numerical value represents the severity of the injury, with 1 indicating a minor injury and 6 indicating a critical or fatal injury. The AIS system is used to calculate an Injury Severity Score (ISS), which is a measure of the overall severity of an individual's injuries. The ISS is calculated by adding the AIS values for the three most severely injured body regions. The ISS is a widely used tool for assessing the severity of trauma and for comparing the outcomes of different trauma patients. Overall, the AIS system provides a standardized and objective way to assess the severity of injuries, which is important for medical decision-making, research, and insurance purposes.
Tooth fractures refer to the partial or complete breakage of the hard outer layer of a tooth, known as the enamel. Tooth fractures can occur as a result of trauma, such as a blow to the face, or from excessive force applied to the tooth during biting or chewing. There are several types of tooth fractures, including: 1. Fractures of the enamel: These occur when the outer layer of the tooth is broken, but the underlying dentin and pulp are not affected. 2. Fractures of the dentin: These occur when the dentin, the layer of tooth beneath the enamel, is broken. 3. Fractures of the pulp: These occur when the innermost layer of the tooth, the pulp, is damaged. 4. Complete tooth fractures: These occur when the entire tooth is broken into two or more pieces. Tooth fractures can cause pain, sensitivity, and difficulty chewing or speaking. Treatment options depend on the severity of the fracture and may include filling the tooth, root canal therapy, or extraction and replacement with a dental implant or bridge.
Anterior Compartment Syndrome (ACS) is a medical condition that occurs when there is increased pressure within the muscles and connective tissues of the anterior compartment of the lower leg. This pressure can cause damage to the nerves, blood vessels, and muscles in the affected area, leading to a range of symptoms and complications. The anterior compartment of the lower leg includes the tibialis anterior muscle, extensor hallucis longus muscle, extensor digitorum longus muscle, and fibularis longus muscle. When these muscles become inflamed or injured, they can cause an increase in pressure within the compartment, leading to ACS. Symptoms of ACS may include pain, swelling, numbness, tingling, and difficulty moving the affected foot and ankle. If left untreated, ACS can lead to permanent damage to the nerves and muscles in the affected area, as well as the development of compartment syndrome, a life-threatening condition that requires immediate medical attention. Treatment for ACS typically involves the use of medications to reduce inflammation and pain, as well as physical therapy to help restore strength and mobility to the affected muscles. In severe cases, surgery may be necessary to relieve the pressure within the compartment and prevent further damage.
Osteomyelitis is a type of bone infection that occurs when bacteria enter the bone and cause inflammation and damage to the bone tissue. It can affect any bone in the body, but it is most commonly seen in the long bones of the arms and legs, as well as in the spine and pelvis. Osteomyelitis can be acute or chronic, and it can be caused by a variety of factors, including bacterial infections, fungal infections, and viral infections. It can also be caused by traumatic injuries, such as fractures or punctures, or by medical procedures, such as surgery or the insertion of a catheter. Symptoms of osteomyelitis may include fever, chills, fatigue, and pain in the affected bone. In some cases, there may be no symptoms at all until the infection has progressed significantly. Treatment for osteomyelitis typically involves antibiotics to kill the bacteria causing the infection. In some cases, surgery may be necessary to remove infected tissue or to drain abscesses. Physical therapy may also be recommended to help restore strength and mobility to the affected bone.
Bone transplantation is a surgical procedure in which a piece of healthy bone is taken from one part of the body and transplanted to another part of the body where there is a deficiency or damage to the bone. The transplanted bone can be used to replace a missing bone, to repair a broken bone, or to stabilize a bone that is at risk of breaking. There are several types of bone transplantation, including autografts, allografts, and synthetic bone grafts. Autografts involve taking bone from one part of the body and transplanting it to another part of the body. Allografts involve taking bone from a donor and transplanting it to the recipient. Synthetic bone grafts are made from materials such as ceramics or polymers and are used when there is not enough healthy bone available for transplantation. Bone transplantation is typically performed under general anesthesia and may require a hospital stay for several days. After the procedure, the transplanted bone will need time to heal and integrate with the surrounding tissue. Physical therapy may be recommended to help the patient regain strength and mobility in the affected area.
In the medical field, "Fractures, Compression" refers to a type of bone fracture where the bone is compressed or crushed, typically as a result of a strong force applied to the bone. This type of fracture is also known as a "compression fracture" or a "compression-type fracture." Compression fractures are most commonly seen in the spine, particularly in the vertebrae of the lumbar region (lower back). They can occur as a result of osteoporosis, which weakens the bones and makes them more susceptible to fractures, or as a result of trauma, such as a sudden impact or a fall. Symptoms of a compression fracture may include back pain, stiffness, and difficulty standing or walking. In some cases, the fracture may cause a loss of height or a deformity in the spine. Treatment for compression fractures may include rest, pain management, and physical therapy. In more severe cases, surgery may be necessary to repair the fracture or stabilize the spine.
Intra-articular fractures are fractures that occur within a joint, typically involving the articular surface of one or more bones. These fractures can be caused by a variety of factors, including trauma, osteoporosis, and certain medical conditions such as rheumatoid arthritis. Intra-articular fractures can be classified based on the location of the fracture within the joint. For example, a fracture that occurs on the articular surface of the femur is called a femoral neck fracture, while a fracture that occurs on the articular surface of the tibia is called a tibial plateau fracture. Intra-articular fractures can be treated with a variety of methods, depending on the severity of the fracture and the location of the joint involved. Treatment options may include conservative methods such as immobilization and physical therapy, or surgical methods such as open reduction and internal fixation (ORIF) or arthroscopic surgery. The goal of treatment is to restore the function of the joint and prevent complications such as arthritis and joint stiffness.
Postoperative complications are adverse events that occur after a surgical procedure. They can range from minor issues, such as bruising or discomfort, to more serious problems, such as infection, bleeding, or organ damage. Postoperative complications can occur for a variety of reasons, including surgical errors, anesthesia errors, infections, allergic reactions to medications, and underlying medical conditions. They can also be caused by factors such as poor nutrition, dehydration, and smoking. Postoperative complications can have serious consequences for patients, including prolonged hospital stays, additional surgeries, and even death. Therefore, it is important for healthcare providers to take steps to prevent postoperative complications and to promptly recognize and treat them if they do occur.
Amputation is a surgical procedure in which a body part, such as a limb, toe, finger, or digit, is removed completely or partially. This is typically done to remove a diseased or damaged body part that cannot be repaired or that is causing significant pain or other health problems. Amputations can be performed for a variety of reasons, including: - Trauma: Injuries from accidents or violence can cause severe damage to a limb that requires amputation to save the patient's life or prevent further harm. - Cancer: Tumors or other types of cancer can spread to a limb and cause it to become infected or unable to function properly. In these cases, amputation may be necessary to remove the cancerous tissue and prevent it from spreading further. - Nerve damage: In some cases, nerve damage can cause a limb to become paralyzed or lose sensation. In these cases, amputation may be necessary to prevent further damage or to improve the patient's quality of life. - Congenital defects: Some people are born with birth defects that affect their limbs or digits. In these cases, amputation may be necessary to improve the patient's mobility or to prevent further complications. Amputations can be performed using a variety of techniques, including open surgery, endoscopic surgery, and robotic surgery. The type of procedure used will depend on the location and severity of the amputation, as well as the patient's overall health and medical history. After the procedure, the patient will typically need to undergo physical therapy to help them regain strength and mobility in their remaining limbs.
Osteoporosis is a medical condition characterized by a decrease in bone density and strength, making bones more fragile and prone to fractures. It is a common condition, particularly in older adults, and can affect both men and women. In osteoporosis, the bones become porous and brittle, which can lead to fractures even with minor trauma or falls. The most common sites for osteoporosis-related fractures are the spine, hip, and wrist. Osteoporosis is often diagnosed through a bone density test, which measures the amount of bone mineral density in the hip and spine. Risk factors for osteoporosis include age, gender, family history, smoking, excessive alcohol consumption, and certain medical conditions such as thyroid disease or rheumatoid arthritis. Treatment for osteoporosis typically involves medications to increase bone density and reduce the risk of fractures, as well as lifestyle changes such as regular exercise and a healthy diet rich in calcium and vitamin D.
Surgical wound infection is an infection that occurs in the surgical site after a surgical procedure. It is caused by bacteria, viruses, or fungi that enter the body through the incision or other surgical opening. The infection can cause redness, swelling, pain, warmth, and pus or drainage from the wound. In severe cases, it can lead to fever, chills, and sepsis, which is a life-threatening condition. Surgical wound infections can be prevented by following proper surgical techniques, using antibiotics when necessary, and keeping the wound clean and dry. If a surgical wound infection does occur, it is important to seek medical attention promptly to prevent complications and ensure proper treatment.
Orbital fractures are injuries to the bones of the eye socket, also known as the orbit. These fractures can occur as a result of trauma, such as a blow to the face, and can cause a range of symptoms, including pain, swelling, bruising, and difficulty moving the eye. There are several types of orbital fractures, including: 1. Blowout fractures: These occur when the bone of the orbit is pushed inwards, causing the eye to sink into the socket. 2. Comminuted fractures: These occur when the bone is broken into multiple pieces. 3. Zygomatic fractures: These occur when the cheekbone is broken. 4. Nasal fractures: These occur when the nose is broken and the bone enters the orbit. Orbital fractures can cause serious complications if not treated properly, including vision loss, double vision, and damage to the nerves that control eye movement. Treatment may involve surgery to repair the fracture and realign the bones, as well as medications to manage pain and swelling.
A Colles' fracture is a type of broken bone in the wrist that occurs when the hand is bent back and the wrist is forced to bend forward. It is named after the Swiss physician Friedrich Colles, who first described the injury in 1814. The fracture typically involves the distal radius, which is the larger bone on the thumb side of the wrist, and may also involve the surrounding ligaments and tendons. It is a common injury, particularly in older adults, and can result in pain, swelling, and limited mobility of the wrist and hand. Treatment typically involves immobilization of the wrist with a cast or brace, and may also include physical therapy to help restore strength and range of motion. In severe cases, surgery may be necessary to repair the fracture and restore proper alignment of the wrist.
In the medical field, "Accidents, Traffic" typically refers to injuries or illnesses that result from being involved in a motor vehicle accident. These injuries can range from minor cuts and bruises to more serious injuries such as broken bones, head trauma, and spinal cord injuries. Traffic accidents can also result in fatalities, which are considered a type of sudden unexpected death (SUD). Medical professionals who treat patients injured in traffic accidents may include emergency room doctors, trauma surgeons, orthopedic surgeons, neurosurgeons, and rehabilitation specialists. In addition to providing medical treatment, these professionals may also work with insurance companies, legal representatives, and other stakeholders to ensure that patients receive the appropriate care and compensation for their injuries. Preventing traffic accidents is also an important aspect of medical practice, as it can help reduce the number of injuries and fatalities on the road. This may involve educating the public about safe driving practices, advocating for safer road designs and infrastructure, and promoting the use of seat belts and other safety devices.
Periprosthetic fractures are fractures that occur around a prosthetic joint, such as a hip or knee replacement. These fractures can occur as a result of normal wear and tear on the prosthetic joint, or they can occur as a result of trauma or other factors. Periprosthetic fractures can be a serious complication of prosthetic joint replacement and may require surgical intervention to repair. They are more common in older adults and in patients with osteoporosis or other bone diseases.
Bone density is a measure of the amount of bone mineral content (BMC) in a specific area of the body, usually expressed in grams per cubic centimeter (g/cm³). It is an important indicator of bone health and strength, and is commonly used to diagnose and monitor osteoporosis, a condition characterized by low bone density and increased risk of fractures. Bone density is typically measured using dual-energy X-ray absorptiometry (DXA), which involves passing two low-energy X-ray beams through the body and measuring the amount of X-ray energy absorbed by the bones. The difference in the amount of energy absorbed by the bones at different energies is used to calculate bone density. Normal bone density is considered to be within a certain range, and bone density measurements below this range are considered to be low or osteoporotic. Low bone density is a risk factor for fractures, particularly of the spine, hip, and wrist. Treatment for low bone density may include lifestyle changes, such as regular exercise and a healthy diet, as well as medications to increase bone density or prevent further bone loss.
Wrist injuries refer to any type of damage or trauma that affects the wrist joint or the surrounding soft tissues, such as ligaments, tendons, and muscles. These injuries can range from minor sprains and strains to more severe fractures, dislocations, and nerve damage. Some common types of wrist injuries include: 1. Sprains: A sprain occurs when the ligaments that connect the bones in the wrist are stretched or torn. This can happen when the wrist is twisted or bent beyond its normal range of motion. 2. Strains: A strain occurs when the muscles or tendons in the wrist are stretched or torn. This can happen when the wrist is subjected to sudden or excessive force. 3. Fractures: A fracture is a break in one or more of the bones in the wrist. This can happen when the wrist is subjected to a significant amount of force, such as in a fall or a car accident. 4. Dislocations: A dislocation occurs when one or more of the bones in the wrist are forced out of their normal position. This can happen when the wrist is subjected to a significant amount of force, such as in a fall or a car accident. 5. Nerve damage: Nerve damage in the wrist can occur when the nerves that control movement and sensation in the hand are damaged or compressed. This can happen due to a variety of factors, including repetitive motion, trauma, or compression from a tumor or cyst. Treatment for wrist injuries depends on the severity of the injury and the underlying cause. In some cases, rest, ice, compression, and elevation (RICE) may be sufficient to promote healing. In more severe cases, surgery may be necessary to repair or replace damaged bones or tissues. Physical therapy may also be recommended to help restore range of motion and strength to the wrist.
In the medical field, bone wires are thin, flexible wires made of metal or other materials that are used to stabilize and reinforce broken bones. They are typically inserted into the bone through a small incision and secured in place using screws or other devices. Bone wires are commonly used in orthopedic surgery to treat fractures, particularly in areas of the body where the bone is difficult to access or where there is a risk of nerve or blood vessel damage. They can also be used to treat other conditions, such as osteoporosis, where the bone is weak and prone to fractures.
Maxillary fractures refer to fractures or breaks in the maxilla bone, which is the upper jawbone. The maxilla is a complex bone that supports the upper teeth and forms the upper part of the face. It is also involved in the formation of the nasal cavity and the roof of the mouth. Maxillary fractures can occur as a result of trauma, such as a blow to the face, or as a complication of other medical conditions, such as osteoporosis or tumors. Symptoms of a maxillary fracture may include pain, swelling, bruising, difficulty opening the mouth, and changes in the appearance of the face. Diagnosis of a maxillary fracture typically involves a physical examination, medical history, and imaging studies, such as X-rays or CT scans. Treatment options for maxillary fractures may include conservative measures, such as pain management and the use of a splint, or surgical intervention, such as the use of plates and screws to stabilize the bone. The specific treatment approach will depend on the severity and location of the fracture, as well as the overall health of the patient.
Tibial plateau fracture
Tibia shaft fracture
Tuberosity of the tibia
Regional Acceleratory Phenomenon
Bryan L. Reuss
J. J. Watt
Taylor Spatial Frame
Tanner Hall (skier)
Raymond Rocco Monto
2019 Portland Timbers season
Niwar (cotton tape)
Low-intensity pulsed ultrasound
Tibial plateau fracture - Wikipedia
Diaphyseal Tibial Fractures: Background, Anatomy, Pathophysiology
Tibial Fractures | Orthopedics Sports Medicine
Bone Grafting for Tibial Fracture : Wheeless' Textbook of Orthopaedics
Surgical treatment of tibial plateau fractures
Treatment of tibial fractures due to gunshot injury with external fixator
Tibial Fractures - The Orthopaedic Institute
Fractures of the Tibial Spine
Tibial Stress Fracture | coachingultrasound
Segmental Tibial Fractures : Wheeless' Textbook of Orthopaedics
Physiotherapy in Edmonton for Severe Tibial Bone Fractures
Tibial Stress fracture - Mondo Sports Therapy
Pet Tibial Fracture Repair Surgery | Anicira
The use of three-dimensional models in tibial plateau fractures | South African Orthopaedic Journal
Broken kneecap - aftercare: MedlinePlus Medical Encyclopedia
Dr. Gregory Kolovich, MD - Orthopedic Surgery Specialist in Savannah, GA | Healthgrades
OTA Online | Orthopaedic Trauma Association (OTA)
Comparing Intramedullary Nailing, External Fixation, and External Fixation followed by Intramedullary Nailing as management for...
Arthroplasty Journal Articles - Index
Comparision of transpatellar and medial parapatellar tendon approach in tibial intramedullary nailing for treatment of fracture...
Dr. William Eves, MD, Orthopedic Surgery Specialist - Chula Vista, CA | Sharecare
A Fixed, Unreducible, Unstable Medial Swivel Dislocation of the Talonavicular Joint with Associated Navicular Fracture
Bone fracture - Wikipedia
Open Fractures: Practice Essentials, Pathophysiology
Elizabeth Anne McKay
ProGait Plus Walker Boot - Breg, Inc.
An Acute Fixation Protocol for High-Energy Tibial Plateau Fr... : Journal of Orthopaedic Trauma
- A tibial plateau fracture is a break of the upper part of the tibia (shinbone) that involves the knee joint. (wikipedia.org)
- Tibial plateau fractures typically presents with knee effusion, swelling of the knee or fragmentation of the tibia which leads to loss of its normal structural appearance. (wikipedia.org)
- Fractures of the tibia and the fibula are the subject of ongoing controversy and discussion. (medscape.com)
- Although gray zones have been resolved, no consensus has been reached on the optimal management of diaphyseal fractures of the tibia. (medscape.com)
- The optimal treatment of a tibia fracture stems from an analysis of the natural history of the fracture. (medscape.com)
- The nutrient artery to the tibia (see the image below) arises from the posterior tibial artery, which enters the tibia at the posterolateral cortex distal to the origin of the soleus at the oblique line of the tibia. (medscape.com)
- Tibia fractures may happen at the same time as a fracture of the fibula, which is the long, thin bone that runs along the tibia to connect to the knee. (intermountainhealthcare.org)
- If you suspect you have a fractured tibia, seek medical help right away. (intermountainhealthcare.org)
- Make sure your healthcare provider knows exactly what happened when your leg was injured, and tell them if you had any other injuries at the same time that your tibia was fractured. (intermountainhealthcare.org)
- This condition is a fracture of a portion of the tibia, also called the shin bone, in the knee joint. (michiganortho.com)
- The tibial spine is a specialized ridge of bone in the tibia where the anterior cruciate ligament (ACL) attaches. (michiganortho.com)
- The tibia is the most common site of a stress fracture in the lower body, especially in young athletes. (coachingultrasound.com)
- Tibial fracture repair surgery is a procedure performed to treat fractures or breaks in the tibia, which is the larger bone located in the lower leg. (anicira.org)
- Tibia is exposed to frequent injury there by being the most commonly fractured long bone. (peertechzpublications.com)
- Fractures of the tibia are among the most serious long bone fractures,because of their potential for nonunion, malunion and propensity for their open injury . (peertechzpublications.com)
- Gerhad kuntscher developed his v-shaped nail and a cloverleaf nail in 1940s later on it was widely used to treat fracture shaft of tibia. (peertechzpublications.com)
- For example, the tibia has a long medial aspect that is subcutaneous, and therefore, it is "easier" for trauma to the lower leg to expose the bone and fracture site. (medscape.com)
- La fracture était le traumatisme ostéo-articulaire le plus courant : avec 509 cas (49,8 %), la fracture du tibia représentait la plus forte proportion. (who.int)
- Fractures of the TIBIA. (bvsalud.org)
- This entry was posted in Uncategorized and tagged dynamic ultrasound , dynamic ultrasound examination , hypervascularity , MRI , msk , musculoskeletal mri , paolo minafra , stress fracture , tibial stress fracture , Ultrasound by Paolo Minafra . (coachingultrasound.com)
- A stress fracture occurs when the dose of stress exceeds the bone's capacity to adapt. (medscape.com)
- He had a palpable dorsalis pedis and posterior tibial artery. (hindawi.com)
- [ 10 ] The nerve lies beneath the flexor retinaculum between merging tendons and vessels, which have an anterior to posterior progression of tibialis posterior tendon, flexor digitorum tendon, posterior tibial artery, posterior tibial nerve, and flexor hallucis longus tendon (see the image below). (medscape.com)
- The tibialis posterior tendon, flexor digitorum tendon, posterior tibial artery, posterior tibial nerve, and flexor hallucis longus tendon at the ankle level. (medscape.com)
Management of tibial2
- The advent of plaster and the design of functional casts revolutionized the management of tibial fractures. (medscape.com)
- As compared to transpatellar approach for intramedullary interlocking nail insertion, medial parapatellar incision is more preferred in the management of tibial shaft fracture [3,11,12]. (peertechzpublications.com)
- Low energy fractures are commonly seen in older females due to osteoporotic bone changes and are typically depressed fractures. (wikipedia.org)
- The Edwin Smith papyrus (an ancient Egyptian treatise on trauma surgery from the 17th century BCE) contained references to the management of long-bone fractures with splints and bandages. (medscape.com)
- In an open fracture, the bone breaks through the skin, or a wound is deep enough that the bone can be seen through it. (intermountainhealthcare.org)
- In a closed fracture, the bone is broken but the skin is not broken. (intermountainhealthcare.org)
- Open fractures, the kind where the bone can be seen after the break occurs, need to be treated as emergencies. (intermountainhealthcare.org)
- Fractures can happen when the bone receives enough force to snap or twist. (intermountainhealthcare.org)
- A related injury in athletes is an avulsion fracture, a kind of fracture where a piece of bone gets pulled away from the rest of the bone. (intermountainhealthcare.org)
- During this exam, they will look at your leg and press on the injured area to find out if the bone is fractured and what kind of break it is. (intermountainhealthcare.org)
- Some fractures can be diagnosed with a physical exam alone, but in these cases your healthcare provider still might want to do imaging tests to take pictures of the bone and figure out the best treatment for you. (intermountainhealthcare.org)
- A tibial fracture can occur anywhere along the bone, and can range from small cracks to a full break that allows the bone to separate. (orthoatlanta.com)
- Open tells us the bone has fractured severely enough to come through the muscle and fascia and out through the skin. (tracksidephysio.com)
- During surgery, the veterinarian will make an incision near the fracture site and use tools to bring the broken bone back in a more normal alignment. (anicira.org)
- In the USA Hansen-street nail was introduced in 1947 this was solid diamond shaped nail designed to resist fracture rotation by its compression fit within the cancellous bone. (peertechzpublications.com)
- Internal screw fixation of the fractured navicular bone was needed along with K-wire insertion to hold the normal anatomy of the talonavicular joint reduced. (hindawi.com)
- A bone fracture (abbreviated FRX or Fx , F x , or # ) is a medical condition in which there is a partial or complete break in the continuity of any bone in the body. (wikipedia.org)
- In more severe cases, the bone may be broken into several fragments, known as a comminuted fracture . (wikipedia.org)
-  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)
- 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)
- One form of malunion is the malrotation of a bone, which is especially common after femoral and tibial fractures. (wikipedia.org)
- Stages in Fracture Repair: The healing of a bone fracture follows a series of progressive steps: (a) A fracture hematoma forms. (wikipedia.org)
- The natural process of healing a fracture starts when the injured bone and surrounding tissues bleed, forming a fracture hematoma . (wikipedia.org)
- A fracture is a break in a bone. (msdmanuals.com)
- Most fractures result from a single, significant force applied to normal bone. (msdmanuals.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)
- 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)
- In 1970 Gorsse and Kemfe developed nail with interlocking screw, which expanded the indication of nailing more proximal, distal and unstable fractures. (peertechzpublications.com)
- Systematic review of the literature was conducted on the following databases: PubMed and VHL from 2000 to 2013 aiming to compare Intramedullary Nailing (IM Nailing), External Fixation (EF), and EF followed by IM Nailing in the treatment of open fractures of the tibial shaft. (imed.pub)
- Risk factors for deep infection in secondary intramedullary nailing after external fixation for open tibial fractures.Injury. (imed.pub)
- An Acute Fixation Protocol for High-Energy Tibial Plateau Fr. (lww.com)
- To investigate whether an acute fixation protocol for high-energy tibial plateau fractures increases the rate of wound complications. (lww.com)
- One hundred thirty-four patients with high-energy tibial plateau fractures (OTA/AO 41B/C [Schatzker VI/V/VI]) treated with open reduction and internal fixation (ORIF). (lww.com)
- An acute ORIF protocol for high-energy tibial plateau fractures decreased time to fixation and lowered operative costs without increasing the risk of wound complications or reoperations. (lww.com)
- Postoperative anteroposterior radiograph of varus knee that underwent a closing wedge high tibial osteotomy with internal fixation. (medscape.com)
- The ability to treat tibial shaft fracture by conservative or operative means depends on what is often termed the natural history of the fracture. (medscape.com)
- It is the second part of a two-part series on open tibial shaft fractures. (tracksidephysio.com)
- In the first part (published in the January 2010 Journal of the American Academy of Orthopaedic Surgeons (JAAOS)), open tibial shaft fractures was introduced as a topic. (tracksidephysio.com)
- What is an open tibial shaft fracture? (tracksidephysio.com)
- Although surgeons will benefit from the detailed discussion of each of these topics, patients and family members who are dealing with open tibial shaft fractures will be searching for information and answers they might find here. (tracksidephysio.com)
- The treatment of open fractures of the tibial shaft is often a dilemma since it requires particular caution and individual assistance for each case. (imed.pub)
- Wani N,Baba A,Kangoo K,Mir M. Role of early Ilizarov ring fixator in the difinitive management of type II, IIIA and IIIB open tibial shaft fractures. (imed.pub)
- Tibial shaft fractures are one of the most common fractures in young. (peertechzpublications.com)
- Recently, due to the latest implant design interlocking intramedullary nailing has become the treatment of choice for tibial shaft fractures. (peertechzpublications.com)
- Traditionally, the starting point for intramedullary nailing of tibial shaft fracture has established via ínfrapatellar approach either by splitting the patellar tendon or dissecting just adjacent to patellar tendon .Nailing in semiextended position using medial patellar approach has recently gained significant attention . (peertechzpublications.com)
- Fractures of the tibial shaft and plateau may lead to subsequent lower extremity malalignment. (medscape.com)
- Most clinicians accept less than 10° of angulation in tibial shaft fractures. (medscape.com)
- Treatment of open fractures of the tibial shaft with the use of interlocking nailing without reaming. (bvsalud.org)
- DallÂ´Oca C,Christodoulidis A,Bortolazzi R,Bortolozzi P,Lavini F. Treatment of 103 displaced tibial diaphyseal fractures with a radiolucent unilateral external fixator.Arch Orthop Trauma Surg. (imed.pub)
- Direct inoculation of the tissue is a basic issue in the pathophysiology of open fracture management. (medscape.com)
- In cases with open tibial fractures due to gunshot injury, external fixator are advantages in view of infection, when compared with other stabilizer materials, particularly with intramedullary nailing. (aott.org.tr)
- For the treatment of diaphyseal tibial fractures, tibial nailing has become the standard care, intramedullary nail act as an internal splint . (peertechzpublications.com)
- Tibial nail is advantageous in its intramedullary position, sharing physiologic loads and allowing weight bearing of affected extremity immediately after placement. (peertechzpublications.com)
- Due to the tibial plateau's proximity to important vascular (i.e. arteries, veins) and neurological (i.e. nerves such as peroneal and tibial) structures, injuries to these may occur upon fracture. (wikipedia.org)
- However, most of these fractures occur from motor vehicle accidents or falls. (wikipedia.org)
- The knee anatomy provides insight into predicting why certain fracture patterns occur more often than others. (wikipedia.org)
- Partial or complete ligamentous ruptures occur in 15-45%, meniscal lesions in about 5-37% of all tibial plateau fractures. (wikipedia.org)
- The delayed unions and nonunions that occur in these fractures are themselves a separate problem covered extensively in the literature and in academic forums. (medscape.com)
- Tibial fractures can occur due to trauma, such as a fall, accident, or athletic injury. (anicira.org)
- Open fractures pose some unique risks beyond those encountered with similar closed fractures that may occur with similar amounts of force. (medscape.com)
- If you have a severe fracture, or if your tendon is torn, you will need surgery to repair the injuries. (medlineplus.gov)
- This includes Osgood-Schlatter disease , an apophysis resulting from repetitive quadriceps contraction through the patellar tendon at its insertion upon the skeletally immature tibial tubercle. (medscape.com)
- This was described as a navicular body fracture, either isolated or with additional fractures, dislocations, and/or fracture dislocations of the foot [ 1 ]. (hindawi.com)
- The commonest musculoskeletal injury was fracture: tibial fracture with 509 cases (49.8%) comprised the largest proportion. (who.int)
- High energy fractures are commonly the result of motor vehicle accidents, falls or sports related injuries. (wikipedia.org)
- In all injuries to the tibial plateau radiographs (commonly called x-rays) are imperative. (wikipedia.org)
- Therefore, diaphyseal tibial injuries are prone not only to infection and nonunion in the long term but also to significantly increased morbidity caused by polytrauma and associated injuries in the acute setting. (medscape.com)
- Knowledge of the relevant anatomy is essential for recognizing and planning management of both the diaphyseal tibial fracture and the soft-tissue injuries that could be associated with it. (medscape.com)
- Broad coverage for gram-positive organisms with the addition of gram-negative coverage for higher-grade injuries has become the most common choice for initiation of antibiotic therapy after an open fracture. (medscape.com)
- Some factors that influence the natural history of tibial fractures include the location and extent of displacement, comminution, soft-tissue injury, and contamination. (medscape.com)
- The tibial spine is most often fractured from severe injury or trauma to the knee that places severe stress on the ACL. (michiganortho.com)
- If the open fracture was caused by penetrating trauma, direct injury to major neurovascular structures may be more likely, thereby affecting the prognosis for limb function. (medscape.com)
- Objectives: This study was designed to determine surgical indications in tibial plateau fractures and to evaluate the effect of surgical treatment on the outcome. (aott.org.tr)
- range 18 to 75 years) underwent surgical treatment for 41 tibial plateau fractures. (aott.org.tr)
- Would you like to learn more about the latest options available for surgical treatment of open tibial fractures? (tracksidephysio.com)
- To compare three-dimensional (3D) printed models with 3D computed tomography (CT) images in terms of the reliability of the classification of tibial plateau fractures using the Hohl and Moore and the Schatzker classification systems, and whether there was any influence on surgical management. (saoj.org.za)
- Naique SB, Pearse M, Nachanhal J. Management of severe open tibial fractures:the need for combined orthopaedic and plastic surgical treatment inspecialist centers. (imed.pub)
- Conservative management was more likely to fail in fractures that had a residual fracture gap or an intact fibula than in others. (medscape.com)
- A cuboid fracture and a fracture of the proximal metaphysis of the third metatarsal were also identified, along with a small fracture of the lateral aspect of the anterior process of the calcaneus. (hindawi.com)
- The OTA Fracturebook: Current Practice of Trauma and Fracture Management will be the new official textbook of the OTA. (ota.org)
- citation needed] Fractures of the tibial plateau are caused by a varus (inwardly angulating) or valgus (outwardly angulating) force combined with axial loading or weight bearing on knee. (wikipedia.org)
- The most common symptom of a tibial spine fracture is acute pain in the front or center of the knee. (michiganortho.com)
- The most common treatment option for a less severe fracture is immobilization of the leg in a brace or cast with the knee slightly bent for several weeks. (michiganortho.com)
- The presence of the hinge joints at the knee and ankle allow to no adjustment of the rotatory deformity after fracture requiring during correction of reduction . (peertechzpublications.com)
- Leg Fracture Above Knee (incl. (sharecare.com)
- Most of the complications occurred at the fractures treated with Girgin external fixator. (aott.org.tr)
- Current Strategies in Managing Geriatric Hip Fractures Managing hip fractures in the elderly presents challenges and comes with an increased risk for complications. (medscape.com)
- Some fractures may lead to serious complications including a condition known as compartment syndrome . (wikipedia.org)
-  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)
- 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)
- A combination of posterior tibial nerve block, saphenous nerve block , superficial peroneal nerve block , deep peroneal nerve block , and sural nerve block results in complete block of sensory perception beneath the ankle, as shown in the image below. (medscape.com)
- The areas to anesthetize include a line along the anterior ankle for the superficial peroneal nerve (blue line), the deep peroneal nerve (red star), the saphenous nerve (pink star), the sural nerve (green arrow), and the posterior tibial nerve (orange arrow). (medscape.com)
- At the level of ankle, the posterior tibial nerve can be found midway between the medial malleolus and the heel. (medscape.com)
- Computed tomography scans are not always necessary but are sometimes critical for evaluating degree of fracture and determining a treatment plan that would not be possible with plain radiographs. (wikipedia.org)
- It is time to remove this kind of dogma from one's thinking and to individualize the treatment of these fractures. (medscape.com)
- The focus of the earlier journal was evaluating these fractures and the initial treatment taking care of the open wound. (tracksidephysio.com)
- Hand and wrist conditions including arthritis, carpal tunnel syndrome, Dupuytren's contracture, and fractures or sprains, with treatment options such as surgery or physical therapy. (healthgrades.com)
- Prevention of infection in the treatment of one thousand and twenty-five open fractures of long bones: retrospective and prospective analyses. (medscape.com)
- Staging treatment for complex tibial metaphyseal fractures with external fixator]. (bvsalud.org)
- 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)
- This explains how 60% of plateau fractures involve the lateral plateau, 15% medial plateau, 25% bicondylar lesions. (wikipedia.org)
- A computerized tomography (CT) scan was ordered by orthopaedic surgery, confirming a comminuted lateral navicular fracture with navicular medial dislocation on the talar. (hindawi.com)
- Medial and lateral plantar nerves after branching from the posterior tibial nerve. (medscape.com)
- Cutaneous innervation by the medial and lateral branches of the posterior tibial nerve. (medscape.com)
- Patellar, tibial, and fibular fractures. (medlineplus.gov)
- [ 5 ] enabled surgeons to treat open diaphyseal tibial fractures with some prospect of avoiding amputation. (medscape.com)
- Open fractures need to be cleaned and treated right away, since they have a risk of infection. (intermountainhealthcare.org)
- There were 19 type-I, 52 type-II, 48 type-III open fractures. (aott.org.tr)
- The procedure for evaluation and management of open fractures is best described as a set of principles that has evolved over time, often in relation to advances in wartime care of military personnel. (medscape.com)
- Adjuncts to the care of open fractures have evolved and often involve delivery of antibiotics or metabolically important substances to the local fracture environment. (medscape.com)
- The risk of a fracture being open is related to the amount of soft-tissue coverage in that region of the body and to the amount of energy imparted to that region. (medscape.com)
- Mosheiff R. Open fractures. (medscape.com)
- The principles and practice of open fracture care, 2018. (medscape.com)
- Appropriate coverage of the wound and splinting of the fracture are performed in conjunction with initiation of appropriate antibiotic therapy and tetanus prophylaxis. (medscape.com)
- What is tibial fracture repair surgery, and why does my pet need it? (anicira.org)
- [ 8 , 9 ] The posterior tibial nerve arises from the sciatic nerve and courses down the posterior thigh and posteromedial lower leg, as shown in the image below. (medscape.com)
- The downside of reaming is that it increases the risk of infection and can lead to nonunion (failure of the fracture to close). (tracksidephysio.com)
- Initial plain X-rays of the foot evaluated by orthopaedics demonstrated a navicular fracture with a medial dislocation of the navicular on the talus (Figures 1(a) and 1(b) ). (hindawi.com)
- A serious complication of tibial plateau fractures is compartment syndrome in which swelling causes compression of the nerves and blood vessels inside the leg and may ultimately lead to necrosis or cell death of the leg tissues. (wikipedia.org)
- A thorough assessment of the fracture type and pattern and then correlating it with the natural history of a similar fracture type permits achievement of the best functional outcomes for each individual patient. (medscape.com)
- Tibial fractures need to be treated quickly or the leg may not heal properly. (intermountainhealthcare.org)
- It is composed of six condyle fracture types classified by fracture pattern and fragment anatomy. (wikipedia.org)