Occult fractures posterior fractures comminuted. Medical search. Frequent questions

Femoral shaft fractures are high energy injuries to the femur that are associated with life-threatening injuries (pulmonary, cerebral) and ipsilateral femoral neck fractures. (orthobullets.com)

Sternoclavicular joint (SCJ) dislocations may follow direct trauma to the anteromedial aspect of the clavicle that drives it backward and causes a posterior dislocation. (medscape.com)
In a "pile-on" in football or other sports, the shoulder off the ground may be rolled backward, causing an anterior dislocation, or rolled forward, causing a posterior dislocation. (medscape.com)
however, in posterior dislocation, the clavicle is projected caudally to the mean horizontal plane of the SCJ, and in anterior dislocation, it is projected cranially. (medscape.com)
Check for glenohumeral joint dislocation - Dislocations with associated isolated greater tuberosity fracture can be reduced under conscious sedation. (orthojournalhms.org)
The decision to operate also depends upon the fracture pattern, ankle stability, and presence of dislocation or significant joint subluxation and should be made on a case by case basis. (teachmeorthopedics.info)

Incomplete compression fractures without cortical disruption, called buckle (torus) fractures, are common in children. (aafp.org)
Greenstick fractures, which have cortical disruption, are also common in children. (aafp.org)
Avascular necrosis (AVN) complicates between 21 and 75% of three- and four-part fractures, and is related to the initial injury, the fracture pattern, the integrity and size of the medial cortical hinge, and surgical dissection. (scielo.org.za)

these fractures are often called insufficiency or fragility fractures. (msdmanuals.com)

Treatment of radial head fractures depends on the specific characteristics of the fracture using the Mason classification. (aafp.org)
Hawkins classification of talar neck fractures. (teachmeorthopedics.info)
Patients were grouped according to a 3D classification of fracture pattern. (scielo.org.za)

These fractures are treated with immobilization or surgery, depending on the degree of displacement and angulation. (aafp.org)
Even small residual-fracture displacement can result in a significant compromise of subtalar, ankle, or talonavicular joint function. (teachmeorthopedics.info)

Displaced talus fractures are uncommon but devastating injuries. (teachmeorthopedics.info)
Two thirds of the talus is covered in articular cartilage, and all fractures are articular injuries affecting one or more of the adjacent joints. (teachmeorthopedics.info)
Type I talar neck fractures are nondisplaced injuries and can be managed nonoperatively in cooperative patients who agree to frequent follow-up x-rays. (teachmeorthopedics.info)
Talar neck and body fractures are usually the result of high-energy injuries. (teachmeorthopedics.info)
Occult foot or ankle injuries should be suspected when foot and ankle swelling or ecchymosis is presented even when obvious radiographic abnormalities are not found. (teachmeorthopedics.info)
The complexity of these injuries is a function of fracture severity (and the associated risk of avascular necrosis), and the difficulty in attaining union of the greater and lesser tuberosities in anatomical position. (scielo.org.za)

Isolated midshaft ulna (nightstick) fractures are often caused by a direct blow to the forearm. (aafp.org)
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)

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)

Fractures of the radius and ulna are the most common fractures of the upper extremity, with distal fractures occurring more often than proximal fractures. (aafp.org)
The use of reverse total shoulder arthroplasty for the management of complex proximal humerus fractures has gained popularity in the last five to ten years. (scielo.org.za)
We present a concise review of conservative and surgical treatment of proximal humerus fractures and a more detailed review of published series of reverse shoulder arthroplasty for fracture treatment. (scielo.org.za)
Proximal humeral fractures account for around 5% of humeral fractures. (scielo.org.za)
performed a prospective observational study of 76 patients with complex proximal humerus fractures managed non-operatively. (scielo.org.za)
However, there is conflicting evidence regarding the outcomes when used for proximal humerus fractures. (scielo.org.za)

Locked plate technology for fixation of fractures associated with poor bone quality has expanded in recent years. (scielo.org.za)
In a recent prospective randomised control trial (PRCT) of 50 patients comparing non-operative management and locked-plate fixation for complex displaced fractures, it was reported that at 12 months the functional scores (American Shoulder and Elbow Score ASES, and Constant Score CS) were similar, and that the only significant difference was better radiographs in the operated group. (scielo.org.za)

A hematoma forms at the fracture site, and a small amount of bone in the distal fracture fragments is resorbed. (msdmanuals.com)
Extrapleural hematoma is a collection located between the chest wall and the parietal pleura and is usually associated with rib fractures. (wajradiology.org)
Computed tomography is an excellent modality to diagnose extrapleural hematoma and rib fractures as well as differentiate it from a pleural collection. (wajradiology.org)

A nondisplaced, or minimally displaced, distal radius fracture is initially treated with a sugar-tong splint, followed by a short-arm cast for a minimum of three weeks. (aafp.org)
1 , 2 Although nondisplaced, or minimally displaced, fractures of the radius and ulna usually can be managed by family physicians, it is important to identify fractures that require referral to an orthopedist. (aafp.org)
A minimally displaced talar body fracture in a patient with significant neuropathy may be best treated nonoperatively, whereas a Hawkins III talar neck fracture with posteromedial extrusion of the talar body should be treated operatively, even in patients with significant neuropathy, to relieve soft-tissue and/or neurovascular compromise. (teachmeorthopedics.info)
While most simple, minimally or non-displaced fractures can be managed successfully with non-operative means, the more complex three- and four-part displaced fractures remain difficult to treat and have worse outcomes. (scielo.org.za)

Radial head fractures may be difficult to visualize on initial imaging but should be suspected when there are limitations of elbow extension and supination following trauma. (aafp.org)
The radial head-capitellar view may be acquired only when a radial head fracture is suspected, or it may be performed routinely for acute elbow pain or trauma. (medscape.com)
In distinction, elevation of the anterior and posterior fat pads is a reliable indicator of elbow effusion, which, in the setting of acute elbow trauma, should be considered evidence of an acute intraarticular fracture. (medscape.com)

It has been suggested that radiologic imaging studies may be unnecessary for the evaluation of elbow fractures and dislocations if the active range of motion (including extension, flexion, supination, and pronation) remains normal. (medscape.com)

The capsule surrounding the joint is weakest inferiorly, while it is reinforced on the superior, anterior, and posterior aspects by the various ligaments, including the interclavicular, anterior and posterior sternoclavicular, and costoclavicular ligaments. (medscape.com)
It revealed comminuted fractures of the right 9th-11th ribs [Figure 1] and [Figure 2] with mildly displaced fractures of the anterior ends of the right seventh and eighth ribs adjoining the costochondral junction. (wajradiology.org)
The intercostal stripe is seen in the anterolateral and posterolateral aspects of the intercostal spaces and is not visible in the anterior parasternal and posterior paravertebral regions of the chest due to the absence of the intercostal muscle. (wajradiology.org)

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)

Nondisplaced talar neck fractures that are not visible on plain x-rays but diagnosed with other imaging modalities, such as magnetic resonance imaging (MRI), computed tomography (CT), or bone scans, may be treated nonoperatively. (teachmeorthopedics.info)

and lack of tenderness over the radial head, olecranon, and medial epicondyle excludes fracture in the adult elbow and obviates imaging. (medscape.com)
The minimal radiographic series includes anteroposterior (AP) and lateral images, while an oblique radial head-capitellar view can help detect subtle fractures by removing osseous overlap of the radial head and coronoid. (medscape.com)

A fracture is a break in a bone. (msdmanuals.com)
Most fractures result from a single, significant force applied to normal bone. (msdmanuals.com)
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)
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)
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)
METHODS: Adult male pace bowlers received 6-weekly pre-planned Magnetic Resonance Imaging scans over a single season to determine the presence and intensity of bone marrow oedema in the posterior vertebral arches of the lumbar spine. (bvsalud.org)
No participants developed a lumbar bone stress fracture. (bvsalud.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)

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)

Operative treatment is usually necessary to restore hind foot anatomy and mechanics, as well as joint congruity in the majority of these fractures. (teachmeorthopedics.info)
On occasion, poor soft-tissue conditions complicate the operative treatment of these fractures. (teachmeorthopedics.info)

Depending on the degree of angulation, buckle and greenstick fractures can be managed with immobilization. (aafp.org)

In adults, distal radius fractures are the most common forearm fractures and are typically caused by a fall onto an outstretched hand. (aafp.org)

If initial imaging findings are negative and suspicion of fracture remains, splinting and repeat radiography in seven to 14 days should be performed. (aafp.org)
[ 3 ] Arundel et al suggest that clinical gestalt is sensitive for detecting fractures, but that the clinical prediction rule increases specificity (identifying which adults do not need imaging), decreasing the number of negative radiographs. (medscape.com)

Talar body fractures often involve articular disruption of both the tibiotalar and subtalar joints, and surgical restoration of articular congruity, talar height, and ligamentous stability of the ankle is usually the best option. (teachmeorthopedics.info)

Do not order follow-up radiography for buckle (torus) fractures if they are no longer tender or painful. (aafp.org)

Point tenderness in this area may indicate a fracture of the hook process, a somewhat common injury in sports that use racquets, clubs, or bats, such as tennis, golf, or baseball. (teachmeorthopedics.info)

The most common airway obstruction is due to the base of the tongue falling backward into the posterior pharynx. (medscape.com)

The most common radius and ulna fractures, with a summary of their management and indications for referral, are shown in Table 1 . (aafp.org)

A small fractured fragment was seen projecting into the extrapleural space (EPS) along the tenth rib. (wajradiology.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)
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)

Surgical options may be considered for specific fracture patterns in younger patients. (orthojournalhms.org)

In order to evaluate the benefits and risks of the various surgical techniques, it is important first to understand the natural history of non-operatively managed fractures, and to know the outcomes of the different surgical options. (scielo.org.za)

A fall onto an outstretched hand is the most common mechanism of injury for fractures of the radius and ulna. (aafp.org)

Appropriate splinting will assist with haemodynamic control as well as providing an analgesic affect, but remember that all patients with confirmed or highly suspected femoral fractures should have early consideration for regional analgesia (femoral nerve block, FNB or fascia iliaca block, FIB), upon arrival in the ED. (nsw.gov.au)

A. Group I cleavage fractures (horizontal, sagittal, coronal). (teachmeorthopedics.info)

It should be noted that these fractures may be complicated by a median nerve injury. (aafp.org)

1 - 3 The rate of distal radius fractures is highest (nearly double) in people younger than 18 years and older than 65 years. (aafp.org)

Anatomy5

Diseases32

Chemicals and Drugs1

Analytical, Diagnostic and Therapeutic Techniques and Equipment15

Phenomena and Processes2

Disciplines and Occupations1

Health Care5

Shaft Fractures1

Dislocation5

Cortical3

Fragility fractures1

Classification3

Displacement2

Injuries6

Midshaft2

Clavicle Fractures1

Proximal6

Fixation2

Hematoma3

Minimally4

Trauma3

Dislocations1

Anterior3

Intramedullary2

Computed Tomography1

Radial2

Bone8

Complications3

Splint1

Operative2

Immobilization1

Typically1

Imaging2

Disruption1

Radiography1

Tenderness1

Backward1

Indications1

Fragment1

Reduction2

Patterns1

Outcomes1

Mechanism1

Patients1

Horizontal1

Injury1

Younger1