Odontoid process fracture, also known as a peg or dens fracture, occurs where there is a fracture through the odontoid process of C2. Calcaneal fracture. There are two classification systems 5,6. Salter-Harris type I fractures describe a fracture that is completely contained within the physis. It was originally described as a four-part fracture with double fractures through the anterior and posterior arches, but three-part and two-part fractures have also been described. In addition to reporting the presence of the fracture a number of features should be sought and in many instances commented upon as relevant negatives: transverse fracture 1.5-2 cm from tip of proximal tuberosity. Cervical spine fractures can occur secondary to exaggerated flexion or extension, or because of direct trauma or axial loading.. Lisfranc injury. Associations CT or MR may be more sensitive than conventional radiographs for detection of avulsion injuries. They should not be confused with fatigue fractures which are due to abnormal stresses on normal bone, or with pathological fractures, the result of diseased, weakened bone due to focal pathology such as The term is sometimes used to describe intra-articular fractures with more: Jones fracture. Barton fractures are fractures of the distal radius.It is also sometimes termed the dorsal type Barton fracture to distinguish it from the volar type or reverse Barton fracture.. Barton fractures extend through the dorsal aspect to the articular surface but not to the volar aspect. On plain film, dorsal avulsion injuries are best detected on a lateral projection, where typically an avulsed flake of bone is identified lying posteriorly to the triquetral bone (see pooping duck sign). Having three parts, this is a more unstable fracture and may be associated with ligamentous injury. They may represent an isolated tendinous injury or occur in combination with an avulsion fracture of the dorsal base of the distal phalanx. Pathology Mechanism. These type of fractures are more common in children, especially aged 5-10 years, due to the elasticity of their bones. There is no associated bone fragment. As a historical note, there are four methods of judicial hanging, and the process is more complicated than may be evident at first glance. Radiopaedia.org, the wiki-based collaborative Radiology resource There is no associated bone fragment. Epidemiology. Males are affected more commonly than females with a median age of injury of 56 years. As the physiological closure of the physeal plate begins medially, the lateral (open) physis is prone to this type of fracture. high risk of nonunion. Jefferson fracture is the eponymous name given to a burst fracture of the atlas. Gaillard F, Lustosa L, Murphy A, et al. The complex of the medial collateral ligaments of the ankle joint is collectively called deltoid ligament.It attaches the medial malleolus to multiple tarsal bones. For example, someone who lives alone may not be able to do so without the use of one arm. The lack of a metaphyseal fracture component in the coronal plane (evaluated with lateral x-ray or CT) distinguishes a Tillaux fracture from a triplanar fracture. Radiopaedia.org, the wiki-based collaborative Radiology resource The term is sometimes used to describe intra-articular fractures with This typically involves separation of the tibial attachment of the ACL to variable degrees. Strictly speaking, the fracture is misnamed and should more correctly be called "hangee" fracture. When a fracture is identified, a careful search for adjacent soft tissue injury should be undertaken. The term "hangman fracture" was introduced by Schneider in 1965 5. Both the end of the fibula (1) and the tibia (2) are broken and the malleolar fragments (arrow: medial malleolus, arrowhead: lateral malleolus) are displaced. Epidemiology. The complex of the medial collateral ligaments of the ankle joint is collectively called deltoid ligament.It attaches the medial malleolus to multiple tarsal bones. Jones fracture. fracture may arise as proximally as the level of fibular neck and not visualized on ankle films, requiring knee or full-length tibia-fibula radiographs (Maisonneuve fracture) unstable: usually requires ORIF; Weber C fractures can be further subclassified as 6. Examples include: Jefferson fracture: ring fracture of C1; hangman fracture: bilateral pedicle or pars fracture of C2; dens fracture; flexion teardrop fracture: unstable flexion fracture; extension teardrop fracture: stable injury They are distinct from a lateral condyle fracture which is a very different fracture despite the similar name. These fractures are avulsion fractions of the ossification center of the lateral condyle, and as such are sometimes referred to as a lateral epicondyle avulsion fracture; either term is acceptable. Rarely, a torus fracture may refer to the fracture of an oral torus, and there is potential for the two terms to be confused 10. Check out the new My Emergency Department app - a single source of truth for all your ED team's guidelines, policies and education content. They may represent an isolated tendinous injury or occur in combination with an avulsion fracture of the dorsal base of the distal phalanx. Coronoid process fractures have been classified into three types within the Regan and Morrey classification system 1:. Most authors regard it as a type 4 Salter-Harris fracture. Classification. more: Jones fracture. Smith fractures, also known as Goyrand fractures in the French literature 3, are fractures of the distal radius with associated volar angulation of the distal fracture fragment(s). It is interesting to note that the word chauffeur comes from the French for "someone who warms" the car engine. Sternal fractures occur in ~5% of blunt chest trauma with the manubrium being the most commonly injured part. scapular fracture; clavicle fracture; distal radial fracture (especially Colles fracture) Treatment and prognosis. Vertical fracture through the distal tibial epiphysis (Salter-Harris III) with a horizontal extension through the lateral aspect of the physis. This page is for adult patients. The superficial layer has variable attachments and crosses two joints while the deep layer has talar attachments and crosses one joint: extra-articular lover fracture (or Casanova fracture) Classification. Jones fracture. ACEP Now April 14, 2020, This page was last edited 19:56, 12 January 2021 by, http://radiopaedia.org/articles/weber_ankle_fracture_classification, http://www.ncbi.nlm.nih.gov/pubmed?term=12595378, https://www.acepnow.com/article/tips-for-managing-weber-b-ankle-fractures/?singlepage=1, https://www.wikem.org/w/index.php?title=Ankle_fracture&oldid=292390, Examine for ecchymoses, abrasions, or swelling, 4 sensation distributions: saphenous nerve (medial mal), superficial fib (lat mal), sural nerve (lateral 5th digit), deep fib (1st web space), Note skin integrity and areas of tenderness or crepitus over ankle, Range joint passively and actively to evaluate for stability, Perform anterior drawer test (positive exam suggests torn ATFL), Perform a crossed-leg test to detect syndesmotic injury, Palpate midfoot and base of 5th metatarsal for tenderness, AP: Best for isolated lateral and medial malleolar fractures, Best for evaluating for unstable fracture or soft tissue injury, At a point 1 cm proximal to tibial plafond space between tib/fib should be 6mm, Lateral: Best for posterior malleolar fractures, Consider proximal tib/fib films and talus fractures, System based on level of the fibular fracture and characterizes stability of fracture, Tibial plafond and the two malleoli is referred to as the ankle "mortise" (or talar mortise), Fibula fracture below ankle joint/distal to plafond, Usually stable: occasionally requires ORIF, Fibula fracture at the level of the ankle joint/at the plafond, Can extend superiorly and laterally up fibula, Tibiofibular syndesmosis intact or only partially torn, No widening of the distal tibiofibular articulation, Use gravity or weight bearing stress X-rays to determine stability, Fibula fracture above the level of the ankle joint/proximal to plafond, Tibiofibular syndesmosis disrupted with widening of the distal tibiofibular articulation, Neurovascular compromise from fracture requires emergent reduction and/or orthopedic intervention, Stable, nondisplaced, isolated malleolar fracture: Splint or cast, early wt bearing, RICE, Unstable or displaced fracture: Requires ORIF, ortho consult, reduce and splint, If stable (see Weber classification) treat like severe, Signs of medial (deltoid) ligament disruption such as medial swelling, ecchymosis, or TTP, Widening of medial clear space (suggests deltoid ligament injury), Immediate reduction or ortho consult in ED. base of 5 th metatarsal fracture. Lisfranc injuries, also called Lisfranc fracture-dislocations, are the most common type of dislocation involving the foot and correspond to the dislocation of the articulation of the tarsus with the metatarsal bases. Radiopaedia.org, the wiki-based collaborative Radiology resource Gaillard F, Lustosa L, Murphy A, et al. Strictly speaking, the fracture is misnamed and should more correctly be called "hangee" fracture. Fracture of the coronoid process is thought to result from elbow hyperextension with either avulsion of the brachialis tendon insertion or shearing off by the trochlea 1.. The lack of a metaphyseal fracture component in the coronal plane (evaluated with lateral x-ray or CT) distinguishes a Tillaux fracture from a triplanar fracture. Practical points. The Salter-Harris classification was proposed by Salter and Harris in 1963 1 and at the time of writing (June 2016) remains the most widely used system for describing physeal fractures.. A Hill-Sachs defect is the terminology of preference over other terms, such as Hill-Sachs lesions, and Hill-Sachs fractures 14.. Repeat dislocations lead to larger defects, which can result in an "engaging" Hill-Sachs defect, which engages the anterior glenoid when the shoulder is abducted and externally rotated 4 (see article: on-track and off-track shoulder Odontoid process fracture, also known as a peg or dens fracture, occurs where there is a fracture through the odontoid process of C2. type I: avulsion of anterior glenoid margin; type II: transverse or oblique fracture through glenoid fossa exiting inferiorly; type III: oblique fracture through glenoid fossa exiting superiorly and associated with acromioclavicular joint injury; type IV: transverse fracture exiting through the medial scapular border Differential diagnosis Treatment and prognosis Radiopaedia.org, the wiki-based collaborative Radiology resource Radiopaedia.org, the wiki-based collaborative Radiology resource Barton fractures are fractures of the distal radius.It is also sometimes termed the dorsal type Barton fracture to distinguish it from the volar type or reverse Barton fracture.. Barton fractures extend through the dorsal aspect to the articular surface but not to the volar aspect. The ligament is composed of two layers. Lateral malleolar fracture with deltoid injury OR bimalleolar OR trimalleolar fracture Bimalleolar fracture and right ankle dislocation on X-ray (anteroposterior). The superficial layer has variable attachments and crosses two joints while the deep layer has talar attachments and crosses one joint: scapular fracture; clavicle fracture; distal radial fracture (especially Colles fracture) Treatment and prognosis. transverse fracture through diaphysis. Classification. The ligament is composed of two layers. There are two classification systems 5,6. In reality, the majority of fractures that involve the physis have at least a small fragment of metaphysis associated with them and are therefore type II injuries. calcaneal tuberosity avulsion fracture. Trimalleolar fractures refer to a three-part fracture of the ankle. They are distinct from a lateral condyle fracture which is a very different fracture despite the similar name. CT or MR may be more sensitive than conventional radiographs for detection of avulsion injuries. In reality, the majority of fractures that involve the physis have at least a small fragment of metaphysis associated with them and are therefore type II injuries. It is also known as backfire fracture or lorry driver fracture 1. Looser zones are also a type of insufficiency fracture. Treatment and prognosis They have different prognosis and treatment depending on the location of the fracture. Mallet finger refers to injuries of the extensor mechanism of the finger at the level of the distal interphalangeal joint (DIP).They are the most prevalent finger tendon injury in sport. Practical points Jefferson fracture is the eponymous name given to a burst fracture of the atlas. transverse fracture through diaphysis. transverse fracture through diaphysis. Management depends not only on the type of fracture but also importantly on the functional status and living situation of the patient. base of 5 th metatarsal fracture. Practical points Odontoid process fracture, also known as a peg or dens fracture, occurs where there is a fracture through the odontoid process of C2. They may represent an isolated tendinous injury or occur in combination with an avulsion fracture of the dorsal base of the distal phalanx. Intimate partner violence should be considered in patients where the clinical details do not match the fracture, or the injury occurs in an intimate setting 7. Insufficiency fractures are a type of stress fracture, which are the result of normal stresses on abnormal bone. These fractures are avulsion fractions of the ossification center of the lateral condyle, and as such are sometimes referred to as a lateral epicondyle avulsion fracture; either term is acceptable. extra-articular lover fracture (or Casanova fracture) The mechanism of injury is variable, and can occur both during flexion or extension, and with or without compression 5. Classification. Coronoid process fractures have been classified into three types within the Regan and Morrey classification system 1:. Rarely, a torus fracture may refer to the fracture of an oral torus, and there is potential for the two terms to be confused 10. Epidemiology They should not be confused with fatigue fractures which are due to abnormal stresses on normal bone, or with pathological fractures, the result of diseased, weakened bone due to focal pathology such as more: Jones fracture. Conveniently the Salter-Harris types can be remembered by the mnemonic SALTR.. type I. slipped; 5-7%; fracture plane passes all the way through the growth Symptoms of a Lisfranc fracture depend on the severity of the injury. The fracture complex results from a direct blow to the malar eminence and results in three distinct fracture components that disrupt the anchoring of the zygoma. Lateral malleolar fracture with deltoid injury OR bimalleolar OR trimalleolar fracture Bimalleolar fracture and right ankle dislocation on X-ray (anteroposterior). Classification. A Hill-Sachs defect is the terminology of preference over other terms, such as Hill-Sachs lesions, and Hill-Sachs fractures 14.. Repeat dislocations lead to larger defects, which can result in an "engaging" Hill-Sachs defect, which engages the anterior glenoid when the shoulder is abducted and externally rotated 4 (see article: on-track and off-track shoulder Symptoms of a Lisfranc fracture depend on the severity of the injury. Mallet finger refers to injuries of the extensor mechanism of the finger at the level of the distal interphalangeal joint (DIP).They are the most prevalent finger tendon injury in sport. fracture through the physis Terminology. transverse fracture 1.5-2 cm from tip of proximal tuberosity. Radiopaedia.org, the wiki-based collaborative Radiology resource Phalanx fractures are common injuries, although less common than metacarpal fractures. Classification. Fracture of the coronoid process is thought to result from elbow hyperextension with either avulsion of the brachialis tendon insertion or shearing off by the trochlea 1.. Looser zones are also a type of insufficiency fracture. Phalanx fractures are common injuries, although less common than metacarpal fractures. In reality, the majority of fractures that involve the physis have at least a small fragment of metaphysis associated with them and are therefore type II injuries. Intimate partner violence should be considered in patients where the clinical details do not match the fracture, or the injury occurs in an intimate setting 7. Epidemiology Common symptoms include tenderness and swelling at the site of injury and the top of your foot. Pathology. Fracture of the coronoid process is thought to result from elbow hyperextension with either avulsion of the brachialis tendon insertion or shearing off by the trochlea 1.. Almost invariably, if the fracture involves a paranasal sinus, middle ear or mastoid air cells, then they will contain some blood, which is a helpful clue to the presence of an underlying fracture. Epidemiology Fractures of the sternum are seen in between 3-6.8% of all motor vehicle collisions 1. Dorsal avulsion fracture. Vertical fracture through the distal tibial epiphysis (Salter-Harris III) with a horizontal extension through the lateral aspect of the physis. Insufficiency fractures are a type of stress fracture, which are the result of normal stresses on abnormal bone. These fractures are avulsion fractions of the ossification center of the lateral condyle, and as such are sometimes referred to as a lateral epicondyle avulsion fracture; either term is acceptable. Almost invariably, if the fracture involves a paranasal sinus, middle ear or mastoid air cells, then they will contain some blood, which is a helpful clue to the presence of an underlying fracture. The fracture complex results from a direct blow to the malar eminence and results in three distinct fracture components that disrupt the anchoring of the zygoma. type 1: avulsion of the tip of the coronoid process As a historical note, there are four methods of judicial hanging, and the process is more complicated than may be evident at first glance. Spinal fractures are usually the result of significant trauma to a normally formed skeleton or the result of trauma to a weakened spinal column. Differential diagnosis scapular fracture; clavicle fracture; distal radial fracture (especially Colles fracture) Treatment and prognosis. Lisfranc injuries, also called Lisfranc fracture-dislocations, are the most common type of dislocation involving the foot and correspond to the dislocation of the articulation of the tarsus with the metatarsal bases. Phalanx fractures are common injuries, although less common than metacarpal fractures. Conveniently the Salter-Harris types can be remembered by the mnemonic SALTR.. type I. slipped; 5-7%; fracture plane passes all the way through the growth Epidemiology. Pathology Nasal bone fractures, when isolated, are most commonly displaced fractures of one of the paired nasal bones. The Salter-Harris classification was proposed by Salter and Harris in 1963 1 and at the time of writing (June 2016) remains the most widely used system for describing physeal fractures.. Classification. Dorsal avulsion fracture. Pathology Nasal bone fractures, when isolated, are most commonly displaced fractures of one of the paired nasal bones. Classification. Barton fractures are fractures of the distal radius.It is also sometimes termed the dorsal type Barton fracture to distinguish it from the volar type or reverse Barton fracture.. Barton fractures extend through the dorsal aspect to the articular surface but not to the volar aspect. Epidemiology. Lateral malleolar fracture with deltoid injury OR bimalleolar OR trimalleolar fracture Bimalleolar fracture and right ankle dislocation on X-ray (anteroposterior). Vertical fracture through the distal tibial epiphysis (Salter-Harris III) with a horizontal extension through the lateral aspect of the physis. As the physiological closure of the physeal plate begins medially, the lateral (open) physis is prone to this type of fracture. Pathology Nasal bone fractures, when isolated, are most commonly displaced fractures of one of the paired nasal bones. It comprises of: a vertical fracture through the epiphysis; a horizontal fracture through the physis; an oblique fracture through the metaphysis high risk of nonunion. They should not be confused with fatigue fractures which are due to abnormal stresses on normal bone, or with pathological fractures, the result of diseased, weakened bone due to focal pathology such as Calcaneal fracture. Salter-Harris type I fractures describe a fracture that is completely contained within the physis. Terminology. They have different prognosis and treatment depending on the location of the fracture. intra-articular glenoid fracture. As a historical note, there are four methods of judicial hanging, and the process is more complicated than may be evident at first glance. Fractures in these regions can be classified as: intertrochanteric fracture; pertrochanteric: intertrochanteric, involving both trochanters; subtrochanteric fracture; greater trochanteric avulsion fracture It is also known as backfire fracture or lorry driver fracture 1. It is interesting to note that the word chauffeur comes from the French for "someone who warms" the car engine. Pathology. On plain film, dorsal avulsion injuries are best detected on a lateral projection, where typically an avulsed flake of bone is identified lying posteriorly to the triquetral bone (see pooping duck sign). Classification. Plain radiograph. fracture through the physis For example, someone who lives alone may not be able to do so without the use of one arm. Classification. Associations Smith fractures, also known as Goyrand fractures in the French literature 3, are fractures of the distal radius with associated volar angulation of the distal fracture fragment(s). Pathology. Falls, motor vehicle collisions, pedestrian accidents, cycling and diving are common causes of injury 6,7. Males are affected more commonly than females with a median age of injury of 56 years. Examples of soft tissue injuries include: vascular A trochanteric fracture is a fracture involving the greater and/or lesser trochanters of the femur.. Epidemiology Epidemiology Fractures of the sternum are seen in between 3-6.8% of all motor vehicle collisions 1. Fractures in these regions can be classified as: intertrochanteric fracture; pertrochanteric: intertrochanteric, involving both trochanters; subtrochanteric fracture; greater trochanteric avulsion fracture A Hill-Sachs defect is the terminology of preference over other terms, such as Hill-Sachs lesions, and Hill-Sachs fractures 14.. Repeat dislocations lead to larger defects, which can result in an "engaging" Hill-Sachs defect, which engages the anterior glenoid when the shoulder is abducted and externally rotated 4 (see article: on-track and off-track shoulder Lisfranc injury. Anderson and D'Alonzo forced inversion of plantarflexed foot. The mechanism of injury is variable, and can occur both during flexion or extension, and with or without compression 5. Strictly speaking, the fracture is misnamed and should more correctly be called "hangee" fracture. There is no associated bone fragment. Lisfranc injury. Sternal fractures occur in ~5% of blunt chest trauma with the manubrium being the most commonly injured part. It is also known as backfire fracture or lorry driver fracture 1. Classically, these fractures are extra-articular transverse fractures and can be thought of as a reverse Colles fracture.. Examples include: Jefferson fracture: ring fracture of C1; hangman fracture: bilateral pedicle or pars fracture of C2; dens fracture; flexion teardrop fracture: unstable flexion fracture; extension teardrop fracture: stable injury A trochanteric fracture is a fracture involving the greater and/or lesser trochanters of the femur.. Posterior cruciate ligament (PCL) avulsion fractures are a type of avulsion fracture of the knee that represent the most common isolated PCL lesion. Intimate partner violence should be considered in patients where the clinical details do not match the fracture, or the injury occurs in an intimate setting 7. Cervical spine fractures can occur secondary to exaggerated flexion or extension, or because of direct trauma or axial loading.. Smith fractures, also known as Goyrand fractures in the French literature 3, are fractures of the distal radius with associated volar angulation of the distal fracture fragment(s). As the physiological closure of the physeal plate begins medially, the lateral (open) physis is prone to this type of fracture. The lack of a metaphyseal fracture component in the coronal plane (evaluated with lateral x-ray or CT) distinguishes a Tillaux fracture from a triplanar fracture. Gross anatomy. Examples of soft tissue injuries include: vascular Treatment and prognosis Classification. Posterior cruciate ligament (PCL) avulsion fractures are a type of avulsion fracture of the knee that represent the most common isolated PCL lesion. transverse fracture 1.5-2 cm from tip of proximal tuberosity. Dorsal avulsion fracture. Falls, motor vehicle collisions, pedestrian accidents, cycling and diving are common causes of injury 6,7. The fractures involve the medial malleolus, the posterior aspect of the tibial plafond (referred to as the posterior malleolus) and the lateral malleolus. Classically, these fractures are extra-articular transverse fractures and can be thought of as a reverse Colles fracture.. Practical points. Having three parts, this is a more unstable fracture and may be associated with ligamentous injury. Common symptoms include tenderness and swelling at the site of injury and the top of your foot. Epidemiology. They have different prognosis and treatment depending on the location of the fracture. forced inversion of plantarflexed foot. These type of fractures are more common in children, especially aged 5-10 years, due to the elasticity of their bones. Examples of soft tissue injuries include: vascular For pediatric patients, see: ankle fracture (peds), Isolated medial or posterior malleolar fracture, Lateral malleolar fracture with deltoid injury OR bimalleolar OR trimalleolar fracture, Tips for Managing Weber B Ankle Fractures By Joseph Noack, MD; and Spencer Tomberg, MD. extra-articular lover fracture (or Casanova fracture) Anterior cruciate ligament (ACL) avulsion fracture or tibial eminence avulsion fracture is a type of avulsion fracture of the knee. intra-articular glenoid fracture. fracture may arise as proximally as the level of fibular neck and not visualized on ankle films, requiring knee or full-length tibia-fibula radiographs (Maisonneuve fracture) unstable: usually requires ORIF; Weber C fractures can be further subclassified as 6. Coronoid process fractures have been classified into three types within the Regan and Morrey classification system 1:. Cervical spine fractures can occur secondary to exaggerated flexion or extension, or because of direct trauma or axial loading.. Spinal fractures are usually the result of significant trauma to a normally formed skeleton or the result of trauma to a weakened spinal column. When a fracture is identified, a careful search for adjacent soft tissue injury should be undertaken. Both the end of the fibula (1) and the tibia (2) are broken and the malleolar fragments (arrow: medial malleolus, arrowhead: lateral malleolus) are displaced. Most authors regard it as a type 4 Salter-Harris fracture. type I: avulsion of anterior glenoid margin; type II: transverse or oblique fracture through glenoid fossa exiting inferiorly; type III: oblique fracture through glenoid fossa exiting superiorly and associated with acromioclavicular joint injury; type IV: transverse fracture exiting through the medial scapular border It was originally described as a four-part fracture with double fractures through the anterior and posterior arches, but three-part and two-part fractures have also been described. When a fracture is identified, a careful search for adjacent soft tissue injury should be undertaken. Management depends not only on the type of fracture but also importantly on the functional status and living situation of the patient. Falls, motor vehicle collisions, pedestrian accidents, cycling and diving are common causes of injury 6,7. Classification. Pathology Mechanism. Pathology Mechanism. Practical points type I: avulsion of anterior glenoid margin; type II: transverse or oblique fracture through glenoid fossa exiting inferiorly; type III: oblique fracture through glenoid fossa exiting superiorly and associated with acromioclavicular joint injury; type IV: transverse fracture exiting through the medial scapular border This typically involves separation of the tibial attachment of the ACL to variable degrees. Anderson and D'Alonzo It comprises of: a vertical fracture through the epiphysis; a horizontal fracture through the physis; an oblique fracture through the metaphysis In addition to reporting the presence of the fracture a number of features should be sought and in many instances commented upon as relevant negatives: Classification. This typically involves separation of the tibial attachment of the ACL to variable degrees. Sternal fractures occur in ~5% of blunt chest trauma with the manubrium being the most commonly injured part. calcaneal tuberosity avulsion fracture. Examples include: Jefferson fracture: ring fracture of C1; hangman fracture: bilateral pedicle or pars fracture of C2; dens fracture; flexion teardrop fracture: unstable flexion fracture; extension teardrop fracture: stable injury Both the end of the fibula (1) and the tibia (2) are broken and the malleolar fragments (arrow: medial malleolus, arrowhead: lateral malleolus) are displaced. Almost invariably, if the fracture involves a paranasal sinus, middle ear or mastoid air cells, then they will contain some blood, which is a helpful clue to the presence of an underlying fracture. Calcaneal fracture. Gross anatomy. calcaneal tuberosity avulsion fracture. For example, someone who lives alone may not be able to do so without the use of one arm. It comprises of: a vertical fracture through the epiphysis; a horizontal fracture through the physis; an oblique fracture through the metaphysis The mechanism of injury is variable, and can occur both during flexion or extension, and with or without compression 5. Plain radiograph. Plain radiograph. The term "hangman fracture" was introduced by Schneider in 1965 5. Anterior cruciate ligament (ACL) avulsion fracture or tibial eminence avulsion fracture is a type of avulsion fracture of the knee. CT or MR may be more sensitive than conventional radiographs for detection of avulsion injuries. type 1: avulsion of the tip of the coronoid process Terminology. base of 5 th metatarsal fracture. These type of fractures are more common in children, especially aged 5-10 years, due to the elasticity of their bones. Spinal fractures are usually the result of significant trauma to a normally formed skeleton or the result of trauma to a weakened spinal column. Associations Classically, these fractures are extra-articular transverse fractures and can be thought of as a reverse Colles fracture.. The fractures involve the medial malleolus, the posterior aspect of the tibial plafond (referred to as the posterior malleolus) and the lateral malleolus. Lisfranc injuries, also called Lisfranc fracture-dislocations, are the most common type of dislocation involving the foot and correspond to the dislocation of the articulation of the tarsus with the metatarsal bases. Insufficiency fractures are a type of stress fracture, which are the result of normal stresses on abnormal bone. In addition to reporting the presence of the fracture a number of features should be sought and in many instances commented upon as relevant negatives: Gaillard F, Lustosa L, Murphy A, et al. Epidemiology. Trimalleolar fractures refer to a three-part fracture of the ankle. Management depends not only on the type of fracture but also importantly on the functional status and living situation of the patient. Males are affected more commonly than females with a median age of injury of 56 years. Anterior cruciate ligament (ACL) avulsion fracture or tibial eminence avulsion fracture is a type of avulsion fracture of the knee. They are distinct from a lateral condyle fracture which is a very different fracture despite the similar name. The ligament is composed of two layers. The term "hangman fracture" was introduced by Schneider in 1965 5. high risk of nonunion. Anderson and D'Alonzo Mallet finger refers to injuries of the extensor mechanism of the finger at the level of the distal interphalangeal joint (DIP).They are the most prevalent finger tendon injury in sport. On plain film, dorsal avulsion injuries are best detected on a lateral projection, where typically an avulsed flake of bone is identified lying posteriorly to the triquetral bone (see pooping duck sign). fracture may arise as proximally as the level of fibular neck and not visualized on ankle films, requiring knee or full-length tibia-fibula radiographs (Maisonneuve fracture) unstable: usually requires ORIF; Weber C fractures can be further subclassified as 6. Practical points. Jefferson fracture is the eponymous name given to a burst fracture of the atlas. Most authors regard it as a type 4 Salter-Harris fracture. Conveniently the Salter-Harris types can be remembered by the mnemonic SALTR.. type I. slipped; 5-7%; fracture plane passes all the way through the growth Trimalleolar fractures refer to a three-part fracture of the ankle. Symptoms of a Lisfranc fracture depend on the severity of the injury. forced inversion of plantarflexed foot. Having three parts, this is a more unstable fracture and may be associated with ligamentous injury. It is interesting to note that the word chauffeur comes from the French for "someone who warms" the car engine. The term is sometimes used to describe intra-articular fractures with Common symptoms include tenderness and swelling at the site of injury and the top of your foot. Gross anatomy. Classification. Looser zones are also a type of insufficiency fracture. Classification. fracture through the physis Differential diagnosis The fracture complex results from a direct blow to the malar eminence and results in three distinct fracture components that disrupt the anchoring of the zygoma. Rarely, a torus fracture may refer to the fracture of an oral torus, and there is potential for the two terms to be confused 10. type 1: avulsion of the tip of the coronoid process Epidemiology Fractures of the sternum are seen in between 3-6.8% of all motor vehicle collisions 1. Posterior cruciate ligament (PCL) avulsion fractures are a type of avulsion fracture of the knee that represent the most common isolated PCL lesion. The superficial layer has variable attachments and crosses two joints while the deep layer has talar attachments and crosses one joint: intra-articular glenoid fracture. The fractures involve the medial malleolus, the posterior aspect of the tibial plafond (referred to as the posterior malleolus) and the lateral malleolus. Salter-Harris type I fractures describe a fracture that is completely contained within the physis. Jones fracture. The complex of the medial collateral ligaments of the ankle joint is collectively called deltoid ligament.It attaches the medial malleolus to multiple tarsal bones. It was originally described as a four-part fracture with double fractures through the anterior and posterior arches, but three-part and two-part fractures have also been described. Fractures in these regions can be classified as: intertrochanteric fracture; pertrochanteric: intertrochanteric, involving both trochanters; subtrochanteric fracture; greater trochanteric avulsion fracture A trochanteric fracture is a fracture involving the greater and/or lesser trochanters of the femur.. The Salter-Harris classification was proposed by Salter and Harris in 1963 1 and at the time of writing (June 2016) remains the most widely used system for describing physeal fractures.. There are two classification systems 5,6. 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