Classifications Flashcards
Kuwada Type 1
Achilles Tendon Rupture
Partial tear of <50%. Treatment is closed tx.
Kuwada Type 2
Achilles Tendon Rupture
Complete tear with defect after debridement <3 cm. Treatment is end to end attachment.
Kuwada Type 3
Achilles Tendon Rupture
Complete tear with defect after debridement 3-6 cm. Treatment is end to end attachment and tendon flap.
Kuwada Type 4
Achilles Tendon Rupture
Complete tear with defect after debridement > 6 cm. Treatment is end to end, recession, or graft.
Achilles Tendon Rupture Classifications
Kuwada
Morris and Giacopelli Type 1
Radio-opaque Lesions of Achilles Tendon
Type 1: Opacities at the Achilles insertion. Calcification within the tendon and remains partially attached to calcaneus.
Morris and Giacopelli Type 2
Radio-opaque Lesions of Achilles
Type 2: Opacities 1-3 cm proximal to insertion. Lesions are separate from calcaneus.
Morris and Giacopelli Type 3A
Radio-opaque Lesions of Achilles
Type 3A: Lesions > 3 cm proximal to insertion. Partial tendon calcification.
Morris and Giacopelli Type 3B
Lesions > 3 cm proximal to insertion. Total tendon involvement.
Eckert and Davis Grade 1
Peroneal Subluxation
Retinaculum ruptures from the cartilaginous lip and lateral malleolus
Eckert and Davis Grade 2
Peroneal subluxation
Distal edge of fibrous lip is elevated with the retinaculum
Eckert and Davis Grade 3
Peroneal subluxation
thin fragment of bone is avulsed from the deep surface of the peroneal retinaculum and deep fascia
Sobel Grade 1
Longitudinal Tears of PB
splayed out
Sobel Grade 2
Longitudinal Tears of PB
partial thickness split < 1 cm.
Sobel Grade 3
Longitudinal Tears of PB
full thickness split 1-2 cm
Sobel Grade 4
Longitudinal Tears of PB
full thickness split > 2 cm.
Charnley
Fracture Stability
Stable: Transverse fractures
Unstable: Long oblique fractures (>45) and comminuted
Potentially Stable: Short oblique fractures oriented <45 degrees from transverse axis
*Any fracture of the metatarsal shaft is UNSTABLE
Gustillo and Anderson
Type 1
Open Fractures
Open fracture with wound < 1 cm and clean (0-2% risk of infection)
Gustillo and Anderson
Type 2
Open Fractures
Open fracture with a laceration > 1 cm without extensive soft tissue damage (2-7% risk of infection)
Gustillo and Anderson
Type 3
Open Fractures
Open fracture with extensive soft tissue damage (>5 cm wound). Special types are gunshot, farm injuries, arterial injuries, and MVAs.
Gustillo and Anderson
Type 3A
Open Fractures
Adequate soft tissue coverage (7% infection risk)