digit, met and sesmoid fx Flashcards
rosenthal classification
1 distal to bone
2 distal to lunula
3 distal to joint
zone 1 tx
less than 1 cm=allow to heal
>1 cm graph may be needed
zone 2 tx
grafts
atasoy flap
plantar v to y
kutler flap
biaxial v-> y
zone 3 tx
amp
most common forefoot fx
hallux
if subungual hematoma present than ___% of underlying phalanx fx…
tx
25%
if >25% of nail than remove nail
joplin neuroma
irritation of medial plantar proper digital N
Jahss classification of sesamoid fx
1=no fx. intact intersesmoid
2a=no fx. ruptured intersesamoid
2b=fx and ruptured
variant= seperated bipartite and ruptured.
ilfeld disease
agenesis of fib sesmoid
incidence of bipartite sesamoid in population
10-35.5%
when to ORIF first met fx
> 20% of joint
stewart clasification
- extraarticular (jones)
- intraarticular avulsion
- extraarticular avulsion
- intararticular comminuted
- extraarticular child