Fractures Flashcards
Portion of bone torn away by muscle or ligament, tractional force
Avulsion fracture
A fracture with more than two fragments
Comminuted fracture
Displacement or separation of a slightly movable joint
Diastasis
Skin ruptured and bone exposed
Compound/ open fracture
Incomplete fracture in children
Greenstick/ hictory stick
Bone fragments driven into one another
Impaction fracture
Incomplete fracture, one side of cortex is affected
Torus/ Buckling fracture
Clinically evident but not seen on xray. May become evident a week to 10 days later
Occult fracture
Insufficiency or repetitive stress causing fracture
Stress/ fatigue fracture
Fracture of 1st metacarpal
Bennet’s
Fracture of 2nd or 3rd metacarpal
Boxers
Fracture of 4th and 5th metacarpal
Bar room
MC fractured carpal bone
Scaphoid
Fracture of proximal ulna
Nightstick
Fractured ulna with radial head displacement
Monteggia
Fracture of distal 1/3 of radius with dislocation of the distal radio-ulnar joint
Galeazzi
Fracture of distal radius with posterior displacement of the distal fragment
Colles
Fracture of distal radius with anterior displacement of distal fragment
Smith’s
Stress fracture of the 2nd,3rd,4th metatarsals
March
Transverse fracture at the proximal 5th metatarsals
Jones
Avulsion fracture of the spinous process MC C6-T1. HYPERFLEXION INJURY
Clay Shovelers
Bilateral pedicle fracture of C2 due to HYPER-EXTENSION INJURY
Hangman’s
Fracture through the anterior and posterior arches of atlas due to axial compression
Jefferson Bursting
Odontoid Fracture Type I
Avulsion of the tip of dens
Odontoid Fracture Type II
Fracture through the base of the dens
Odontoid Fracture Type III
Fracture through the body of C2
Avulsion of the anterior inferior aspect of the vertebral body from hyperextension trauma.
Teardrop fracture
Associated with cervical cord syndrome
Teardrop fracture
Teardrop fracture MC location
C2 (Alwas on C4 on part III)
Teardrop fracture management
ER! Hard collar
Fracture through any open growth plate
Salter Harris
Salter Harris Type I
Horizontal fracture through the growth plate
Salter Harris Type II
Growth plate and metaphysis
Salter Harris Type III
Growth plate and epihysis
Salter Harris Type IV
Growth plate, meta and epi physis
Salter Harris Type V
Compression deformity of growth plate
MC Salter Harris
Type II
Most Severe Salter Harris
Type V
Tibial apophysitis, Age 10-16, pinpoint pain and swelling
Osgood schlatter
Brace for osgood schlatter
Cho-pat
Avulsion fracture of the ischial tuberosity
Rider’s Bone
Horizontal fracture through a single body and posterior arch. MC L1-L3
Chance aka Seatbelt
Fracture through the pars interarticularis without slippage
Spondylo-lysis
Slippage of the vertebral body with or without fracture
Spondylolisthesis
Spondylolisthesis Type I
Dysplastic - congenital defect
Spondylolisthesis Type II
Isthmic - Fracture through the pars
Broken early in life
MC at L5
Spondylolisthesis Type III
Degenerative - DJD of the facet joint
MC at L4
Spondylolisthesis Type IV
Traumatic - fracture through the pedicle/ could be lamina
Spondylolisthesis Type V
Pathological - pathology on that segment
Spondy Grading Scale
Meyerding (degrees of anterior translation)
Spondy grade I
Up to 25%
Spondy grade II
26-50 %
Spondy grade III
51-75%
Spondy grade IV
76-100%
WHich grade of spondy to not adjust
3&4
Grade 3 or more is associated with what radiology sign?
Inverted napoleon hat/ BRailfords bow
Spondy management
Flexion and extension radiograph for stability
Special test: SPECT