Fx Classification Flashcards
clavicle; Group 2, Type I fx
lateral third and lateral to CC ligs w/o lig involve = no displacement
clavicle; Group 2, Type IIa fx
lateral third and medial to CC ligs w/o lig involve = no displacement, most need ORIF
clavicle; Group 2, Type IIb fx
lateral third and between CC ligs w/ conoid lig involvement and no trapezoid lig involvement = medial frag elevated, most need ORIF
clavicle; Group 2, type III fx
lateral third and ACJ involvement w/o displacement; can be missed => OA ==> resection arthroplasty
clavicle; Group 1 fx
fracture in middle third; most common at 80%, most can tx w/ sling
clavicle; Group 3 fx
proximal third; least common at 5%, most can tx w/ sling
clavicle; Group 2 fx
distal third; 2nd common at 15%
ORIF indications for clavicle fx’s
clavicle severely shortened, tented, open, associated vascular injury
imaging needed for clavicle fx
2 view; evaluate for shortening
clavicle fx complications
nonunion, esp group 2; vascular/nerve injury
scapula fx facts
uncommon, high energy
85% have associated injuries such as pulmonologists contusion, pneumothorax
scapula fx imaging
AP/ axillary lateral/ scapular Y/ CXr
CT for intraarticular/glenoid and displaced body fx’s
scapula fx complications
Rib fx MC, pulm contusion, pneumothorax, vascular/brachial plexus injury
Ideberg Type I
glenoid anterior avulsion fx
Ideberg Type II
glenoid transverse/oblique fx that exits inferiorly
Ideberg Type III
glenoid oblique fx that exits superiorly
Ideberg Type IV
glenoid transverse fx that exits through scapula body
Ideberg Type V
type II + IV; glenoid transvers/oblique fx that exits inferiorly and transverse fx that exits through scapula body
ORIF indications for scapula fx
displaced, unstable, large(>25%) intraarticular or angulated neck fx
AC Rockwood I
AC lig sprain; tx w/ sling
AC Rockwood II
AC tear, CC lig intact; tx w/ sling
AC Rockwood III
AC and CC lig tears w/ less than 100% superior displacement; sling or CC repair if athlete/laborer
AC Rockwood IV
grade III w/ posterior displacement; Sx for CC lig repair indicated
AC Rockwood V
Grade III w/ <300% superior displacement; Sx for CC lig repair indicated
AC Rockwood VI
Grade III w/ inferior displacement; Sx for CC lig repair indicated
AC separation complications
AC arthritis/DJD; stiffness, associated injury such as pneumothorax, fracture, neurapraxia
Surgical indications for AC separations
Grade IV-VI, grade II if athlete or laborer