Fx Classifications Flashcards

1
Q

Essex-Lopresti tongue type fx

A

primary fx line (shear fx) which is intra-articular, spearates the sustentaculum tali from the lateral body, secondary fx line through the tuberosity, resembles beak fx

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2
Q

Fortins type 1

A

talar body fx, fx of talar body on any plane

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3
Q

Lauge-Hanson Supination-adduction

A

stage 1: rupture of lateral collateral ligaments +/or transverse fx of fibula below ankle joint
stage 2: vertical fx of medial malleolus, -pathomneumonic-talus moves medially, if talus has a vertical fx its a stage 2

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4
Q

Classification for 5th met base fx

A

Stewart Classification

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5
Q

Rowe 1a

A

Fx of calcaneal tuberlce

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6
Q

Ruedi and Allgower type 2

A

pilon fx, significant displacement fx

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7
Q

Lauge-Hanson Pronation abduction

A

Stage 1: rupture of deltoid ligament +/or transverse fx of medial malleolus
Stage 2: disruption of AITFL and PITFL
Stage 3: Short oblique fx of fibula at ankle joint-pathomneumonic

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8
Q

McCrory and Bladen Type A

A

chip (avulsion fx) of lateral process of talus

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9
Q

Sanders Type 3BC

A

2 fx lines separating posterior facet into lateral/central, medial and sustentacular column

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10
Q

Classification for pilon fractures

A

Ruedi and Allgower

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11
Q

Danis Weber Type A

A

Fibular fx below level of ankle = supination-adduction

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12
Q

Calcaneal fx classifications (3)

A

Rowe, Essex-Lopresti and Sanders

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13
Q

Fortins type 2

A

talar body fx, fx of talar process or tubercle

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14
Q

Sneppin group 5

A

talar body fx, crush, comminuted fx

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15
Q

What is the classification of the lateral tubercle of talus fx (2)?

A

Hawkins, McCrory and Bladen

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16
Q

Rowe 3

A

Oblique body fx of calcaneus not involving STJ-most common extra-articular fx

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17
Q

Berndt and Hardy type 1

A

small area of compression, talar OCD

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18
Q

Sanders type 2a

A

2 part fx, primary fx line is lateral separating the lateral column from the central column

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19
Q

Ruedi and Allgower type 3

A

Pilon fx, fx with comminution, displacement and impaction

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20
Q

Berndt and Hardy type 2

A

talar OCD, partially detached OCD

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21
Q

Talar body fracture classifications (2)

A

Sneppin, Fortins

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22
Q

What is the posterior lateral tubercle of the talus called? What is a fx of this called?

A

Steida’s process, shepards fx

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23
Q

Berndt and Hardy Type 4

A

talar OCD, Displaced

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24
Q

stewart type 4

A

5th met, intra-articular, comminuted tuberosity fx

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25
Talar osteochondral defect (OCD) classification
Berndt and Hardy
26
Hawkins 1
talar neck fx, non displaced neck fx w/o subluxation, AVN 0-13%, conservative tx-NWB w/ BK cast x 6-8 wks
27
Torg type 2
5th met stress, delayed union- fx line involves both cortices, periosteal new bone and intramedullary sclerosis, radiolucency related to resportion
28
McCrory and Bladen Type B
Simple large fragment fx of lateral process of talus
29
Sneppin group 2
talar body fx, coronal, sagittal or horizontal shear fx involving entire talar body
30
Danis Weber type B
Fibular fx at the level of the ankle = supination-external rotation = pronation-abduction
31
Classification for 5th met stress fractures
Torg
32
Berndt and Hardy Type 3
talar OCD, fully detached OCD but remains in crater
33
Rowe 5
Joint depression of comminution-calc
34
Torg type 3
5th met stress fx, non-union- wide fx line, obliteration of medullary canal by sclerotic bone at fx site
35
Sanders type 3AB
2 fx lines separating the posterior facet into lateral, central and medial columns
36
Sanders type 2b
2 part fx, primary fx line is central separating central column from medial column
37
Essex-Lopresti
intra-articular calc
38
Rowe Classification
extra-articular calcaneal fx
39
Sanders Type 4
4 part fx, highly comminuted, joint depression, 3 fx lines which separate all of the columns of the posterior facet and sustentaculum
40
Sanders Type 1
All non-displaced intra-articular fx are type 1 irrespective of number of fx lines
41
Torg type 1
5th met stress, early union- acute fx line with sharp edges, minimal periosteal reaction= jones fx
42
Stewart type 3
5th met, extra-articular tuberosity fx
43
What is the Hawkins sign?
radiolucency in the talar dome typically seen 6 wks to 3 months post injury, is a good indicator that there is not AVN
44
Lauge-Hanson pronation-external rotation
Stage 1: Rupture of deltoid ligament +/or transverse fx of medial malleolus Stage 2: Disruption of AITFL +/or rupture of IO membrane Stage 3: Fibular fx proximal to syndesmosis-pathomneumonic Stage 4: Disruption of PITFL
45
Lauge Hanson Supination-external rotation
Stage 1: disruption of AITFL Stage 2: Spiral fx of fibula at ankle joint-pathomneumonic Stage 3: Disruption of PITFL Stage 4: rupture of deltoid ligament, transverse fx of medial malleolus
46
Fortins type 3
talar body fx, compression and impaction fx of talar body
47
Hawkins 4
talar neck fx, displaced vertical talar fx with subluxation/ dislocation of STJ, ankle and talonavicular, AVN >91%
48
Ruedi and Allgower type 1
pilon fx, fx without displacement
49
Rowe 2a
Beak fx of calcaneal tuberosity-superior portion of tuberosity
50
Sanders classification
intra-articular CT classification of calc fx
51
Hawkins 2
talar neck fx, Displaced vertical neck fx w/ STJ subluxation, AVN 20-50%, tx w/ ORIF
52
Sanders type 2c
2 part fx, primary fx line is medial separating the medial column from the sustentaculam column
53
Sneppin group 4
talar body fx, laterall process fx= snowborder's fx
54
Sneppin group 1
talar body fx, transchondral or compression fx of talar dome
55
Rowe 1c
Fx of anterior process of calc-most common type 1 fx
56
Stewart Type 2
5th met, Intra-articular tuberosity fx without comminution
57
Rowe 1b
Fx of sustentaculum tali
58
Stewart Classification Type 1
fx at metaphyseal-diaphyseal junction-classic Jones Fx
59
stewart type 5
5th met, fx of epiphysis
60
Hawkins 3
talar neck fx, displaced vertical fx with STJ and ankle joint dislocation, talar body tethered around deltoid ligament, AVN 83-100%, tx with ORIF and NWB
61
Rowe 2b
Avulsion fx of calc tuberosity-involves achilles
62
Hawkins (lat tubercle) type 3
Chip fx of anteroinferior lateral process
63
Sneppin group 3
talar body fx, posterior tubercle fx
64
Sanders type 3AC
2 fx lines separating posterior facet into lateral, central/medial and sustentacular column
65
Sanders type 2
2 part fx of the posterior facet
66
Hawkins (lat tubercle) type 2
Comminuted fx
67
What is a fracture of the posterior medial tubercle of the talus called?
Cedell fx
68
McCrory and Bladen Type C
Comminuted fx of lateral process of talus
69
Rowe 4
Body fx calc involving STJ
70
Sanders type 3
3 part fx of posterior facet of calc, features a centrally depressed fragment
71
Classification for talar neck fx
Hawkins
72
Essex-Lopresti joint depression type fx
Shear fx dividing calcaneus into 2 parts-the sustentaculum fragment and tuberosity fragment. The lateral portion of the postioer facet is isolated and impacted into body. LATERAL WALL BLOWOUT. Decrease in height and width of calcaneus
73
Danis Weber type C
Fibular fx above level of ankle = pronation-external rotation
74
Hawkins (lat tubercle) type 1
Simple 2 part fx