Pathology Flashcards
Avulsion Fractures
Avulsion fractures are generally small fragments torn from bony prominences; they are usually the
result of indirectly applied tension forces within attached ligaments and tendons rather than direct blows.
Bennet’s fractures
A Bennett fracture is a fracture of the base of the thumb resulting from forced abduction of the first metacarpal.
Bimalleolar
- A bimalleolar fracture is one involving both the medial and the lateral malleoli.
- Because of the mechanism of injury, the fracture on one side is transverse, whereas the fracture on the other side is oblique or spiral.
Blow-out fracture
A blowout fracture is caused by a direct blow to the
front of the orbit that causes a rapid increase in intra-orbital
pressure.
Boxer’s fracture
A boxer’s fracture is a transverse fracture of the neck of
the fifth metacarpal with volar (palmar) angulation of the
distal fragment. This injury is typically the
result of a blow struck with the fist.
Closed fracture
In closed fractures, the overlying skin is intact; if
the overlying skin is disrupted, the fracture is open, or compound.
Colle’s Fracture
Colles’ fracture is a transverse fracture through the distal
radius with dorsal (posterior) angulation and often overriding of the distal fracture fragment. In more than half the cases, there is an associated avulsion fractureof the ulnar styloid process. Colles’ fracture is usually caused by a fall on the outstretched hand and is the most common fracture of the wrist.
Comminuted fracture
Fractures with more than 2 fragments.
Complete fracture
Discontinuity between two or more fragments.
Compound fracture
Overlying skin is disrupted with tissue destruction(also called open fracture).
Compression Fracture
- A compression fracture results from a compression force
that causes compaction of bone trabeculae and results in
decreased length or width of a portion of a bone. - Compression fractures most commonly occur in the vertebral body as a result of flexion of the spine; they may also be seen as impacted fractures of the humeral or femoral heads.
Contrecoup fracture
A fracture of the cranial vault occurring at a site approximately opposite the point of impact.
Depressed fractures
Portions of the fracture fragments driven inward, such as the skull or tibial plateau. Star like fractures.
Fractures with bone fragments out of alignment.
Displaced fractures
Greenstick fracture
- A greenstick fracture is an incomplete fracture with the
opposite cortex intact. - Greenstick fractures are found almost exclusively in infants and children because of the softness of their cancellous bone.
Hangman’s fracture
- The hangman’s fracture is the result of acute hyperextension of the head on the neck. It appears as a fracture of the arch of C2 anterior to the inferior facet and is usually associated with anterior subluxation of C2 on C3.
- Although originally described in patients who had been
hanged, this injury is now far more commonly the result of
motor vehicle collisions
Impacted Fracture
Impacted fracture is a type of fracture in which one of the broken fragments of the bone wedges into another.
A fracture that causes only partial discontinuity, with a portion of the cortex remaining intact.
Incomplete fracture
Intertrochanteric Fracture
Intertrochanteric Fractures are common extracapsular fractures of the proximal femur at the level of the greater and lesser trochanter that are most commonly seen following ground-level falls in the elderly population.
Linear fracture
the break is parallel to the bone’s long axis
Longitudinal fracture
Longitudinal fractures are fractures that occur along (or nearly along) the axis of the bone.
March Fracture
March fracture, is the fracture of the distal third of one of the metatarsals occurring because of recurrent stress.
Monteggia Fracture
A Monteggia fracture (Figure 4-106) is an isolated fracture of the shaft of the ulna associated with anterior dislocation of the radius at the elbow.
Oblique Fracture
An oblique fracture runs a course of approximately 45 degrees to the long axis of the bone and is caused by angulation or by both angulation and compression forces.
Open Fractures
Overlying skin is disrupted.
Pathological Fracture
- A pathologic fracture occurs when a bone breaks in an area that was already weakened by another disease.
- Causes of weakened bone include osteoporosis, tumors, infection, and certain inherited bone disorders.
Salter-Harris fracture
A Salter-Harris fracture is an injury to the growth plate area of a child’s bone.
Smith’s fracture
A smith fracture is a fracture of the distal radius.
Spiral Fracture
A spiral fracture encircles the shaft, is generally longer than an oblique fracture, and is caused by torsional forces.
Supracondylar fracture
A supracondylar fracture is an injury to the humerus, or upper arm bone, at its narrowest point, just above the elbow.
Transverse Fracture
A transverse fracture runs at a right angle to the long axis of
a bone and most commonly results from a direct blow or is
a fracture within pathologic bone.