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Open Fractures

Basics Description Open fractures are defined as situations in which the fracture site communicates with the outside environment. The bone does not need to protrude from the skin for the injury to be an open fracture. Any full-thickness skin laceration in the zone of fracture injury is considered an open fracture. Open fractures can […]

Olecranon Fracture

Basics Description The olecranon: Is the proximal bony projection of the ulna at the elbow Articulates with the trochlea of the distal humerus to form the ulnohumeral portion of the elbow joint: This articulation is responsible for flexion and extension of the elbow joint. Is the insertion site of the triceps tendon Contraction of […]

Nonunion of Fractures

Basics Description Presence of a postfracture defect in a long bone beyond a reasonable expected healing date, or if no radiographic progression of healing is noted If internal fixation is used to stabilize a fracture, a race exists between fracture healing and hardware failure. Children, because of their active healing potential, rarely develop a […]

Jones Fracture

Basics Description Fracture of the base of the 5th metatarsal of the foot Injuries may be acute or stress fractures. Classification is by location of the fracture. Tuberosity avulsion fracture: No involvement of the 4th to 5th intermetatarsal joint True Jones fracture: Proximal metaphyseal fracture with involvement of the 4th to 5th intermetatarsal joint […]

Intertrochanteric Hip Fracture

Basics Description Fractures of the proximal femur located between the greater and lesser trochanters and external to the capsule of the hip joint The greater and lesser trochanters may be avulsed as separate fragments. Many classification systems have been developed that are unreliable in identifying fracture types, but in general, they are classified as […]

Intercondylar Elbow Fracture

Basics Description Intra-articular fracture of the distal humerus, which may occur with a supracondylar fracture Biomechanically and anatomically, the distal humerus forms a triangle composed of a medial column and a lateral column that support the articular surface of the trochlea. The trochlea articulates with the ulna. The capitellum is the part of the […]

Humeral Shaft Fracture

Basics Description Fractures of the diaphysis (shaft) of the humerus Occur at all ages Classification: AO classification method Anatomic location: Proximal 1/3 of the shaft Medial 1/3 of the shaft Distal 1/3 of the shaft Fracture characteristics: Fracture pattern (transverse versus oblique versus comminuted) Fractures may be open or closed. Pathologic (secondary to underlying […]

Hip Fracture in the Child

Basics Description Fracture of the femoral neck, in the intertrochanteric or subtrochanteric region Classification: Delbet system as popularized by Colonna: Type I Transphyseal separation (femoral head separates from neck through the growth plate) Can be nondisplaced (widened physis), displaced, or dislocated Least common type Occurs in young children Many patients have dislocation of the […]

Fracture Treatment

Basics Description Fractured or broken bones are a common result of trauma. Treatment of fractures may be with or without surgery and depends on the location and severity of the fracture. Nondisplaced: 1 or both cortices may be involved, but the fracture has not moved. Nondisplaced fractures may be difficult to detect. Displaced: Displacement […]

Femoral Shaft Fracture in the Child

Basics Description Femoral shaft fractures are defined as those >5 cm below the lesser trochanter, but above the distal metaphyseal (wider) portion of the lower femur. The location usually is specified as: Proximal Midshaft Distal Although the femur usually requires a large amount of energy to fracture, fractures can occur with low amounts of […]