Specialists

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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 […]

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 […]

Lisfranc Fracture-Dislocation

Basics Description Dislocation of the TMT joints of the foot. Can occur at any age Often accompanied by fractures around the TMT joints Classification: Type A: Total incongruity of TMT joint Type B: Partial incongruity of TMT joint complex, either medial or lateral Type C: Divergent (1st metatarsal medial, 2nd-5th lateral) Epidemiology Incidence Lisfranc […]

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 […]

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 […]

Extensor Tendon Laceration

Basics Description Extensor tendon lacerations are common because of the superficial location of the extensor tendons on the back of the hand. Tendon disruption often is indicated by a change in the posture of the hand or fingers. The most distal injury, at the DIP joint, shows a mallet-type of deformity. An injury over […]

Ankle Fracture

Basics Description Fractures of the distal end of the fibula and tibia are termed ankle fractures. Usually caused by the twisting of the body around a planted foot or a misstep that results in overstressing the ankle joint Severe fractures may result in dislocation of the ankle. 2 fracture classification systems are used currently: […]