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Fractures
Comprehensive Radiographic Pathology
34
Pathology
Not Applicable
09/24/2012

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Term
A fx that results in discontinuity between two or more fragments:
Definition
complete
Term
A fx that causes only partial discontinuity, with a portion of the cortex remaining intact:
Definition
incomplete
Term
A fx in which the overlying skin is still intact:
Definition
closed
Term
A fx in which the overlying skin is disrupted, the fx is 'open' or:
Definition
compound
Term
A fx that runs at a right angle to the long axis of a bone and most commonly results from a direct blow or is a fx within pathologic bone:
Definition
transverse
Term
A fx that 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:
Definition
oblique
Term
A fx that encircles the shaft of the bone and is generally longer than an oblique fx; it is caused by torsional forces:
Definition
spiral
Term
Fxs in which generally small fragments are torn from bony prominences; they are usually the result of indirectly applied tension forces within attached ligaments and tendons rather than direct blows:
Definition
avulsion
Term
A fx that is composed of more than two fragments:
Definition
comminuted
Term
A ________ fragment is an elongated triangular fragment of cortical bone generally detached from two other larger fragments of bone.
Definition
butterfly
Term
A fx that consists of a segment of the shaft that is isolated by proximal and distal lines of fx:
Definition
segmental
Term
A fx that results from a compression force that causes compaction of bone trabeculae and results in decreased length or width of a portion of a bone:
Definition
compression
Term
A fx that occurs in the skull or tibial plateau; characterized by portions of the fracture fragments driven inward:
Definition
depressed fx
Term
A _____ or _____ fx is the response of bone to repeated stresses, none of which is sufficient to cause a fx:
Definition
stress or fatigue
Term
A fx that occurs in bone at an area of weakness caused by a process such as tumor, infection, or metabolic bone disease:
Definition
pathologic
Term
A fx that is incomplete with the opposite cortex still intact; this type of fx is very common in infants and children because of the softness of their cancellous bone:
Definition
greenstick
Term
A fx in which one cortex is intact with buckling or compaction of the opposite cortex:
Definition
torus (buckle)
Term
A _______ fx is a plastic deformation caused by a stress that is too great to permit a complete recovery of normal shape but is less than the stress required to produce a fracture:
Definition
bowing
Term
A fx in which a plane of cleavage exists in the bone without angulation or separation:
Definition
undisplaced
Term
A transverse fx through the distal radius with dorsal (posterior) angulation and often overriding of the distal fx fragment:
Definition
Colles'
Term
A transverse fx of the neck of the fifth metacarpal with volar (palmar) angulation of the distal fragment; it is often typically the result of a blow struck w/ the fist:
Definition
Boxer's
Term
An isolated fx of the shaft of the ulna associated w/ anterior dislocation of the radius at the elbow:
Definition
Monteggia
Term
Is a combination of a fx of the shaft of the radius and a dorsal (posterior) dislocation of the ulna at the wrist:
Definition
Galeazzi
Term
A transverse fx at the base of the 5th metatarsal:
Definition
Jones
Term
A comminuted fx of the ring of the atlas, involves both the anterior and posterior arches and causes displacement of the fragments:
Definition
Jefferson
Term
This fx is the result of acute hyperextension of the head on the neck. It appears as a fx of the arch of C2 anterior to the inferior facet and is usually associated with anterior subluxation of C2 on C3:
Definition
hangman's
Term
Is an avulsion fx of a spinous process in the lower cervical or upper thoracic spine:
Definition
clay shoveler's
Term
A transverse fx of a lumbar vertebra that is often associated w/ significant visceral injuries:
Definition
seat belt
Term
What is the most common type of facial bone fx?
Definition
nasal bone fx
Term
Fxs of the zygomatic arch and the orbital floor or rim combined w/ separation of the zygomaticofrontal suture:
Definition
tripod
Term
How is a zygomatic arch fx best demonstrated?
Definition
Zygomatic arch fxs are best demonstrated on underexposed films taken in the basal (submentovertex) projection ("jug handle" view)
Term
A linear fx that intersects a suture and courses along it to cause sutural separation:
Definition
diastatic
Term
A fx of the skull that has a jagged or irregular sharp lucent line:
Definition
linear skull fx
Term
What is the most common site of a mandibular fx?
Definition
the angle (gonion)
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