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Fracture Names
Fractures for PT 837
43
Medical
Professional
02/03/2012

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Term
Bankart
Definition
a detached fragment of labrum or bone from the anteroinferior margin of the glenoid rin; it is seen with anterior shoulder dislocations.
Term
baseball finger/mallet finger
Definition
hyperflexion injury to the DIP joint, often associated with a dorsal avulsion fx of the base of the distal phalanx
Term
bennet fx
Definition
intra-articular avulsion fx subluxation of the base of the 1st metacarpal; the fx produces a small volar lip fragment that remains attached to the trapezium and trapezoid by means of the strong volar oblique ligament while the shaft fragment is displaced by proximal muscle pull.
Term
boot-top fx (ski boot fx)
Definition
fracture of the midportion of the distal 1/3 of the tibia and fibula
Term
boutonniere deformity
Definition
hyperflexion of a PIP joint of a finger due to disruption of the central slip of the extensor tendon.
Term
boxer fx
Definition
fx of the neck of the 5th metacarpal with dorsal angulation, and often volar dispacement of the metacarpal head.
Term
burst fx
Definition
severe comminution of a vertebral body. usually secondary to axial loading, sometimes with a rotary component. Frequently there is a sagittal fx through the body plus fractures in the posterior elements; this pattern is often seen with unstable spinal fx.
Term
butterfly fragment
Definition
comminuted wedge shaped fx that has split off from the main fragments; this implies high velocity of trauma from a direction opposite the fragment
Term
chance fx (lap belt)
Definition
a flexion distraction injury that results in compression of the vertebral body. Posteriorly there may be ligament disruption without fracture, and the disc-annulus complex may be disrupted.
Term
chopart fx
Definition
fracture/dislocation of the talonavicualr and calcaneocuboid joints. It is derived from chopart's description of an amputation through the midtarsal joints.
Term
clay-shoveler
Definition
avulsion fx of the spinal process of one or more of the lower cervical or upper thoracic vertebrae, most common at C7.
Term
coach's finger
Definition
dorsal dislocation of a PIP joint
Term
colles' fx
Definition
transverse fx of the distal radial metaphysis proximal to the joint with dorsal displacement of the distal fragment and volar angulation. The ulnar styloid may also be fractured.
Term
colles' reverse fx (smith fx)
Definition
transverse fx of the distal radial metaphysis with anterior displacement of the distal fracture fragment. The fx may be intra-articular.
Term
dashboard fx
Definition
fx of the posterior rim of the acetabulum cause by impact through the knee, driving the femoral head against the acetabulum.
Term
dome fx
Definition
fx involving the weight bearing surface of the acetabulum or the upper articular surface of the talus.
Term
galeazzi (reverse monteggia fx)
Definition
fx of the radius at the junction of the middle and distal thirds with associated dislocation or subluxation of the distal radioulnar joint.
Term
gamekeeper fx
Definition
partial or total disruption of the ulnar collateral ligament at the MCP joint of the thumb. May also have an avulsion fx from the base of the proximal phalanx.
Term
green stick fx
Definition
incomplete fx of the shaft of a long bone, with disruption on the tension side and plastic deformation on the compression side
Term
hangman fx
Definition
traumatic spondylolisthesis with fracture through the pedicles or lamina of C2 secondary to a distraction-extension force.
Term
hill-sachs
Definition
posterolateral defect of the humerus caused by anterior shoulder dislocation and "implosion" fx
Term
hip pointer
Definition
an impaction fracture of the superior iliac wing
Term
jefferson fx
Definition
a burst fx of the ring of the atlas, with fx both anterior and posterior to the facet joints. It is secondary to an axial load on top of the head. There are usually four breaks in the ring and lateral spread of the lateral masses.
Term
jones fx
Definition
fx of the base of the 5th metatarsal
Term
lauge-hanson
Definition
classification of ankle fractures, based on mechanism of injury
Term
LeFort
Definition
avulsion fx of the fibular attachment of the anterior tibiofibular ligament
Term
Lisfranc
Definition
fracture-dislocation through the tarsometatarsal joints, commonly associated with disruption of the second tarsometatarsal joint and alteral dislocation of the second thru 5th tarsometatarsal joints.
Term
Little leaguer's elbow
Definition
avulsion of the medial epicondyle of the elbow secondary to valgus stress
Term
maisonneuve
Definition
fx of the proximal third of the fibula with tear of the distal tibiofibular syndesmosis and the interosseous membrane. May also have fracture of the medial malleolus or tear of the deltoid ligement
Term
march fx
Definition
stress or fatigue fx of the metatarsals
Term
monteggia
Definition
fx of the proximal 3rd of the ulna with anterior dislocation of the radial head. There are 4 classifications of these fx: 1- ulnar shaft fx with anterior radial head dislocation, 2- ulnar shaft fx with lateral radial head dislocation, 3- ulnar shaft fx with posterior radial head dislocation, 4- both forearm bones fractured with radial head dislocation
Term
nursemaid's elbow
Definition
dislocation of the radial head in a toddler with an intact annular ligament. Difficult to prove via x-ray because the radial head may not be ossified.
Term
Pilon fx
Definition
comminuted, intra-articular fx of the distal tibia with a long oblique component, secondary to axial loading and impaction of the talus into the tibal plafond
Term
plafond
Definition
fx through the articular surface of the distal tibia
Term
salter-harris
Definition
classification of growth plate injuries. Stage 1- epiphyseal plate fx, stage 2- I plus metaphyseal fragment, stage 3- I plus epiphyseal fragment, stage 4- II,III, stage 5- I plus severe communition
Term
segond
Definition
avulsion fx of the lateral tibial condyle at the site of attachment of the IT band on gerdy's tubercle. Often seen with ACL injury.
Term
segmental fx
Definition
fx dividing the long bone into several segments
Term
swan neck deformity
Definition
hyperextension of the PIP joint of the finger secondary to disruption of the volar plate or contracture of the intrinsic muscles
Term
teardrop fx
Definition
comminuted vertebral body fx with displaced anterior fragment. Caused by an axial compression force with flexion of the midcervical spine. Implies possible instability with posterior displacement of the vertebral body producing spinal cord damage
Term
stieda
Definition
avulsion fx of the medial femoral condyle at the origin of the tibial collateral ligament
Term
torus
Definition
compression fx of the long bone in or near the metaphysis. Usually an incomplete fx and occurs in young children.
Term
trimalleolar
Definition
fx of the medial, lateral malleoli and the posterior articular lip of the distal tibia
Term
turf toe
Definition
hyperextension injury to the capsule of the first MTP joint
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