Wrist Fractures eMedicine Emergency

The wrist is the most commonly injured region of the upper extremity. Fractures of the distal radius and ulna account for three fourths of wrist injuries. The carpal bones themselves are injured much less frequently but account for up to 10% of injuries to the structures of the hand. Not...

[Categories]

- OCOSH Classification: Trauma: Fractures: Radius Fractures: Distal Radius Fractures 
- OCOSH Classification: Trauma: Fractures: Wrist Fractures 

View Details Visit Resource Review It Rate It Bookmark It Added: Mon Mar 31 2008

The Use of Hybrid Fixators in Proximal Tibia Fractures

OTA 2002 - Session 7 Session VII - Tibia Sat., 10/12/02 Tibia, Paper #48, 4:43 PM The Use of Hybrid Fixators in Proximal Tibia Fractures Roberto Varsalona, MD ; Bruce H. Ziran, MD; S. Avondo, MD; Q. Mollica, MD; University of Catagnia, Sicily, Italy; and University of Pittsburgh, Department of Orthopaedics,...

[Categories]

- OCOSH Classification: Bone Diseases: Bone Deformity 
- Orthopedic Topics: Trauma: Tibia and Fibula: Tibia Fibula Fracture Abstracts 

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Smith's Fracture Wheeless

- extra - articular palmarly displaced distal radius fracture;
- volar angulation of fracture is referred to as "Garden Spade" deformity (reversed Colles Fracture);
- hand & wrist are...

[Categories]

- OCOSH Classification: Trauma: Fractures: Radius Fractures: Distal Radius Fractures 

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2004 General Priciples of Fracture Care eMedicine Orthopedics

eMedicine updated 2010
A fracture is defined as a disruption in the integrity of a living bone, involving injury to the bone marrow, periosteum, and adjacent soft tissues. Many types of fractures exist, such as pathologic, stress, and greenstick fractures. When a fracture occurs, it is described radiographically and clinically in...

[Categories]

- OCOSH Classification: Orthopaedic Procedures: Fracture Reduction 
- OCOSH Classification: Trauma: Fractures 

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The Impacted Varus Proximal Humeral Fracture. Which Factors Affect

OTA 2002 - Session 10 Session X - Upper Extremity Sun., 10/13/02 Upper Extremity, Paper #63, 10:10 AM The Impacted Varus Proximal Humeral Fracture. Which Factors Affect Outcome? Charles M. Court-Brown, MD, FRCS; Margaret M. McQueen, MD, FRCS; Royal Infirmary of Edinburgh, Edinburgh, United Kingdom Purpose: A prospective analysis of 99...

[Categories]

- OCOSH Classification: Bone Diseases: Bone Deformity 
- Orthopedic Topics: Trauma: Shoulder 

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Lateral Humeral Condyle Fracture eMedicine Orthopedics

In 1883, Stimson first described the fracture patterns in lateral condyle fractures in his book Treatise on Fractures. He described the fracture as beginning in the lateral metaphysis proximal to the condyle, coursing distally, and exiting through the articular surface through the medial trochlear notch or through the capitellotrochlear groove....

[Categories]

- OCOSH Classification: Trauma: Fractures: Humeral Fractures: Humeral Condyle Fractures 

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Pilon Fractures Wheeless

Member Ratings: (1 vote)

Discussion: - term pilon (hammer) fracture was introduced to describe these compression injuries by Destot in 1911; - fracture components: - combination of ankle fracture & distal tibial metaphyseal fracture, usually with intra articular...

[Categories]

- OCOSH Classification: Trauma: Fractures: Tibia Fibula Fractures: Tibial Plafond Fractures 
- Orthopedic Topics: Trauma: Ankle 

View Details Visit Resource Review It Rate It Bookmark It Added: Mon Feb 04 2002

Medial Humeral Condyle Fracture eMedicine Orthopaedics

Article by Walsh & Patterson 2004. Updated April 2010
Medial condyle fractures involve a fracture line that extends through and separates the medial metaphysis and epicondyle from the rest of the humerus. By definition, the fracture line must involve the trochlear articular surface. Medial condyle fractures must not be confused with...

[Categories]

- OCOSH Classification: Trauma: Fractures: Elbow Fractures: Condyle Fractures 
- OCOSH Classification: Trauma: Fractures: Humeral Fractures: Humeral Condyle Fractures 

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Trimalleolar Fracture Cotton Fracture Wheeless

Trimalleolar Fracture: (Cotton Fracture)
involves fractures of medial malleolus & fibula, along with fracture of posterior lip of articular surface of tibia
Wheeless' Textbook of Orthopaedics

[Categories]

- OCOSH Classification: Trauma: Fractures: Ankle Fractures: Trimalleolar Fractures 
- Orthopedic Topics: Trauma: Ankle 

View Details Visit Resource Review It Rate It Bookmark It Added: Mon Feb 04 2002

Volar Barton's Fracture Wheeless

characterized by fracture of volar margin of the carpal surface of the radius which is associated w/ subluxation of radiocarpal joint;
- similar to Smith's type III;
- comminuted fracture of distal radius may involve either...

[Categories]

- OCOSH Classification: Trauma: Fractures: Radius Fractures: Distal Radius Fractures 

View Details Visit Resource Review It Rate It Bookmark It Added: Mon Feb 04 2002

Colles Fracture Wheeless

fracture was described by Abraham Colles in 1814, originally described as low energy extra articular fracture of distal radius occuring in elderly individuals;
- fracture is typically dorsally displaced and angulated;
- mechanism:
...

[Categories]

- OCOSH Classification: Trauma: Fractures: Radius Fractures: Distal Radius Fractures 

View Details Visit Resource Review It Rate It Bookmark It Added: Mon Feb 04 2002

Osteochondral Lesions of the Talus eMedicine Orthopedics

The earliest report of osteochondritis dissecans (OCD) was published in 1888 by Konig, who characterized a loose body formation associated with articular cartilage and subchondral bone fracture. In 1922, Kappis described this process in the ankle joint. On the basis of a review of all literature describing transchondral fractures of...

[Categories]

- OCOSH Classification: Bone Diseases: Osteochondritis: Osteochondritis Dissecans: OCD Ankle and Talus 

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Osteochondral lesions of the talar dome

Osteochondral lesions were first described by Konig in 1888. He theorized that spontaneous necrosis was a causative factor for this condition. In 1922, Kappis described osteochondral lesions in the talus. Rendu,in a report published in 1932 describing intraarticular fractures of the talus, was the first to propose that these lesions may...

[Categories]

- OCOSH Classification: Bone Diseases: Osteochondritis: Osteochondritis Dissecans: OCD Ankle and Talus 
- OCOSH Classification: Trauma: Fractures: Ankle Fractures: Osteochondral fractures: Osteochondral fractures of the talus 

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Smiths Fracture Wheeless

- extra-articular palmarly displaced distal radius frx;
- volar angulation of frx is referred to as "Garden Spade" deformity (reversed Colles Fracture);
- hand & wrist are displaced forward or volarly w/ respect to forearm;
- frx may be extra articular, intra articular, or be part of frx dislocation of wrist

[Categories]

- OCOSH Classification: Trauma: Fractures: Radius Fractures: Distal Radius Fractures: Smiths Fracture 

View Details Visit Resource Review It Rate It Bookmark It Added: Thu Nov 12 2009

Freiberg Infraction eMedicine Orthopedics

Synonyms and related keywords: infraction of the metatarsal head, osteochondrosis of the metatarsal heads, avascular necrosis of the metatarsal head, eggshell fracture, peculiar metatarsal disease, Koehler second disease, Panner disease of the metatarsals, osteochondritis deformans metatarso-juvenilis, malacopathia, subchondral bone fatigue fracture of the metatarsal head, dorsal trabecular stress injury of...

[Categories]

- OCOSH Classification: Bone Diseases: Osteochondroses: Freiberg Disease 

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Augmentation of tibial plateau fractures with trabecular metal

Background Restoration and maintenance of the plateau surface are the key points in the treatment of tibial plateau fractures. Any deformity of the articular surface jeopardizes the future of the knee by causing osteoarthritis and axis deviation. The purpose of this study is to evaluate the effect of Trabecular Metal (porous...

[Categories]

- OCOSH Classification: Orthopaedic Procedures: Fracture Fixation: Internal Fixation of Fractures 
- OCOSH Classification: Trauma: Fractures: Tibia Fibula Fractures: Tibial Plateau Fractures 

View Details Visit Resource Review It Rate It Bookmark It Added: Sun Sep 27 2009

Pilon Fractures eMedicine Orthopedics

Pilon fractures in the distal tibia result from axial forces that can range from low to high energy and produce a spectrum of articular and metaphyseal injuries. These can be challenging to manage, especially when associated with significant soft tissue injury. Although a variety of options are available to treat...

[Categories]

- OCOSH Classification: Trauma: Fractures: Tibia Fibula Fractures: Tibial Plafond Fractures 

View Details Visit Resource Review It Rate It Bookmark It Added: Fri Mar 21 2008

2008 Acetabulum Fractures eMedicine Orthopedics

Thacker, Tejwani & Thakkar 2008 Updated 2009
Fractures of the acetabulum occur primarily in young adults as a result of high-velocity trauma. These fractures are often associated with other life-threatening injuries. Displacement of the fracture fragments leads to articular incongruity of the hip joint that results in abnormal pressure distribution on the...

[Categories]

- OCOSH Classification: Trauma: Fractures: Pelvic Fractures 

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Supracondylar fracture of the femur associated with polyethylene wear after total knee arthroplasty

Polyethylene wear has been recognized in association with many designs of prostheses used in total knee arthropbasty”2’3. Three important factors that affect stresses on the polyethylene include the conformity of the articular surfaces, the thickness of the polyethylene, and the elastic modulus of the polyethylene. Polyethylene wear in a total knee prosthesis is related to small...

[Categories]

- OCOSH Classification: Orthopaedic Procedures: Arthroplasty: Replacement Arthroplasty: Knee Replacement Arthroplasty 
- OCOSH Classification: Trauma: Fractures: Femur Fractures: Supracondylar Fractures 

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Four Part Humeral Fracture Wheeless

4 Part fracture of the proximal humerus/neck of humerus
- Discussion:
- 4 segment frx is most difficult to treat & is assoc w/ poorest results;
- added to problems of three part frx, namely delayed union or non union, is avascular necrosis of the...

[Categories]

- OCOSH Classification: Trauma: Fractures: Humeral Fractures: Humeral Neck Fractures 

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Ankle Arthrodesis Using Antegrade Intramedullary Nail for Salvage of Nonreconstructable Tibial Pilon Fractures Ortho Supersite

The treatment of nonreconstructable tibial pilon fractures for which the optimal timing for reduction and fixation has been missed is challenging. Ankle arthrodesis may be a treatment option in such cases. We treated 2 patients with nonreconstructable tibial pilon fractures using ankle arthrodesis with an antegrade intramedullary nail. Our method...

[Categories]

- OCOSH Classification: Orthopaedic Procedures: Arthrodesis: Ankle Fusion 
- OCOSH Classification: Trauma: Fractures: Tibia Fibula Fractures: Tibial Plafond Fractures 

View Details Visit Resource Review It Rate It Bookmark It Added: Fri Oct 30 2009

Patellar nonunion s/p TBWiring

Archive Copy 2004
19 yr old college basketball player with transverse patellar fx OCT 96, treated with cannulated 4.5 mm screw. Refracture playing B-ball in Jan 97 with the cannulated screw ripping through the proximal fragment. Fracture fixated with 2 transverse 3.5 mm screws and 2mm steinman pins with 18G tension...

[Categories]

- OCOSH Classification: Trauma: Fractures: Knee Fractures: Patellar Fractures 

View Details Visit Resource Review It Rate It Bookmark It Added: Thu Jan 31 2002

Soft Tissue Knee Injuries eMedicine Emergency

Soft tissue injuries of the knee are some of the most common and clinically challenging musculoskeletal disorders in patients presenting to the ED. Therefore, establishing clear-cut diagnostic and therapeutic objectives for these injuries is important. Knee pain and related symptoms may derive from damage to 1 or more of the soft...

[Categories]

- OCOSH Classification: Trauma: Leg Injuries: Knee Injuries 

View Details Visit Resource Review It Rate It Bookmark It Added: Sun Apr 06 2008

Intra articular Fracture of the femur- Trauma Protocol

Archive Copy 2004: University of Alabama Trauma Protocols

[Categories]

- Orthopedic Topics: Trauma: Hip 

View Details Visit Resource Review It Rate It Bookmark It Added: Mon Feb 04 2002

Clavicle Fractures Wheeless

Fracture Classification:
- frx of middle 1/3 (group I):
- most common clavicular frx in both adults and children (80%);
...

[Categories]

- OCOSH Classification: Trauma: Fractures: Shoulder Fractures: Clavicle Fractures 

View Details Visit Resource Review It Rate It Bookmark It Added: Mon Feb 04 2002