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Garden III and IV Hip Fractures Wheeless

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Location: http://www.wheelessonline.com/ortho/garden_iii_iv_hip_frx

Description: Garden III
complete fracture with partial displacement;
- "if it needs a reduction, then its a type III fracture;"
- frequently there is shortening and external rotation of distal frag;
- retinaculum of Weitbrecht remains attached to, & maintains continuity between, the proximal and distal fragments;
- trabecular pattern of femoral head does not line up w/ those of acetabulum, demonstrating incomplete displacement between femoral fragments;
Garden IV
- complete fracture w/ total displacement (some authors feel that the degree of displacement between Garden III and IV fractures is not significant);
- no continuity between proximal and distal fragments;
- femoral head assumes its normal position with in the acetabulum, and therefore the trabecular patterns of the acetabulum and the femoral head are aligned;
Wheeless' Textbook of Orthopaedics

Type: Reference Material
Author/Contact: C.R.Wheeless
Institution: Duke
Primary Subject/Category:

Language: English

Submitted by: admin
Hits: 510
Added: Mon Feb 04 2002
Last Modified: Thu Feb 21 2008