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Grade II – Relatively large amplitude, rhythmically oscillating joint glide that carries well into the available arthrokinematic joint play. Activates Type II mechanoreceptors that inhibit nociception and provide information about joint acceleration. They also have a low threshold and respond to a few grams of tension.
However, Type III fractures occur in 60% of all the open fracture cases. Infection of the Type III fractures is observed in 10% to 50% of the time. Therefore, in 1984, Gustilo subclassified Type III fractures into A, B, and C with the aim of guiding the treatment of open fractures, communication and research, and to predict outcomes.
The Garden classification is a system of categorizing intracapsular hip fractures of the femoral neck. This fracture often disrupt the blood supply to the femoral head . British orthopaedic surgeon Robert Symon Garden [ fr ] described a classification system for this type of fracture, referred to as the Garden classification and consisting of ...
Patients with cervical fractures will likely be prescribed medication for pain control. In the long term, physical therapy will be given to build strength in the muscles of the neck to increase stability and better protect the cervical spine. Collars, traction and surgery can be used to immobilize and stabilize the neck after a cervical fracture.
For low-grade fractures (Garden types 1 and 2), standard treatment is fixation of the fracture in situ with screws or a sliding screw/plate device. In elderly patients with displaced or intracapsular fractures many surgeons prefer to undertake a hemiarthroplasty , replacing the broken part of the bone with a metal implant.
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Practical Fracture Treatment 5th edition, page 187. Elsevier Health Sciences, 2008. ISBN 978-0-443-06876-8. Jefferson fracture: Sir Geoffrey Jefferson: fracture of first cervical vertebra: compression of neck: Jefferson fracture at Who Named It? Jones fracture: Sir Robert Jones: fracture of base of 5th metatarsal extending into intermetatarsal ...
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