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Simple articular, complex metaphyseal Complex articular, complex metaphyseal Subgroups are then used to describe the fractures in terms of displacement (versus apposition, which is the degree to which the parts are in contact with each other), rotation, angulation and shortening.
The metaphysis (pl.: metaphyses) is the neck portion of a long bone between the epiphysis and the diaphysis. [1] It contains the growth plate , the part of the bone that grows during childhood, and as it grows it ossifies near the diaphysis and the epiphyses.
Fracture of the cartilage of the physis (growth plate) II – A = Above. The fracture lies above the physis, or Away from the joint. III – L = Lower. The fracture is below the physis in the epiphysis. IV – TE = Through Everything. The fracture is through the metaphysis, physis, and epiphysis. V – R = Rammed (crushed). The physis has been ...
Type VI = Tibial plateau fracture with diaphyseal discontinuity; Main feature of this type of fracture is a transverse subcondylar fracture with dissociation of the metaphysis from the diaphysis. The fracture pattern of the condyles is variable and all types of fractures can occur.
The diaphyseal bone (zone II), where the fracture occurs, is an area of potentially poor blood supply, existing in a watershed area between two blood supplies. This may compromise healing. In addition, there are various tendons, including the fibularis brevis and fibularis tertius, and two small muscles attached to the bone.
Proximal fractures of the fifth metatarsal are common, [2] and are distinguished by their locations: A proximal diaphysis fracture is typically a stress fracture, commonly among athletes. [3] [4] A metaphysis fracture is also called a Jones fracture. Due to poor blood supply in this area, such a fracture sometimes does not heal and surgery is ...
A line that is perpendicular to the diaphysis of the radius. Sometimes, the diaphysis of the radius is hard to distinguish from the ulna, and a line between them (turquoise line in image) may be used instead. [2] Fracture with a decreased radial inclination (about 15°). The angle normally has volar tilt of 11° to 12°.
The epiphyseal plate, epiphysial plate, physis, or growth plate is a hyaline cartilage plate in the metaphysis at each end of a long bone.It is the part of a long bone where new bone growth takes place; that is, the whole bone is alive, with maintenance remodeling throughout its existing bone tissue, but the growth plate is the place where the long bone grows longer (adds length).