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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 ...
These fractures are the most common of the three groups mentioned above that require surgical management. [5] A minimal articular fracture involves the joint, but does not require reduction of the joint. Manipulative reduction and immobilization were thought to be appropriate for metaphyseal unstable fractures.
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.
Fracture with a dorsal tilt. Dorsal is left, and volar is right in the image. There are a number of ways to classify distal radius fractures.Classifications systems are devised to describe patterns of injury which will behave in predictable ways, to distinguish between conditions which have different outcomes or which need different treatments.
The Thurstan Holland sign [1] or fragment, also known as the shiny corner sign, [2] is the small metaphyseal triangular portion of bone carried with the physis in type II and IV Salter–Harris fractures. The sign was named after the Liverpool pioneer in radiology, Charles Thurstan Holland (1863–1941). [3]
The fracture occurs at the hypertrophic zone of the physeal cartilage. Stress on the hip causes the epiphysis to move posteriorly and medially, relative to the metaphysis. Although it is not the epiphysis that displaced, by convention, position and alignment in SCFE is described by referring to the relationship of the proximal fragment (capital ...
Salter–Harris fracture; Schatzker classification of tibia plateau fractures; Tile classification; ... Jansen's metaphyseal chondrodysplasia; Kashin–Beck disease;
A corner fracture or bucket-handle fracture is fragmentation of the distal end of one or both femurs, with the loose piece appearing at the bone margins as an osseous density paralleling the metaphysis. [8] The term bucket-handle fracture is used where the loose bone is rather wide at the distal end, making it end in a crescent shape. [9]