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The choice of operative treatment is often determined by the type of fracture, which can be categorized broadly into three groups: partial articular fractures, displaced articular fractures, and metaphyseal unstable extra- or minimal articular fractures. [5] Significant advances have been made in ORIF treatments.
Metaphyseal dysplasia, or Pyle disease, [3] is a disorder of the bones. It is a rare disease in which the outer part of the shafts of long bones is thinner than normal and there is an increased chance of fractures .
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.
This is a pure compression fracture of the lateral or central tibial plateau in which the articular surface of the tibial plateau is depressed and driven into the lateral tibial metaphysis by axial forces.3 A low energy injury, these fractures are more frequent in the 4th and 5th decades of life and individuals with osteoporotic changes in bone.
An avulsion fracture at the base of the fifth metatarsal is sometimes called a "dancer's fracture" or a "pseudo Jones fracture", and usually responds readily to non-operative treatment. [18] The X-ray appearance of the developmental "apophysis" in this area may have some resemblance of a fracture, but is not a fracture; it is the secondary ...
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 ...
In metaphyseal areas, delayed signs of fracture include a band of sclerosis perpendicular to the trabeculae, while diaphyseal fractures may present as periosteal thickening. [ 1 ] Digital radiography known as tomosynthesis has been shown to be superior to conventional radiographs in the detection of occult fracture of the scaphoid.
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]