Fracture Classification [compatibility Mode]
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- Pages: 5
6/21/2009
Fracture Break in continuity of Bone and Periosteum Dr. Ashish Gohiya Assistant Professor Department of Orthopaedics Gandhi Medical College, Bhopal 1
Subluxation / Dislocation
2
Strain Sprain
3
4
5
6
Strain Sprain
Grade I
Grade II
Grade III
1
6/21/2009
ABC Detailed History General Examination Systemic examination Regional Examination
LOOK FEEL MOVE MEASURE SPECIAL TEST
INVESTIGATION
Dr. Ashish Gohiya
Symptoms Pain Swelling Deformity Functional Limitation
Dr. Ashish Gohiya
FINAL DIAGNOSIS
7
PROBABLE DIAGNOSIS
Signs Bony tenderness Bony crepitus Abnormal movement Loss of transmitted movements
X-Ray Rt Forearm AP & Lateral view Should include proximal & distal joint
oop’s
9
Dr. Ashish Gohiya
12
2
6/21/2009
Mode of trauma Clinical presentation Treatment options Rehabilitation Outcome
Dr. Ashish Gohiya
TRAUMATIC
13
PATHOLOGICAL
To speak a common language
Dr. Ashish Gohiya
UN DISPLACED
14
DISPLACED
Congenital Developmental Metabolic Inflammatory Neoplastic Degenerative
15
16
17
18
Shift Angulation / tilt Rotation Shortening
3
6/21/2009
Closed / Simple Fracture
19
Open Fracture
Dr. Ashish Gohiya
20
Which bone? Where in the bone is the fracture? Which type? Which group? Which subgroup?
Dr. Ashish Gohiya
22
Using the Classification
Dr. Ashish Gohiya
23
Which bone?
Dr. Ashish Gohiya
•Where in the bone?
24
4
6/21/2009
Diaphyseal Fractures
Proximal & Distal Segment Fractures
Type A
Partial articular
Complete disruption of the articular surface from the disphysis
Dr. Ashish Gohiya
Wedge fractures After reduced, length and alignment restored
Type C
25
Simple fractures with two fragments
Type B
Type C
Type A
Extra-articular
Type B
Complex fractures with no contact between main fragments
Dr. Ashish Gohiya
Grouping Grouping Type A/B/C
Subgrouping
Dr. Ashish Gohiya
26
27
Differs from bone to bone Depends on key features for any given bone and its classification The purpose is to increase the precision of the classification
Dr. Ashish Gohiya
28
5
Fracture Break in continuity of Bone and Periosteum Dr. Ashish Gohiya Assistant Professor Department of Orthopaedics Gandhi Medical College, Bhopal 1
Subluxation / Dislocation
2
Strain Sprain
3
4
5
6
Strain Sprain
Grade I
Grade II
Grade III
1
6/21/2009
ABC Detailed History General Examination Systemic examination Regional Examination
LOOK FEEL MOVE MEASURE SPECIAL TEST
INVESTIGATION
Dr. Ashish Gohiya
Symptoms Pain Swelling Deformity Functional Limitation
Dr. Ashish Gohiya
FINAL DIAGNOSIS
7
PROBABLE DIAGNOSIS
Signs Bony tenderness Bony crepitus Abnormal movement Loss of transmitted movements
X-Ray Rt Forearm AP & Lateral view Should include proximal & distal joint
oop’s
9
Dr. Ashish Gohiya
12
2
6/21/2009
Mode of trauma Clinical presentation Treatment options Rehabilitation Outcome
Dr. Ashish Gohiya
TRAUMATIC
13
PATHOLOGICAL
To speak a common language
Dr. Ashish Gohiya
UN DISPLACED
14
DISPLACED
Congenital Developmental Metabolic Inflammatory Neoplastic Degenerative
15
16
17
18
Shift Angulation / tilt Rotation Shortening
3
6/21/2009
Closed / Simple Fracture
19
Open Fracture
Dr. Ashish Gohiya
20
Which bone? Where in the bone is the fracture? Which type? Which group? Which subgroup?
Dr. Ashish Gohiya
22
Using the Classification
Dr. Ashish Gohiya
23
Which bone?
Dr. Ashish Gohiya
•Where in the bone?
24
4
6/21/2009
Diaphyseal Fractures
Proximal & Distal Segment Fractures
Type A
Partial articular
Complete disruption of the articular surface from the disphysis
Dr. Ashish Gohiya
Wedge fractures After reduced, length and alignment restored
Type C
25
Simple fractures with two fragments
Type B
Type C
Type A
Extra-articular
Type B
Complex fractures with no contact between main fragments
Dr. Ashish Gohiya
Grouping Grouping Type A/B/C
Subgrouping
Dr. Ashish Gohiya
26
27
Differs from bone to bone Depends on key features for any given bone and its classification The purpose is to increase the precision of the classification
Dr. Ashish Gohiya
28
5
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