6/21/2009

Fracture
Break in continuity of Bone and Periosteum
Dr. Ashish Gohiya
Assistant Professor Department of Orthopaedics Gandhi Medical College, Bhopal
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Subluxation / Dislocation

Strain Sprain

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Strain Sprain Grade III

Grade I

Grade II

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6/21/2009

ABC Detailed History General Examination Systemic examination Regional Examination

LOOK FEEL MOVE MEASURE SPECIAL TEST
PROBABLE DIAGNOSIS

INVESTIGATION
FINAL DIAGNOSIS

Dr. Ashish Gohiya

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Symptoms Pain Swelling Deformity Functional Limitation

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

Dr. Ashish Gohiya

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Dr. Ashish Gohiya

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6/21/2009

Mode of trauma Clinical presentation Treatment options Rehabilitation Outcome

To speak a common language

Dr. Ashish Gohiya

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Dr. Ashish Gohiya

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TRAUMATIC

PATHOLOGICAL Congenital Developmental Metabolic Inflammatory Neoplastic Degenerative

UN DISPLACED

DISPLACED

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Shift Angulation / tilt Rotation Shortening

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6/21/2009

Closed / Simple Fracture

Open Fracture

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Dr. Ashish Gohiya

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Which bone? Where in the bone is the fracture? Which type? Which group? Which subgroup?

Dr. Ashish Gohiya

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Using the Classification
Which bone? •Where in the bone?

Dr. Ashish Gohiya

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Dr. Ashish Gohiya

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6/21/2009

Proximal & Distal Segment Fractures
Type A
Extra-articular

Diaphyseal Fractures
Type A
Simple fractures with two fragments

Type B
Partial articular

Type B
Wedge fractures After reduced, length and alignment restored

Type C
Complete disruption of the articular surface from the disphysis
Dr. Ashish Gohiya
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Type C
Complex fractures with no contact between main fragments
Dr. Ashish Gohiya
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Grouping Type A/B/C

Subgrouping
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

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Dr. Ashish Gohiya

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