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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 I Grade II Grade III

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 ABC  LOOK
 FEEL
 Detailed History  MOVE
 General Examination  MEASURE
 SPECIAL TEST
 Systemic examination  PROBABLE DIAGNOSIS
 Regional Examination  INVESTIGATION
 FINAL DIAGNOSIS

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 X-Ray Rt Forearm AP & Lateral view


 Symptoms  Signs  Should include proximal & distal joint
 Pain  Bony tenderness
 Swelling  Bony crepitus
 Deformity  Abnormal
oop’s
 Functional movement
Limitation  Loss of
transmitted
movements

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 Mode of trauma  To speak a common language


 Clinical presentation
 Treatment options
 Rehabilitation
 Outcome

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TRAUMATIC PATHOLOGICAL UN DISPLACED DISPLACED

 Congenital
 Developmental
 Metabolic
 Inflammatory
 Neoplastic
 Degenerative

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 Shift
 Angulation / tilt
 Rotation
 Shortening

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 Closed / Simple  Open Fracture


Fracture

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

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Using the Classification

 Which bone? •Where in the bone?

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Proximal & Distal Segment Diaphyseal Fractures


Fractures
 Type A  Type A
 Extra-articular  Simple fractures with
two fragments
 Type B  Type B
 Partial articular  Wedge fractures
 Type C  After reduced, length
and alignment restored
 Complete
 Type C
disruption of the
 Complex fractures with
articular surface no contact between
from the disphysis main fragments

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Grouping
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

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