Chauffeur's fracture

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Chauffeur's fracture
Other namesHutchinson fracture, backfire fracture
Chauffeur-Fraktur und PSU bei Ulnavorschub mit Impaktation 83W - CR ap - 001.jpg
Fracture of the radial styloid process with the fracture line extending into the intraarticular surface
Displaced distal radius fracture.jpg
X-ray of a displaced intra-articular distal radius fracture in an external fixator. The articular surface is widely displaced and irregular. This is a Chauffeur's fracture. Frykman class 3.
Specialty Orthopedics

Chauffeur's fracture, also known as Hutchinson fracture, is a type of intraarticular oblique fracture of the radial styloid process in the forearm. [1] The injury is typically caused by compression of the scaphoid bone of the hand against the styloid process of the distal radius. It can be caused by falling onto an outstretched hand. Treatment is often open reduction and internal fixation, which is surgical realignment of the bone fragments and fixation with pins, screws, or plates.

Contents

History

Jonathan Hutchinson first described Chauffeur's fracture in 1866. [1] The term "Chauffeur's fracture" originated from Just Lucas-Championnière in 1904. [1] The name originates from early chauffeurs, who sustained these injuries when the car back-fired while the chauffeur was hand-cranking to start the car. [1] [2] The back-fire forced the crank backward into the chauffeur's palm and produced the characteristic styloid fracture. [2] [3]

Related Research Articles

<span class="mw-page-title-main">Ulna</span> Medial bone from forearm

The ulna is a long bone found in the forearm that stretches from the elbow to the smallest finger, and when in anatomical position, is found on the medial side of the forearm. That is, the ulna is on the same side of the forearm as the little finger. It runs parallel to the radius, the other long bone in the forearm. The ulna is usually slightly longer than the radius, but the radius is thicker. Therefore, the radius is considered to be the larger of the two.

<span class="mw-page-title-main">Anatomical snuffbox</span> Indent on back of hand between tendons

The anatomical snuff box or snuffbox or foveola radialis is a triangular deepening on the radial, dorsal aspect of the hand—at the level of the carpal bones, specifically, the scaphoid and trapezium bones forming the floor. The name originates from the use of this surface for placing and then sniffing powdered tobacco, or "snuff." It is sometimes referred to by its French name tabatière.

<span class="mw-page-title-main">Radius (bone)</span> One of the two long bones of the forearm

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<span class="mw-page-title-main">Colles' fracture</span> Medical condition

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<span class="mw-page-title-main">Bone fracture</span> Physical damage to the continuity of a bone

A bone fracture is a medical condition in which there is a partial or complete break in the continuity of any bone in the body. In more severe cases, the bone may be broken into several fragments, known as a comminuted fracture. A bone fracture may be the result of high force impact or stress, or a minimal trauma injury as a result of certain medical conditions that weaken the bones, such as osteoporosis, osteopenia, bone cancer, or osteogenesis imperfecta, where the fracture is then properly termed a pathologic fracture.

<span class="mw-page-title-main">Distal radius fracture</span> Fracture of the radius bone near the wrist

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Nonunion is permanent failure of healing following a broken bone unless intervention is performed. A fracture with nonunion generally forms a structural resemblance to a fibrous joint, and is therefore often called a "false joint" or pseudoarthrosis. The diagnosis is generally made when there is no healing between two sets of medical imaging, such as X-ray or CT scan. This is generally after 6–8 months.

<span class="mw-page-title-main">Madelung's deformity</span> Medical condition

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<span class="mw-page-title-main">Distal radioulnar articulation</span>

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<span class="mw-page-title-main">Radial styloid process</span>

The radial styloid process is a projection of bone on the lateral surface of the distal radius bone.

<span class="mw-page-title-main">Ulnar styloid process</span>

The styloid process of the ulna is a bony prominence found at distal end of the ulna in the forearm.

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The triangular fibrocartilage complex (TFCC) is formed by the triangular fibrocartilage discus (TFC), the radioulnar ligaments (RULs) and the ulnocarpal ligaments (UCLs).

<span class="mw-page-title-main">Open fracture</span> Medical condition

An open fracture, also called a compound fracture, is a type of bone fracture in orthopedics that is frequently caused by high energy trauma. It is a bone fracture, also known as a broken bone, associated with a break in the skin continuity which can cause complications such as infection, malunion, and nonunion. Gustilo open fracture classification is the most commonly used method to classify open fractures, to guide treatment and to predict clinical outcomes. Advanced trauma life support is the first line of action in dealing with open fractures and to rule out other life-threatening condition in cases of trauma. Cephalosporins are generally the first line of antibiotics. The antibiotics are continued for 24 hours to minimize the risk of infections. Therapeutic irrigation, wound debridement, early wound closure and bone fixation are the main management of open fractures. All these actions aimed to reduce the risk of infections.

<span class="mw-page-title-main">Scaphoid fracture</span> Fracture of the scaphoid bone in the wrist

A scaphoid fracture is a break of the scaphoid bone in the wrist. Symptoms generally includes pain at the base of the thumb which is worse with use of the hand. The anatomic snuffbox is generally tender and swelling may occur. Complications may include nonunion of the fracture, avascular necrosis of the proximal part of the bone, and arthritis.

<span class="mw-page-title-main">Elbow</span> Joint between the upper and lower parts of the arm

The elbow is the region between the arm and the forearm that surrounds the elbow joint. The elbow includes prominent landmarks such as the olecranon, the cubital fossa, and the lateral and the medial epicondyles of the humerus. The elbow joint is a hinge joint between the arm and the forearm; more specifically between the humerus in the upper arm and the radius and ulna in the forearm which allows the forearm and hand to be moved towards and away from the body. The term elbow is specifically used for humans and other primates, and in other vertebrates forelimb plus joint is used.

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Mandibular fracture, also known as fracture of the jaw, is a break through the mandibular bone. In about 60% of cases the break occurs in two places. It may result in a decreased ability to fully open the mouth. Often the teeth will not feel properly aligned or there may be bleeding of the gums. Mandibular fractures occur most commonly among males in their 30s.

<span class="mw-page-title-main">Wrist osteoarthritis</span> Medical condition

Wrist osteoarthritis is a group of mechanical abnormalities resulting in joint destruction, which can occur in the wrist. These abnormalities include degeneration of cartilage and hypertrophic bone changes, which can lead to pain, swelling and loss of function. Osteoarthritis of the wrist is one of the most common conditions seen by hand surgeons.

<span class="mw-page-title-main">Classification of distal radius fractures</span>

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. Most wrist fracture systems have failed to accomplish any of these goals and there is no consensus about the most useful one.

<span class="mw-page-title-main">Broken finger</span> Medical condition

A broken finger or finger fracture is a common type of bone fracture, affecting a finger. Symptoms may include pain, swelling, tenderness, bruising, deformity and reduced ability to move the finger. Although most finger fractures are easy to treat, failing to deal with a fracture appropriately may result in long-term pain and disability.

References

  1. 1 2 3 4 Andreotti, Mattia; Tonon, Francesco; Caruso, Gaetano; Massari, Leo; Riva, Michele A. (March 2020). "The "Chauffeur Fracture": Historical Origins of an Often-Forgotten Eponym". HAND. 15 (2): 252–254. doi:10.1177/1558944718792650. ISSN   1558-9447. PMC   7076623 . PMID   30079762.
  2. 1 2 Lund, F. B. (1904-11-03). "Fractures of the Radius in Starting Automobiles". The Boston Medical and Surgical Journal. 151 (18): 481–483. doi:10.1056/NEJM190411031511802. ISSN   0096-6762.
  3. Greenspan, Adam. (2004). Orthopedic imaging : a practical approach. Greenspan, Adam. (4th ed.). Philadelphia: Lippincott Williams & Wilkins. ISBN   0-7817-5006-7. OCLC   54455663.