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Frykman classification is a system of categorizing Colles' fractures. In the Frykman classification system there are four types of fractures. [1]
Though the Frykman classification system has traditionally been used, there is little value in its use because it does not help direct treatment. The classification is as follows: [2]
Radius Fracture | Ulna Fracture | |
---|---|---|
Absent | Present | |
Extra articular | I | II |
Intra-articular involving radiocarpal joint | III | IV |
Intra articular involving distal radio-ulnar joint | V | VI |
Intra articular involving both radiocarpal & distal radioulnar joints | VII | VIII |
A Colles' fracture is a type of fracture of the distal forearm in which the broken end of the radius is bent backwards. Symptoms may include pain, swelling, deformity, and bruising. Complications may include damage to the median nerve.
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. An open fracture is a bone fracture where the broken bone breaks through the skin. 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. Most bone fractures require urgent medical attention to prevent further injury.
A Smith's fracture, is a fracture of the distal radius.
A Salter–Harris fracture is a fracture that involves the epiphyseal plate of a bone, specifically the zone of provisional calcification. It is thus a form of child bone fracture. It is a common injury found in children, occurring in 15% of childhood long bone fractures. This type of fracture and its classification system is named for Robert B. Salter and William H. Harris who created and published this classification system in the Journal of Bone and Joint Surgery in 1963.
Cubitus varus is a varus deformity in which the extended forearm is deviated towards midline of the body.
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.
A Barton's fracture is a type of wrist injury where there is a broken bone associated with a dislocated bone in the wrist, typically occurring after falling on top of a bent wrist. It is an intra-articular fracture of the distal radius with dislocation of the radiocarpal joint.
An intramedullary rod, also known as an intramedullary nail or inter-locking nail or Küntscher nail, is a metal rod forced into the medullary cavity of a bone. IM nails have long been used to treat fractures of long bones of the body. Gerhard Küntscher is credited with the first use of this device in 1939, during World War II, for soldiers with fractures of the femur. Prior to that, treatment of such fractures was limited to traction or plaster, both of which required long periods of inactivity. IM nails resulted in earlier return to activity for the soldiers, sometimes even within a span of a few weeks, since they share the load with the bone, rather than entirely supporting the bone.
The Essex-Lopresti fracture is a fracture of the radial head of the forearm with concomitant dislocation of the distal radio-ulnar joint along with disruption of the thin interosseous membrane which holds them together. The injury is named after Peter Essex-Lopresti who described it in 1951.
A Holstein–Lewis fracture is a fracture of the distal third of the humerus resulting in entrapment of the radial nerve.
A tibial plateau fracture is a break of the upper part of the tibia (shinbone) that involves the knee joint. This could involve the medial, lateral, central, or bicondylar. Symptoms include pain, swelling, and a decreased ability to move the knee. People are generally unable to walk. Complication may include injury to the artery or nerve, arthritis, and compartment syndrome.
Lister's tubercle or dorsal tubercle of radius is a bony prominence located at the distal end of the radius. It is palpable on the dorsum of the wrist.
The Vancouver classification is a grading system used in orthopaedics to determine management of post-operative periprosthetic femoral fractures following a hip arthroplasty. It is named for the city Vancouver, home to the University of British Columbia where the authors of the 1995 paper worked.
The Thompson and Epstein classification is a system of categorizing posterior fracture/dislocations of the hip.
The posterior colliculus is the posterior portion of the medial malleolus of the distal tibia which is smaller in size comparing to the anterior colliculus. It has an attachment of the posterior tibiotalar ligament which is a part of deltoid ligament on the medial side of the ankle.
Older's classification is a system of categorizing Colles' fractures, proposed in 1965. In the Older's classification system there are four types of fractures.
Gartland & Werley classification is a system of categorizing Colles' fractures. In the Gartland & Werley classification system there are three types of fractures. The classification system is based on metaphysical comminution, intra-articular extension and displacement, and was first published in 1951.
Lidström classification is a system of categorizing fractures of the distal radius, one of the two bones of the forearm. In the Lidström classification system there are six types of fractures. The classification system is based on fracture line, direction and degree of displacement, extent of articular involvement and involvement of the distal radioulnar joint, and was first published in 1959.
Nissen-Lie classification is a system of categorizing Colles' fractures. In the Nissen-Lie classification system there are seven types of fractures. The classification system was first published in 1939.
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.