II. Types

  1. Avulsion Fracture
    1. Chip often attached to tendon or ligament
  2. Comminuted Fracture
    1. Multiple Fracture fragments
  3. Transverse Fracture
  4. Oblique Fracture
  5. Spiral Fracture
  6. Segmental Fracture
    1. Two Fractures in long bone
  7. Displaced Fracture
  8. Impacted Fracture
  9. Greenstick Fracture
    1. Incomplete Fracture where one cortex remains intact
    2. Often seen in children
  10. Torus Fracture (buckle Fracture)
    1. Cortex compressed with a buckling of periosteum
    2. Most common in child's distal radius
  11. Fatigue Fracture
    1. Fracture from repeated minor stresses
  12. Pathologic
    1. Fracture secondary to bone weakening
    2. Suggests some disease process
  13. Occult Fracture
    1. Clinical condition suggests a Fracture
    2. However not easily seen on exam or diagnostics
  14. Intraarticular Fracture (Epiphyseal Fracture)
  15. Closed Fracture (Simple Fracture)
  16. Open Fracture (Compound Fracture)

III. Exam: Descriptions of Fracture positioning

  1. Alignment
    1. Rotational or angular position
  2. Apposition
    1. Amount of end to end Fracture contact
  3. Malunion
  4. Nonunion

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