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Pod Trauma > Fx Classifications > Flashcards

Fx Classifications Flashcards

1
Q

Essex-Lopresti tongue type fx

A

primary fx line (shear fx) which is intra-articular, spearates the sustentaculum tali from the lateral body, secondary fx line through the tuberosity, resembles beak fx

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2
Q

Fortins type 1

A

talar body fx, fx of talar body on any plane

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3
Q

Lauge-Hanson Supination-adduction

A

stage 1: rupture of lateral collateral ligaments +/or transverse fx of fibula below ankle joint
stage 2: vertical fx of medial malleolus, -pathomneumonic-talus moves medially, if talus has a vertical fx its a stage 2

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4
Q

Classification for 5th met base fx

A

Stewart Classification

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5
Q

Rowe 1a

A

Fx of calcaneal tuberlce

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6
Q

Ruedi and Allgower type 2

A

pilon fx, significant displacement fx

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7
Q

Lauge-Hanson Pronation abduction

A

Stage 1: rupture of deltoid ligament +/or transverse fx of medial malleolus
Stage 2: disruption of AITFL and PITFL
Stage 3: Short oblique fx of fibula at ankle joint-pathomneumonic

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8
Q

McCrory and Bladen Type A

A

chip (avulsion fx) of lateral process of talus

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9
Q

Sanders Type 3BC

A

2 fx lines separating posterior facet into lateral/central, medial and sustentacular column

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10
Q

Classification for pilon fractures

A

Ruedi and Allgower

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11
Q

Danis Weber Type A

A

Fibular fx below level of ankle = supination-adduction

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12
Q

Calcaneal fx classifications (3)

A

Rowe, Essex-Lopresti and Sanders

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13
Q

Fortins type 2

A

talar body fx, fx of talar process or tubercle

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14
Q

Sneppin group 5

A

talar body fx, crush, comminuted fx

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15
Q

What is the classification of the lateral tubercle of talus fx (2)?

A

Hawkins, McCrory and Bladen

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16
Q

Rowe 3

A

Oblique body fx of calcaneus not involving STJ-most common extra-articular fx

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17
Q

Berndt and Hardy type 1

A

small area of compression, talar OCD

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18
Q

Sanders type 2a

A

2 part fx, primary fx line is lateral separating the lateral column from the central column

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19
Q

Ruedi and Allgower type 3

A

Pilon fx, fx with comminution, displacement and impaction

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20
Q

Berndt and Hardy type 2

A

talar OCD, partially detached OCD

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21
Q

Talar body fracture classifications (2)

A

Sneppin, Fortins

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22
Q

What is the posterior lateral tubercle of the talus called? What is a fx of this called?

A

Steida’s process, shepards fx

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23
Q

Berndt and Hardy Type 4

A

talar OCD, Displaced

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24
Q

stewart type 4

A

5th met, intra-articular, comminuted tuberosity fx

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25
Q

Talar osteochondral defect (OCD) classification

A

Berndt and Hardy

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26
Q

Hawkins 1

A

talar neck fx, non displaced neck fx w/o subluxation, AVN 0-13%, conservative tx-NWB w/ BK cast x 6-8 wks

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27
Q

Torg type 2

A

5th met stress, delayed union- fx line involves both cortices, periosteal new bone and intramedullary sclerosis, radiolucency related to resportion

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28
Q

McCrory and Bladen Type B

A

Simple large fragment fx of lateral process of talus

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29
Q

Sneppin group 2

A

talar body fx, coronal, sagittal or horizontal shear fx involving entire talar body

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30
Q

Danis Weber type B

A

Fibular fx at the level of the ankle = supination-external rotation = pronation-abduction

31
Q

Classification for 5th met stress fractures

A

Torg

32
Q

Berndt and Hardy Type 3

A

talar OCD, fully detached OCD but remains in crater

33
Q

Rowe 5

A

Joint depression of comminution-calc

34
Q

Torg type 3

A

5th met stress fx, non-union- wide fx line, obliteration of medullary canal by sclerotic bone at fx site

35
Q

Sanders type 3AB

A

2 fx lines separating the posterior facet into lateral, central and medial columns

36
Q

Sanders type 2b

A

2 part fx, primary fx line is central separating central column from medial column

37
Q

Essex-Lopresti

A

intra-articular calc

38
Q

Rowe Classification

A

extra-articular calcaneal fx

39
Q

Sanders Type 4

A

4 part fx, highly comminuted, joint depression, 3 fx lines which separate all of the columns of the posterior facet and sustentaculum

40
Q

Sanders Type 1

A

All non-displaced intra-articular fx are type 1 irrespective of number of fx lines

41
Q

Torg type 1

A

5th met stress, early union- acute fx line with sharp edges, minimal periosteal reaction= jones fx

42
Q

Stewart type 3

A

5th met, extra-articular tuberosity fx

43
Q

What is the Hawkins sign?

A

radiolucency in the talar dome typically seen 6 wks to 3 months post injury, is a good indicator that there is not AVN

44
Q

Lauge-Hanson pronation-external rotation

A

Stage 1: Rupture of deltoid ligament +/or transverse fx of medial malleolus
Stage 2: Disruption of AITFL +/or rupture of IO membrane
Stage 3: Fibular fx proximal to syndesmosis-pathomneumonic
Stage 4: Disruption of PITFL

45
Q

Lauge Hanson Supination-external rotation

A

Stage 1: disruption of AITFL
Stage 2: Spiral fx of fibula at ankle joint-pathomneumonic
Stage 3: Disruption of PITFL
Stage 4: rupture of deltoid ligament, transverse fx of medial malleolus

46
Q

Fortins type 3

A

talar body fx, compression and impaction fx of talar body

47
Q

Hawkins 4

A

talar neck fx, displaced vertical talar fx with subluxation/ dislocation of STJ, ankle and talonavicular, AVN >91%

48
Q

Ruedi and Allgower type 1

A

pilon fx, fx without displacement

49
Q

Rowe 2a

A

Beak fx of calcaneal tuberosity-superior portion of tuberosity

50
Q

Sanders classification

A

intra-articular CT classification of calc fx

51
Q

Hawkins 2

A

talar neck fx, Displaced vertical neck fx w/ STJ subluxation, AVN 20-50%, tx w/ ORIF

52
Q

Sanders type 2c

A

2 part fx, primary fx line is medial separating the medial column from the sustentaculam column

53
Q

Sneppin group 4

A

talar body fx, laterall process fx= snowborder’s fx

54
Q

Sneppin group 1

A

talar body fx, transchondral or compression fx of talar dome

55
Q

Rowe 1c

A

Fx of anterior process of calc-most common type 1 fx

56
Q

Stewart Type 2

A

5th met, Intra-articular tuberosity fx without comminution

57
Q

Rowe 1b

A

Fx of sustentaculum tali

58
Q

Stewart Classification Type 1

A

fx at metaphyseal-diaphyseal junction-classic Jones Fx

59
Q

stewart type 5

A

5th met, fx of epiphysis

60
Q

Hawkins 3

A

talar neck fx, displaced vertical fx with STJ and ankle joint dislocation, talar body tethered around deltoid ligament, AVN 83-100%, tx with ORIF and NWB

61
Q

Rowe 2b

A

Avulsion fx of calc tuberosity-involves achilles

62
Q

Hawkins (lat tubercle) type 3

A

Chip fx of anteroinferior lateral process

63
Q

Sneppin group 3

A

talar body fx, posterior tubercle fx

64
Q

Sanders type 3AC

A

2 fx lines separating posterior facet into lateral, central/medial and sustentacular column

65
Q

Sanders type 2

A

2 part fx of the posterior facet

66
Q

Hawkins (lat tubercle) type 2

A

Comminuted fx

67
Q

What is a fracture of the posterior medial tubercle of the talus called?

A

Cedell fx

68
Q

McCrory and Bladen Type C

A

Comminuted fx of lateral process of talus

69
Q

Rowe 4

A

Body fx calc involving STJ

70
Q

Sanders type 3

A

3 part fx of posterior facet of calc, features a centrally depressed fragment

71
Q

Classification for talar neck fx

A

Hawkins

72
Q

Essex-Lopresti joint depression type fx

A

Shear fx dividing calcaneus into 2 parts-the sustentaculum fragment and tuberosity fragment. The lateral portion of the postioer facet is isolated and impacted into body. LATERAL WALL BLOWOUT. Decrease in height and width of calcaneus

73
Q

Danis Weber type C

A

Fibular fx above level of ankle = pronation-external rotation

74
Q

Hawkins (lat tubercle) type 1

A

Simple 2 part fx

Pod Trauma (2 decks)

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