Salter Harris II fracture

• Salter Harris II fractures

are by far the most

common accounting for

approximately 75-80%

of physeal fractures. The

line traverses part of

the physis and a

corner of the

metaphysis. The

metaphyseal fragment

is sometimes referred to

as the Thurston Holland

fragment. Common sites

for Salter - Harris II

fractures include: the

distal radius, femur

and tibia

SalterHarris IV

fracture (a) radiograph and (b) coronal CT. There is

an oblique fracture passing through both the epiphysis and the

metaphysis with medial displacement

Clavicle - fracture

Dorsal Barton's Fracture / Dorsal Shearing Frx

    - distal radius fracture w/ dislocation of radiocarpal joint;
    - most common frx dislocation of the wrist joint

Bennett's Fracture Dislocation

-    - most frequent of all thumb frx;
    - described in 1882 by Dr. Edward Bennet;
    - it is a frx dislocation, intra-articular frx at base of carpometacarpal joint of the thumb;
- mechanism of frx:
- results from axial blow directed against the partially flexed metacarpal; (ie. from fist fights)

Colles’ fra

cture

•

A transverse that
extends from the
volar to the dorsal
surface of the distal
end of the radius.
This injury is
accompanied by
impaction and
displacement of the
dorsal radial surface

Monteggia fr

acture

• a fracture of the

proximal third of
the ulnar shaft in
conjunction with
radial head
dislocation and
tearing of the
annular ligament

Monteggia fracture -

dislocation

• A combined fracture of the ulna and

dislocation of the radial head.

• Type I: fracture of the middle or upper

third of the ulna with anterior dislocation

of the radial head and anterior angulation

of the ulna

• Type II: fracture of the middle or upper

third of the ulna with posterior dislocation

of the radial head and posterior angulation

of the ulna

• Type III: fracture of the ulna just distal to

the coronoid process with lateral

dislocation of the radial head

• Type IV: fracture of the upper or middle

third of the ulna with anterior dislocation

of the radial head and fracture of the upper

third of the radius below the bicipital

tuberosity.

• Type I injuries occur most frequently

Supracondylar fracture

• a transverse

metaphyseal
fracture of the distal
humerus

• the commonest

elbow fracture in
childhood

Smith’s fracture

• a fracture of the

distal portion of
the radius with
palmar
displacement.

• This type of injury

is also termed a
reverse Colles
fracture or reverse
Bartons fracture.

Elbow dislocation

• usually involves

displacement of
the proximal
radius and ulna
articulation from
the humerus
without disruption
of the radioulnar
articulation

Total knee replacement

ORIF

Hemi

THR

-Total hip

replacement

FEMORAL NECK

FRACTURES

TREATMENT

Cruciate ligaments

Diagnostic Imaging

Diagnostic Testing

Normal MRI

Torn PCL

Greenstick fractures

Calcaneus fracture