This tag is associated with 11 posts

Thoracic Spine Burst Fracture

History: hit by car while riding bike A burst fracture is a type of traumatic spinal injury in which a vertebra breaks from a high-energy axial load (e.g., car accidents or falls from a great height or high speed, and some kinds of seizures), with shards of vertebra penetrating surrounding tissues and sometimes the spinal … Continue reading

Malleolar Fractures

History: Middle aged male with ankle pain.  Malleolar fractures are classified mainly by two classification systems, the Weber system and the Lauge-Hansen system. There are three main types of Weber fractures (A,B, and C). The Lauge-Hansen system is much more complex and divides the fractures into their mechanisms, including supination/adduction, supination/external rotation, pronation/abduction, and pronation/external … Continue reading

Subtrochanteric Femur Fracture

History: middle aged male with trauma.  This is a subtrochanteric fracture of the femur. The above image is a 3D reconstruction from the raw data of a CT of the abdomen and pelvis, such that the patient did not have to undergo additional scanning and radiation exposure to get this image of the femur. See … Continue reading

Humerus Shaft Fracture – Holstein Lewis Fracture

History: Child with left arm pain.  This is a left humeral diaphysis or humerus shaft fracture. In fractures of the humerus shaft it is imperative to assess for radial nerve injury. The radial nerve courses along the spiral groove of the humerus and can be damaged with humeral shaft fractures. This humeral shaft fracture has … Continue reading

Pediatric Femur Fracture

History: 2 year old child refusing to bear weight. This is a fracture of the right femoral diaphysis in a two year old patient. These usually heal very well, but it is important to monitor the child for blood loss and compartment syndrome because of the possibility of adjacent vascular injury to the femoral artery.

Solution to Unknown Case #25 – Bennett Fracture

History: 30 year old male with thumb pain.  This is the appearance of a Bennett Fracture, which is an oblique intraarticular fracture through the base of the first metacarpal with extension into the first metacarpophalangeal joint. Bennett fractures classically result in a volar lip fragment with a triangular shape. It is important to get the … Continue reading

Solution to Unknown Case # 12 – Avulsion Fracture of the Anterior Superior Iliac Spine

History: Adolescent with hip pain.  This is an avulsion fracture of the left anterior superior iliac spine, which is due to the sartorius muscle pulling off a fragment of bone at the apophysis, which is a growth center at the tendon attachment to bone. Other common areas of seeing avulsion fractures in pediatric patients include … Continue reading

Solution to Unknown Case # 10 – Boxer’s Fracture

History: Adolescent boy with hand pain.  This is called a boxer fracture, which is a transverse fracture through the fifth metacarpal neck. Only the collateral ligaments remain attached, and therefore the typical finding is volar angulation (or dorsal apex angulation) of the metacarpal head. Boxer’s Fracture Causes Boxer’s fractures received their name from one of … Continue reading

Both Bone Forearm Fracture

History: 10 year old male status post fall.  This is the appearance of a both bone forearm fracture in the pediatric patient. The most common mechanism is fall on an outstretched hand, sometimes referred to as FOOSH; however, this mechanism of injury typically causes other types of distal forearm fractures such as a Colles fracture or … Continue reading

Toddler Fracture

History: 16 month old female refusing to bear weight.  This is the appearance of a Toddler fracture. A toddler fracture is a stress type fracture which is typically seen in young children around the age they begin to walk (hence the term “Toddler” fracture). They are nondisplaced spiral tibial shaft fractures. They have been termed … Continue reading