Fracture non-union

Changed by Henry Knipe, 19 Apr 2020

Updates to Article Attributes

Body was changed:

Fracture non-union describes the failure of the normal fracture healing processes. Solid bone healing will not occur without further treatment intervention.

Pathology

There is no consensus definition in the radiology or orthopedic literature, however, FDA (USA) defines it as a fracture with a minimum of at least nine months since the initial injury with no signs of healing for the final three months1.

Radiographic features

There are different types of fracture non-union with various imaging characteristics:

  • hypertrophic: abundant callus formation; radiolucent line (unmineralized fibrocartilage) at the nonunion site
  • oligotrophic: little or no callus formation; diastasis at the fracture site
  • atrophic: bony surfaces partially resorbed; no callus formation; osteopenia; sclerotic avascular bone segments; segmental bone loss
  • infected: osteolysis; osteopenia; sclerotic avascular bone segments; segmental bone loss
  • synovial pseudarthrosis: variable appearance (hypertrophic, oligotrophic, or atrophic)
Specific sitesLocation

See also

  • -<p><strong>Fracture non-union</strong> describes the failure of the normal fracture healing processes. Solid healing will not occur without further treatment intervention.</p><p>There is no consensus in the radiology or orthopedic literature, however, FDA defines it as a fracture with a minimum of at least nine months since the initial injury with no signs of healing for the final three months.</p><p>There are different types of fracture non-union with various imaging characteristics:</p><ul>
  • +<p><strong>Fracture non-union</strong> describes the failure of normal <a title="Fracture" href="/articles/fracture-1">fracture</a> healing processes. Solid bone healing will not occur without further treatment intervention.</p><h4>Pathology</h4><p>There is no consensus definition in the radiology or orthopedic literature, however, FDA (USA) defines it as a fracture with a minimum of at least nine months since the initial injury with no signs of healing for the final three months <sup>1</sup>.</p><h4>Radiographic features</h4><p>There are different types of fracture non-union with various imaging characteristics:</p><ul>
  • -</ul><h5>Specific sites</h5><ul>
  • -<li><a title="Scaphoid non-union" href="/articles/scaphoid-non-union-2">scaphoid non-union</a></li>
  • -<li><a title="sternal non-union" href="/articles/sternal-non-union">sternal non-union</a></li>
  • -</ul><h4>See also</h4><ul><li><a title="mal-union" href="/articles/mal-union">mal-union</a></li></ul><p> </p>
  • +</ul><h5>Location</h5><ul>
  • +<li><a href="/articles/scaphoid-non-union-2">scaphoid non-union</a></li>
  • +<li><a href="/articles/sternal-non-union">sternal non-union</a></li>
  • +</ul><h4>See also</h4><ul><li><a title="fracture malunion" href="/articles/fracture-malunion">fracture malunion</a></li></ul>

Tags changed:

  • cases
  • refs

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