Articles

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700 results found
Article

Tillaux fracture

Tillaux fractures are Salter-Harris III fractures through the anterolateral aspect of the distal tibial epiphysis, with variable amounts of displacement. Epidemiology It occurs in older children and adolescents when the medial aspect of the distal tibial growth plate has started to fuse. Path...
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Patellar fracture

Patellar fracture is one of the common knee injuries usually post direct trauma to the patella or sudden forceful contraction of the quadriceps muscles in the context of a sports injury. Epidemiology Fractures of the patella represent ~1% of all fractures and are most common in those aged 20-5...
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Pneumomediastinum

Pneumomediastinum is the presence of extraluminal gas within the mediastinum. Gas may originate from the lungs, trachea, central bronchi, esophagus, and peritoneal cavity and track from the mediastinum to the neck or abdomen. Tension pneumomediastinum is potentially fatal. Terminology In the s...
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Subcutaneous emphysema

Subcutaneous emphysema (also known commonly, although less correctly, as surgical emphysema), strictly speaking, refers to gas in the subcutaneous tissues. But the term is generally used to describe any soft tissue emphysema of the body wall or limbs since the gas often dissects into the deeper ...
Article

Tracheobronchial injury

Tracheobronchial injury is a serious but uncommon manifestation of chest trauma. It is usually a fatal injury with only a small percentage of patients making it to hospital. Given the magnitude of force required to injure the major airways, there are often multiple chest and other bodily injurie...
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Greenstick fracture

Greenstick fractures are incomplete fractures of long bones and are usually seen in young children, more commonly less than 10 years of age. They are commonly mid-diaphyseal, affecting the forearm and lower leg. They are distinct from torus fractures. Pathology Mechanism Greenstick fractures ...
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Hill-Sachs defect

Hill-Sachs defects are a posterolateral humeral head depression fracture, resulting from the impaction with the anterior glenoid rim, and indicative of an anterior glenohumeral dislocation. It is often associated with a Bankart lesion of the glenoid. Terminology A Hill-Sachs defect is the term...
Article

Reverse Bennett fracture-dislocation

A reverse Bennett fracture-dislocation is a fracture-dislocation of the base of the 5th metacarpal bone. It is pathologically and radiographically analogous to the Bennett fracture of the thumb. It is quite unstable due to unopposed extensor carpi ulnaris pull on the fracture fragment, which cau...
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Metacarpal fracture

Metacarpal fractures are common accounting for 10% of all fractures and 40% of all hand fractures.  Terminology Specific names are given to fractures of the base of the first metacarpal (see: fractures of the thumb): Bennett fracture dislocation Rolando fracture epibasal thumb fracture gam...
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Avulsion fracture of the 5th metatarsal styloid

Avulsion fractures of the 5th metatarsal styloid, also known as a pseudo-Jones fracture or a dancer fracture, are one of the more common foot avulsion injuries and account for over 90% of fractures of the base of the 5th metatarsal. Terminology Despite what should be a simple entity, controver...
Article

Trapdoor fracture

A trapdoor fracture is a fracture of the orbital floor where the inferiorly displaced blowout fracture recoils back to its original position and potentially entraps contents of the orbit. It is seen in children and young adults due to the elasticity of the orbital floor. These fractures may be s...
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Orbital blow-out fracture

Orbital blow-out fractures occur when there is a fracture of one of the walls of orbit but the orbital rim remains intact. This is typically caused by a direct blow to the central orbit from a fist or ball. Epidemiology The blow-out fracture is the most common type of orbital fracture and is u...
Article

AAST kidney injury scale

The American Association for the Surgery of Trauma (AAST) renal injury scale, most recently updated in 2018, is the most widely used grading system for renal trauma. The 2018 update incorporates "vascular injury" (i.e. pseudoaneurysm, arteriovenous fistula) into the imaging criteria for viscera...
Article

Thoracic aortic injury

Thoracic aortic injury is the most common type of traumatic aortic injury and is a critical life-threatening, and often life-ending event.  Clinical presentation Approximately 80% of patients with thoracic aortic injury die at the scene of the trauma. In those who make it to hospital, clinical...
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Subcapital fracture

Subcapital fracture is the most common type of intracapsular neck of femur fracture. The fracture line extends through the junction of the head and neck of femur. Classification Although many classifications are proposed Garden classification and Pauwel classification are generally followed fr...
Article

McGrigor-Campbell lines

McGrigor-Campbell lines are imaginary lines traced across the face on an occipitomental (Waters) view skull radiograph to assess for fractures of the middle third (especially) of the face 3: first line is traced from one zygomaticofrontal suture to another, across the superior edge of the orbit...
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Olecranon fracture

Olecranon fractures are clinically and radiographically obvious, and usually require open reduction and internal fixation. Mechanism Olecranon fractures occur as the result of one of four mechanisms 2: direct blow (or fall directly on the elbow) fall on outstretched hand with elbow flexed a...
Article

Diffuse axonal injury

Diffuse axonal injury (DAI), also known as traumatic axonal injury (TAI), is a severe form of traumatic brain injury due to shearing forces. It is a potentially difficult diagnosis to make on imaging alone, especially on CT as the finding can be subtle, but it has the potential to result in seve...
Article

Posterior cruciate ligament avulsion fracture

Posterior cruciate ligament (PCL) avulsion fractures are a type of avulsion fracture of the knee that represent the most common isolated PCL lesion. This typically involves the separation of the posterior tibial insertion of the PCL to variable degrees. Pathology These injuries are commonly se...
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Extension teardrop fracture

Extension teardrop fracture typically occurs due to forced extension of the neck with resulting avulsion of the anteroinferior corner of the vertebral body. Extension teardrop fractures are stable in flexion and unstable in extension as the anterior longitudinal ligament is disrupted. Extension ...

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