1.
Chauffer Fracture
What is this fracture called?
Next Slide
Chauffer Fracture
AKA: Hutchinson's Fracture
Oblique fracture of radialstyloid
Originally named for fracturecaused by hand-crank startedautomobiles
Return toIndex
Wagon Wheel Fracture
Radiographics 2004 Patrick Lee, MD,Tim B. Hunter, MD and Mihra Taljanovic, MD
What is this fracture called?
Next Slide
Wagon Wheel Fracture
Separation of distal femoral epiphysisfrom metaphysis of femur in a child(Salter 1)
Old term: derived when children injuredtheir femurs on attempting to hitch aride on a wagon
Leg was caught in spokes of wagonwheel
Return toIndex
Clay Shoveler’s Fracture
What is this fracture called?
Next Slide
Clay Shoveler’s Fracture
Fracture of one or more spinousprocesses, most commonly C7
Injury initially attributed to workersattempting to throw a full shovel of claywhich adhered to shovel causingsudden flexion force on neckmusculature
Return toIndex
Toddler’s Fracture
What is this fracture called?
Next Slide
Toddler’s Fracture
Subtle, non-displacedoblique fracture
Distal tibia
Children - 9 months to 3 yearsof age
Child presents with acute onset of limpor refusal to bear weight on one leg
Hoffa Fracture
What is this fracture called?
Hoffa Fracture
Posterior tangential fracture of one(usually lateral) or both femoralcondyles
Caused by violent direct traumafrequently invisible onthe frontal view
Jones Fracture
What is this fracture called?
Jones Fracture
“True Jones" fracture occurs 1” distalto base of 5th metatarsal
Due to inversion injury to foot, not peroneusbrevis tendon avulsion
Latter are more proximal injuries frequentlymisinterpreted as Jones fractures
Avulsion fractures heal quickly
Jones fxs heal more slowly and mayundergo fibrous union only
Lead Pipe Fracture
What kind of fracture is this?
Lead Pipe Fracture
Skeletally immature
Combination of both greenstick
and buckle fxs
Incomplete transverse greenstick
fx of one cortex and torus fx of
opposite cortex
Hill-Sach’s (Fracture) Deformity
What is this fracture called?
Hill-Sach’s (Fracture) Deformity
Results from anterior dislocation ofhumeral head
Produced when humeral head strikesinferior margin of glenoid
Located on posterolateral aspect of head
97% of shoulder dislocations are anteriorin direction
Bennett’s Fracture
What is this fracture called?
Bennett’s Fracture
Non-comminuted, intra-articular fractureof base of 1st metacarpal
Fracture must involve 1st carpometacarpaljoint
Abductor pollicis longus causesdistraction of fracture fragments
Volar base of 1st metacarpal stays withtrapezium
Tillaux Fracture
What is this fracture called?
Tillaux Fracture
Anterior tibiofibular ligament avulsessmall portion of tibial epiphysis
Consists of avulsion of anterior lateralmargin of distal tibia
Caused by twisting injury
Salter 3 fx
Cotton’s Fracture
What is this fracture called?
Cotton’s Fracture
A trimalleolar fracture of ankle withfractures of both malleoli and posteriorlip of tibia
Segond Fracture
What is this fracture called?
Segond Fracture
Avulsion fracture of lateral tibial plateauat site of attachment of lateral capsularligament
Frequently associated with tears ofanterior cruciate ligament (70 %) orMCL or menisci
Aviator’s Fracture
R3
What is this fracture called?
Aviator’s Fracture
Fracture of neck of talus
Common fractures in aviationaccidents caused by rudderbar being driven into footduring plane crash
Now mostly caused by brakepedal in car
Hangman’s Fracture
What is this fracture called?
Hangman’s Fracture
Most common fx of C2 and C-spine
Hyperextension/compression fx
Fractures through the pedicles of C2with anterolisthesis of C2 on C3
Not associated with neurologic deficit
Teardrop fracture of inferior aspect ofC2 or C3 is clue to dx of Hangman’s fx
Malgaigne Fracture
R3
R3
What is this fracture called?
Malgaigne Fracture
Most common unstable pelvic fracture(14% of all pelvic fxs)
Vertical shearing involves anterior &posterior arches
Most commonly through pubic rami andsacrum
Duverny Fracture
R3
What is this fracture called?
Duverny Fracture
Stable pelvic fracture
Consists of isolated fracture ofone iliac wing
Pelvic ring remains intact
Patient at risk for hemorrhage fromthe internal iliac arteries
Caused by side impact in MVC
Colles Fracture
What is this fracture called?
Colles Fracture
Transverse fracture of distal radialmetaphysis proximal to joint with dorsaldisplacement and angulation of distalfragment
Results from fall on outstretched hand
Ulnar styloid is commonly fractured
Chance Fracture
What is this fracture called?
Chance Fracture
Seat belt fracture
Horizontal fracture through spinousprocess with little or no compression ofvertebral body
May be associated with horizontal fracturethrough vertebral body
Cause is flexion of trunk over an objectthat serves as fulcrum, such as seatbelt
Smith Fracture
What is this fracture called?
Smith Fracture
Also called reverse Colles fracture
Transverse fracture of distal radialmetaphysis with palmar displacementof distal fracture fragment
If intra-articular, called reverse Bartonfracture
Results from backward fall ontooutstretched hand
Chopart’s Fracture
What is this fracture called?
Chopart’s Fracture
Fracture dislocation involving themidtarsal joints in which there issuperior dislocation of the navicularand cuboid bones on the talus andcalcaneus
Site of amputation
Requires great force(or Charcot joint)
Galeazzi Fracture
What is this fracture called?
Galeazzi Fracture
Fracture of shaft of radiusassociated with dislocation ofdistal radioulnar joint
Reverse Monteggia fracture
Caused by fall on an outstretchedhand or from direct trauma todorsal aspect of wrist
Mallet Finger
What is this deformity called?
Mallet Finger
Baseball finger (a.k.a. Mallet Finger)describes a flexion deformity of distalinterphalangeal joint caused byextensor digitorum tendon separationfrom distal phalanx
Caused by a baseballhitting tip of finger
Bumper Fracture
What is this fracture called?
Bumper Fracture
Valgus injury may result incompression fracture of lateral tibialplateau
May be associated with fracture of neckof fibula
Accompanying disruption of medialcollateral ligament likely
Dashboard Fracture
What is this fracture called?
Dashboard Fracture
Fracture of posterior rim ofacetabulum
Passenger strikes dashboard with knee,transmitting force through femur
Head of femur driven against posterior rimof acetabulum
Essex Lopresti Fracture
What is this fracture called?
Essex Lopresti Fracture
Comminuted fracture of head of radius,associated with dislocation of distal ulnarjoint
Mechanism: fall from height
Like Galeazzi fx but radial fx is comminutedand involves head
Skier’s Thumb
What is this fracture called?
Skier’s Thumb
Chronic injury to UCL of thumb firstseen in gamekeepers in Scotland
Injury involves ulnar collateral ligamentof MCP joint of thumb
Acute injury now more common-called"skier's thumb”- fall on handcaught in pole strap
Straddle Fracture
What is this fracture called?
Straddle Fracture
Bilateral fractures of all pubic rami
Fracture fragments are usually elevated
Associated with urethral and bladderinjuries in 20%
Chisel Fracture
What is this fracture called?
Chisel Fracture
Incomplete fracture of head of radius
Fracture line extends distally fromcenter of articular surface, approximatelyone-half inch
In adults, most common fracture of elbowinvolves either head or neck of the radius
Oblique views often required to visualizesubtle fractures of radial head and neck
Lisfranc Fracture
R3
R3
What is this fracture called?
Lisfranc Fracture
•Divergent dislocation consists of lateraldislocation of metatarsals 2-5 andmedial dislocation of 1st metatarsal
Segond Fracture
R3
What is this fracture called (repeat)?
Segond Fracture
Avulsion fracture of lateral tibial plateauat site of attachment of lateral capsularligament
Frequently associated with tears ofanterior cruciate ligament(70 %) or menisci
Jefferson Fracture
What is this fracture called?
Jefferson Fracture
Burst fracture
Caused by compressive force
Bilateral breaks in anterior andposterior arches
Open mouth view =bilateral offset of C1 on C2
Not associated with neurologic deficit
Maisonneuve Fracture
What is this fracture called?
Maisonneuve Fracture
Typically, fracture of medial malleoluswith disruption of tibiofibularsyndesmosis
Results in fracture of proximal third offibula
Maisonneuve fracture results from anankle eversion injury
Bankart Fracture
What is this fracture called?
Bankart Fracture
Fracture of inferior rim of glenoidcaused by posterolateral margin ofhumeral head impacting glenoid whiledislocating anteriorly
Requires onlyone dislocation
March Fracture
What is this fracture called?
March Fracture
Stress fracture of the shaft of either the2nd or 3rd metatarsal
Frequently negative x-ray at first
Positive bone scan
Boxer’s Fracture
What is this fracture called?
Boxer’s Fracture
Transverse fracture of head of 5thmetacarpal
Palmar angulation
Incurred when punching
Reverse (Volar) Barton’s Fracture
What is this fracture called?
Reverse Barton’s Fracture
Reverse Barton fracture involves volarrim of radius while conventional Bartonfracture involves dorsal rim
Must be intra-articular
Similar in appearance toSmith fracture
Smith fracture is not intra-articular
Fracture is caused by direct trauma
Nightstick Fracture
What is this fracture called?
Nightstick Fracture
Transverse fracture of the midshaft ofulna
Named because injury results fromattempt to blockdownward blow of anightstick with raisedforearm
Rolando Fracture
What is this fracture called?
Rolando Fracture
Comminuted intra-articular fracture-dislocation of base of first metacarpal
Comminuted distinguishes it from non-comminuted Bennett fracture
Usually three mainfracture fragments
Lisfranc Fracture
What is this fracture called (repeat)?
Lisfranc Fracture
Most common dislocation in foot,consisting of dorsal dislocation oftarsometatarsal joints
Homolateral dislocation consists of lateraldislocation of metatarsals 1-5 or 2-5
Injury due to severe plantarflexion of footwith folding of midfoot upon forefoot
Can be seen in parachute jumpers
Monteggia Fracture
What are these fractures called?
Monteggia Fracture
Proximal ulnar fracture with anteriordislocation of radial head
Due to forceful pronation injury offorearm
“Reversed" Monteggia fracture-dislocation injuries=posteriorangulation of ulnar fracture site andposterior dislocation of radial head
Pott’s Fracture
What is this fracture called?
Pott’s Fracture
Fx of lower end of fibula and medialmalleolus of tibia
Caused by outward and backwarddisplacement of leg while foot fixed
Sir Percival Pott experienced thiscompound fracture in 1756 and in 1769gave classical description of it
Trough Sign (Fracture)
What is this sign called?
Trough Sign (Fracture)
Fracture of anteromedial aspect of thehumeral head
Produced when humeralhead impactsposterior glenoid duringposterior dislocation of shoulder
Barton’s Fracture
What is this fracture called?
Barton’s Fracture
Intra-articular fracture of dorsal marginof distal radius
Fracture line is oblique and extends tothe radiocarpal joint
Fracture results from fall onoutstretched hand
Nursemaid’s Elbow
Radiographics 2004 Patrick Lee, MD,Tim B. Hunter, MD and Mihra Taljanovic, MD
What is this dislocation called?
Nursemaid’s Elbow
Dislocation of the radial head causedby forceful pull on the forearm
Line parallel to the long-axis of theshaft of the radius should alwaysintersect the capitellum
Burst Fracture
What kind of fracture is this?
Burst Fracture
Axial loading most often secondary tomotor vehicle accidents and falls
Retropulsed fragment
Frequently associated with
neurological deficit
The End
