Orthonotes
Orthonotes
by the.bonestories
v3.0 Fusion
v3.0 Fusion

Category: Trauma

Compartment Syndrome β€” Diagnosis and Management
πŸ‘ 40 views

Raised intracompartmental pressure β†’ ischemia/necrosis. Causes: tibia/forearm fractures, crush injury, reperfusion, tight casts. Early signs: pain out...

Polytrauma β€” Damage Control vs Early Total Care
πŸ‘ 27 views

ETC: definitive fixation within 24 h for stable patients. DCO: temporary stabilization in unstable patients; definitive fixation after stabilization....

Mangled Extremity Severity Score (MESS)
πŸ‘ 32 views

Score based on skeletal/soft tissue injury, ischemia, shock, age. Ischemia >6 h doubles points. MESS β‰₯7 β†’ amputation likely. Adjunct tool; not absolut...

Peripheral Nerve Injury β€” Sunderland Classification
πŸ‘ 37 views

Seddon: neuropraxia, axonotmesis, neurotmesis; Sunderland expands to 5 degrees based on structural disruption. Degree I: conduction block; II: axonal...

Buckle (Torus) & Plastic Bowing β€” Paediatric Forearm Patterns
πŸ‘ 25 views

Buckle/Torus: Compression failure of cortex (metaphyseal) β€” stable; treat with short immobilization/splint. Plastic Bowing: Microfracture without disc...

Medial Clavicle Physeal Injury (Pseudodislocation) β€” Pattern
πŸ‘ 22 views

Physeal separation of medial clavicle mimics SCJ dislocation β€” the physis is weaker than ligaments in children. Posterior displacement threatens media...

Tillaux (SH-III) & Triplane (SH-IV) β€” Distal Tibial Transitional Fractures
πŸ‘ 26 views

Tillaux: Anterolateral epiphyseal avulsion (SH-III) during asymmetric physeal closure β€” intra-articular; >2 mm step needs fixation. Triplane: Multi-pl...

Bado Classification (Paediatric) β€” Monteggia & Equivalents
πŸ‘ 40 views

Type I: Anterior radial head dislocation with anterior angulated ulnar fracture β€” most common in children. Type II: Posterior/posterolateral dislocati...

Gartland Classification β€” Supracondylar Humerus (Extension Type)
πŸ‘ 27 views

Type I: Nondisplaced β€” anterior humeral line intersects capitellum; treat in long arm cast. Type II: Displaced with posterior cortex intact (hinge) β€”...

Milch / Jakob–Weiss β€” Lateral Condyle Humerus Fractures
πŸ‘ 19 views

Milch Type I: Fracture line lateral to trochlear groove (through capitellum–trochlear junction) β€” more stable. Milch Type II: Fracture line extends in...