Orthonotes
Orthonotes
by the.bonestories
v4.1 Fusion X
v4.1 Fusion X

Category: Trauma

Tillaux (SH-III) & Triplane (SH-IV) — Distal Tibial Transitional Fractures
👁 193 views

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

Bado Classification (Paediatric) — Monteggia & Equivalents
👁 215 views

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

Gartland Classification — Supracondylar Humerus (Extension Type)
👁 221 views

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

Milch / Jakob–Weiss — Lateral Condyle Humerus Fractures
👁 307 views

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

O’Brien / Metaizeau — Paediatric Radial Neck Fractures
👁 287 views

O’Brien Angulation: I (60°). Displacement/translation also matters; >3 mm or severe angulation predicts need for reduction/fixation. Metaizeau (elasti...

Delbet–Colonna Classification — Paediatric Femoral Neck Fractures
👁 307 views

Type I: Transepiphyseal (with/without dislocation) — highest AVN risk. Type II: Transcervical (through the neck). Type III: Cervicotrochanteric (basic...

Meyers–McKeever (± Zaricznyj) — Tibial Spine (ACL Avulsion)
👁 559 views

Type I: Minimally displaced avulsion. Type II: Hinge of posterior fibers intact (anterior lift) — may reduce closed; fixation if interposed tissue. Ty...

Tscherne–Oestern — Closed Fracture Soft-Tissue Injury
👁 322 views

Grade 0: minimal; 1: superficial abrasions/contusions; 2: deep contaminated abrasions, muscle contusion; 3: extensive crush, compartment risk. Higher...

Terrible Triad of the Elbow — Pattern (Not Graded)
👁 316 views

Posterior elbow dislocation + radial head fracture + coronoid tip fracture. Requires concentric reduction, radial head fixation/replacement, coronoid/...

Hertel Predictors — Proximal Humerus Ischemia
👁 701 views

Medial hinge disruption >2 mm, anatomic neck fracture, head-splitting → high AVN risk. Assists decision towards arthroplasty in ischemic patterns.