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by the.bonestories

Category: Trauma

Young–Burgess — Pelvic Ring Mechanism
👁 3 views

APC I–III: progressive symphysis/SI disruption (III complete). LC I–III: sacral compression → crescent fx → windswept (bilateral). VS: vertical shear;...

Denis Classification — Sacral Fractures (Zones)
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Zone 1: lateral to foramina (alar) — low neuro risk. Zone 2: through foramina — higher L5/S1 root risk. Zone 3: medial to foramina (central canal) — h...

Judet–Letournel — Acetabular Fractures
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Elementary: posterior wall/column, anterior wall/column, transverse. Associated: posterior column+wall, transverse+posterior wall, T-shaped, anterior...

Sanders CT Classification — Calcaneus
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I: nondisplaced posterior facet; II: two-part; III: three-part; IV: comminuted (>3 parts). Type correlates with outcome; II–III often ORIF; IV has poo...

Hawkins Classification — Talar Neck
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I: no dislocation; II: subtalar dislocation; III: subtalar + tibiotalar; IV: plus talonavicular. AVN risk escalates I→IV; displaced types require urge...

Hardcastle–Myerson — Lisfranc Injuries
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A: total incongruity; B1: medial partial; B2: lateral partial; C1: divergent partial; C2: divergent complete. Any >2 mm displacement typically require...

5th Metatarsal Base — Zones (Pseudo-Jones/Jones/Stress)
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Zone I: tuberosity avulsion (pseudo-Jones) — usually heals conservatively. Zone II: Jones fracture at metaphyseal–diaphyseal junction — watershed area...

Tile Classification — Pelvic Ring Stability
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A: stable (posterior arch intact). B: rotationally unstable, vertically stable (open-book APC or LC injuries). C: rotationally + vertically unstable (...

Patella — Pattern-Based (AO/OTA 34)
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Transverse, comminuted (stellate), polar avulsion, vertical; AO: 34-A extra-articular pole, 34-C transverse/comminuted. Displacement/extensor disrupti...

AO/OTA 42 — Tibial Shaft + Oestern–Tscherne & Gustilo
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AO: 42-A simple, 42-B wedge, 42-C complex/segmental. Closed soft tissues graded by Oestern–Tscherne; open injuries by Gustilo (I–IIIC). Guides fixatio...