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Orthopaedic Wiki

Evans/Jensen — Intertrochanteric Femur

Stable: intact posteromedial buttress; Unstable: posteromedial comminution, reverse obliquity, subtrochanteric extension. Stable → DHS; Unstable → cephalomedullary nail/fixed-angle...

Trauma | 👁 3 | 2 weeks ago

Seinsheimer Classification — Subtrochanteric Femur

Types I–V: nondisplaced to highly comminuted/segmental by number/configuration of fragments. Most require IM nailing; higher types have longer healing and alignment challenges.

Trauma | 👁 3 | 2 weeks ago

Pipkin Classification — Femoral Head

I: inferior to fovea (non–weight-bearing); II: superior to fovea (weight-bearing). III: I/II with femoral neck fracture; IV: I/II with acetabular fracture. II–IV worse prognosis; u...

Trauma | 👁 4 | 2 weeks ago

Winquist–Hansen — Femoral Shaft Comminution

0: none; I: small butterfly; II: larger butterfly with ≥50% cortical contact. III:

Trauma | 👁 2 | 2 weeks ago

Frykman Classification — Distal Radius

Types I–VIII: extra- vs intra-articular, DRUJ involvement, and ulnar styloid fracture. Intra-articular (III–VIII) have higher arthritis risk; often require ORIF.

Trauma | 👁 4 | 2 weeks ago

Herbert Classification — Scaphoid

A: acute stable (A1 tubercle, A2 nondisplaced waist). B: acute unstable (B1 distal oblique, B2 displaced waist, B3 proximal pole, B4 comminuted, B5 perilunate). C: delayed union; D...

Trauma | 👁 4 | 2 weeks ago

Garden Classification — Femoral Neck (Intracapsular)

I: incomplete/valgus impacted; II: complete, nondisplaced. III: complete, partially displaced (varus); IV: complete, fully displaced. I–II stable → fixation; III–IV unstable → arth...

Trauma | 👁 3 | 2 weeks ago

Radial Head & Neck Fractures (Adults & Paediatrics)

Radial head and neck fractures are common elbow injuries caused most often by a fall on an outstretched hand that transmits axial force through the forearm to the elbow. In adults,...

Trauma | 👁 22 | 2 weeks ago

Mayo Classification — Olecranon Fractures

Type I: nondisplaced (A noncomminuted / B comminuted). Type II: displaced but stable (A/B). Type III: displaced and unstable (A/B). Type I conservative; II–III usually require fixa...

Trauma | 👁 6 | 2 weeks ago

Regan–Morrey Classification — Coronoid Fractures

I: tip avulsion; II: 50% height. II–III indicate elbow instability, commonly part of terrible triad → fixation required.

Trauma | 👁 6 | 2 weeks ago

Bado Classification — Monteggia Fracture-Dislocations

I: anterior radial head dislocation (ulna angulated anterior). II: posterior; III: lateral; IV: both bones fractured with radial head dislocation. ORIF ulna restores radial head re...

Trauma | 👁 5 | 2 weeks ago

Galeazzi Injury — Distal Radius + DRUJ Disruption

Distal radial shaft fracture with distal radioulnar joint (DRUJ) disruption. Unstable pattern: ORIF radius and stabilize DRUJ.

Trauma | 👁 4 | 2 weeks ago