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Fracture classification and description

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Abstract

Classification of fractures is useful for a variety of reasons. Accurate description of a fracture enables surgeons to plan and discuss methods of treatment and prognosis, and allows more effective comparison of outcomes. The chapter looks at different methods of fracture description.

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/content/chapter/10.22233/9781910443279.chap2

Figures

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2.1 (a) Mediolateral and (b) caudocranial radiographs of the tibia of a 6-year-old crossbred dog which sustained a spontaneous tibial fracture whilst walking. A highly comminuted transverse fracture of the proximal tibial diaphysis and a marginally oblique fracture of the fibula are observed. The high-energy appearance of the fracture, its unusual location and lysis of the distal tibial fracture fragment adjacent to the fracture site with coarsened trabecular pattern are consistent with a pre-existing neoplastic process producing a pathological fracture. (Courtesy of D Clements)
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2.2 A mediolateral radiograph of the tibia of a 2-year-old Border Collie with a segmental tibial fracture, comprising a comminuted transverse proximal tibial diaphyseal fracture just below the metaphysis and a marginally oblique, overriding fracture of the distal third of the diaphysis. (Courtesy of D Clements)
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2.3 The Salter–Harris classification of growth plate fractures. Drawn by S.J. Elmhurst BA Hons (www.livingart.org.uk) and Vicki Martin Design, Cambridge, UK and reproduced with their permission.
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2.5 The Prieur classification system: location of bone zones. Drawn by Vicki Martin Design, Cambridge, UK and reproduced with her permission.
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2.6 Examples of femoral fractures and their numerical identification using the Prieur classification system. Drawn by Vicki Martin Design, Cambridge, UK and reproduced with her permission.

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