How are epiphyseal fractures classified?
The Salter-Harris system classifies growth plate fractures into five groups: type I, fracture through the growth plate; type II, fracture through the growth plate and metaphysis; type III, fracture through the growth plate and epiphysis; type IV, fracture through the growth plate, epiphysis and metaphysis, and type V.
What is a Weber type B fracture?
Weber B fractures occur at the level of the tibiofibular ligaments, just above the talar dome, and happen primarily through a mechanism of ankle supination and external rotation (SER).
What is a Weber type a fracture?
A Weber A is a simple fracture to the bottom part of the fibula (bone on the outer part of your leg). Fortunately, your fracture is minor and does not require an operation or plaster cast to treat it successfully. You will be given a special ankle support, which can be worn over your socks.
What is a Weber type C fracture?
Type C. Fracture of the fibula proximal to the syndesmosis. Typical features: above the level of the ankle joint. tibiofibular syndesmosis disrupted with widening of the distal tibiofibular articulation.
What is Type 2 fracture?
Type 2. This fracture occurs when the growth plate is hit and splits away from the joint along with a small piece of the bone shaft. This is the most common type and happens most often in children over 10. About 75 percent of Salter-Harris fractures are type 2.
How do you classify a fracture?
Types of Fractures
- Stable fracture. The broken ends of the bone line up and are barely out of place.
- Open (compound) fracture. The skin may be pierced by the bone or by a blow that breaks the skin at the time of the fracture.
- Transverse fracture.
- Oblique fracture.
- Comminuted fracture.
Can you walk on a Weber B fracture?
You may walk on the foot as comfort allows. You will find it easier to walk with crutches in the early stages. Follow up: There is a small chance that this type of fracture may displace (move).
What does a distal fibular fracture mean?
Distal fibula fractures are the most common type at the ankle and are usually the result of an inversion injury with or without rotation. They are the extension of a lateral collateral ligament injury.
Is a Weber C fracture serious?
Weber C: This fracture is above the ankle joint and there may be an additional fracture on the inside of your ankle. This fracture is not stable and will need surgery.
What is a Salter II fracture?
Salter-Harris type II fractures are the most common type of physeal fractures that occur in children. There is a fracture that extends through the physis and into a portion of the metaphysis. A triangular metaphyseal fragment, otherwise known as the Thurston Holland fragment, will be left intact.
What is open fracture type I or II?
They categorized open injuries into the familiar three categories, based on wound size, level of contamination, and osseous injury, as follows: Type I = an open fracture with a wound less than 1 cm long and clean; Type II = an open fracture with a laceration greater than 1 cm long without extensive soft tissue damage.
How are fractures classified in the distal fibula?
Classification of distal fibula fractures attempts to split fractures into groups by severity. The commonest classification is the Weber classification that uses the position of the fracture relative to the syndesmosis to group fractures: Weber A: below the syndesmosis (stable) Weber B: at the syndesmosis (may be unstable)
How are fractures of the tibia and fibular epiphysis related?
Fractures of the fibular epiphysis only are produced by a mechanism similar to that of the fractures occurring in abduction. They have been considered separately, however, since an entirely different epiphysis is involved in many instances. However, fracture of the fibular epiphysis often accompanies that of the distal tibiaI epiphysis.
When to go to fracture clinic for fibula fracture?
Isolated distal fibula physeal fractures should be followed up in fracture clinic in 7-10 days with repeat x-ray. For undisplaced distal tibial physeal fractures, follow-up in fracture clinic should occur within 7 days with a repeat x-ray.
When to see a fracture specialist for a distal tibia?
For undisplaced distal tibial physeal fractures, follow-up in fracture clinic should occur within 7 days with a repeat x-ray. For displaced distal tibia physeal fractures managed with closed reduction and immobilisation should be reviewed in fracture clinic within 5 days.