Chauffeur's Fracture
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Chauffeur's Fracture
Chauffeur's fracture, also known as Hutchinson fracture, is a type of oblique fracture of the radial styloid process in the forearm. The injury is typically caused by compression of the scaphoid bone of the hand against the styloid process of the distal radius. It can be caused by falling onto an outstretched hand. Treatment is often open reduction and internal fixation, which is surgical realignment of the bone fragments and fixation with pins, screws, or plates. __TOC__ History Jonathan Hutchinson first described Chauffeur's fracture in 1866. The term "Chauffeur's fracture" originated from Just Lucas-Championnière in 1904. The name originates from early chauffeurs, who sustained these injuries when the car A car or automobile is a motor vehicle with wheels. Most definitions of ''cars'' say that they run primarily on roads, seat one to eight people, have four wheels, and mainly transport people instead of goods. The year 1886 is regarded as ... back-fired while th ...
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Fracture
Fracture is the separation of an object or material into two or more pieces under the action of stress. The fracture of a solid usually occurs due to the development of certain displacement discontinuity surfaces within the solid. If a displacement develops perpendicular to the surface, it is called a normal tensile crack or simply a crack; if a displacement develops tangentially, it is called a shear crack, slip band or dislocation. Brittle fractures occur with no apparent deformation before fracture. Ductile fractures occur after visible deformation. Fracture strength, or breaking strength, is the stress when a specimen fails or fractures. The detailed understanding of how a fracture occurs and develops in materials is the object of fracture mechanics. Strength Fracture strength, also known as breaking strength, is the stress at which a specimen fails via fracture. This is usually determined for a given specimen by a tensile test, which charts the stress–strain cu ...
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Radial Styloid Process
The radial styloid process is a projection of bone on the lateral surface of the distal radius bone. Structure The radial styloid process is found on the lateral surface of the distal radius bone. It extends obliquely downward into a strong, conical projection. The tendon of the brachioradialis attaches at its base. The radial collateral ligament of the wrist attaches at its apex. The lateral surface is marked by a flat groove for the tendons of the abductor pollicis longus and extensor pollicis brevis. Clinical significance Breakage of the radius at the radial styloid is known as a Chauffeur's fracture; it is typically caused by compression of the scaphoid bone of the hand against the styloid. De Quervain syndrome causes pain over the styloid process of the radius. This is due to the passage of the inflamed extensor pollicis brevis tendon and abductor pollicis longus tendon around it. The styloid process of the radius is a useful landmark during arthroscopic resection o ...
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Forearm
The forearm is the region of the upper limb between the elbow and the wrist. The term forearm is used in anatomy to distinguish it from the arm, a word which is most often used to describe the entire appendage of the upper limb, but which in anatomy, technically, means only the region of the upper arm, whereas the lower "arm" is called the forearm. It is homologous to the region of the leg that lies between the knee and the ankle joints, the crus. The forearm contains two long bones, the radius and the ulna, forming the two radioulnar joints. The interosseous membrane connects these bones. Ultimately, the forearm is covered by skin, the anterior surface usually being less hairy than the posterior surface. The forearm contains many muscles, including the flexors and extensors of the wrist, flexors and extensors of the digits, a flexor of the elbow (brachioradialis), and pronators and supinators that turn the hand to face down or upwards, respectively. In cross-section, the for ...
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Scaphoid
The scaphoid bone is one of the carpal bones of the wrist. It is situated between the hand and forearm on the thumb side of the wrist (also called the lateral or radial side). It forms the radial border of the carpal tunnel. The scaphoid bone is the largest bone of the proximal row of wrist bones, its long axis being from above downward, lateralward, and forward. It is approximately the size and shape of a medium cashew. Structure The scaphoid is situated between the proximal and distal rows of carpal bones. It is located on the radial side of the wrist, and articulates with the radius, lunate, trapezoid, trapezium, and capitate. Over 80% of the bone is covered in articular cartilage. Bone The palmar surface of the scaphoid is concave, and forming a distal tubercle, giving attachment to the transverse carpal ligament. The proximal surface is triangular, smooth and convex. The lateral surface is narrow and gives attachment to the radial collateral ligament. The medial su ...
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Radial Styloid Process
The radial styloid process is a projection of bone on the lateral surface of the distal radius bone. Structure The radial styloid process is found on the lateral surface of the distal radius bone. It extends obliquely downward into a strong, conical projection. The tendon of the brachioradialis attaches at its base. The radial collateral ligament of the wrist attaches at its apex. The lateral surface is marked by a flat groove for the tendons of the abductor pollicis longus and extensor pollicis brevis. Clinical significance Breakage of the radius at the radial styloid is known as a Chauffeur's fracture; it is typically caused by compression of the scaphoid bone of the hand against the styloid. De Quervain syndrome causes pain over the styloid process of the radius. This is due to the passage of the inflamed extensor pollicis brevis tendon and abductor pollicis longus tendon around it. The styloid process of the radius is a useful landmark during arthroscopic resection o ...
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Distal Radius
The radius or radial bone is one of the two large bones of the forearm, the other being the ulna. It extends from the lateral side of the elbow to the thumb side of the wrist and runs parallel to the ulna. The ulna is usually slightly longer than the radius, but the radius is thicker. Therefore the radius is considered to be the larger of the two. It is a long bone, prism-shaped and slightly curved longitudinally. The radius is part of two joints: the elbow and the wrist. At the elbow, it joins with the capitulum of the humerus, and in a separate region, with the ulna at the radial notch. At the wrist, the radius forms a joint with the ulna bone. The corresponding bone in the lower leg is the fibula. Structure The long narrow medullary cavity is enclosed in a strong wall of compact bone. It is thickest along the interosseous border and thinnest at the extremities, same over the cup-shaped articular surface (fovea) of the head. The trabeculae of the spongy tissue are somew ...
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Open Reduction And Internal Fixation
Internal fixation is an operation in orthopedics that involves the surgical implementation of implants for the purpose of repairing a bone, a concept that dates to the mid-nineteenth century and was made applicable for routine treatment in the mid-twentieth century. An internal fixator may be made of stainless steel, titanium alloy, or cobalt-chrome alloy. or plastics. Types of internal fixators include: * Plate and screws * Kirschner wires * Intramedullary nails Open reduction Open Reduction Internal Fixation (ORIF) involves the implementation of implants to guide the healing process of a bone, as well as the open reduction, or setting, of the bone. ''Open reduction'' refers to open surgery to set bones, as is necessary for some fractures. ''Internal fixation'' refers to fixation of screws and/or plates, intramedullary rods and other devices to enable or facilitate healing. Rigid fixation prevents micro-motion across lines of fracture to enable healing and prevent infectio ...
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Jonathan Hutchinson
Sir Jonathan Hutchinson (23 July 1828 – 23 June 1913), was an English surgeon, ophthalmologist, dermatologist, venereologist, and pathologist. Life He was born in Selby, Yorkshire, of Quaker parents and educated in the local school. Then he was apprenticed for five years to Caleb Williams, an apothecary and surgeon in York. He entered St Bartholomew's Hospital in London, and became a member of the Royal College of Surgeons in 1850 (and a fellow in 1862), and rapidly gained reputation as a skillful operator and a scientific inquirer. While a student, Hutchinson chose a career in surgery from 1854 on, under the influence and help of his mentor, Sir James Paget (1814–99). In 1851, he studied ophthalmology at Moorfields and practised it at London Ophthalmic Hospital. Other hospitals where he practised in the following years were the Lock Hospital, the City of London Chest Hospital, the London Hospital, the Metropolitan Hospitals, and the Blackfriars Hospital for Diseases of ...
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Just Lucas-Championnière
Just-Marie-Marcellin Lucas-Championnière (15 August 1843, in Avilly-Saint-Léonard – 22 October 1913, in Paris) was a French surgeon. From 1860 he studied medicine in Paris, receiving his medical doctorate in 1870 and his agrégation in 1874. In 1874 he qualified as a hospital surgeon, and during his career was associated with the hospitals Cochin, Lariboisière, Tenon, Saint-Louis, Beaujon and Hôtel-Dieu in Paris. In 1906 he retired as a hospital surgeon.Just Lucas-Championnière
CFDRM
While still a student, he traveled to Glasgow in order to study under

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Chauffeur
A chauffeur is a person employed to drive a passenger motor vehicle, especially a luxury vehicle such as a large sedan or limousine. Originally, such drivers were often personal employees of the vehicle owner, but this has changed to specialist chauffeur service companies or individual drivers that provide both driver and vehicle for hire. Some service companies merely provide the driver. History The term ''chauffeur'' comes from the French term for stoker because the earliest automobiles, like their railroad and sea vessel counterparts, were steam-powered and required the driver to stoke the engine. Early petrol/gasoline-powered motor cars, before the advent of electric ignition, were ignited by 'hot tubes' in the cylinder head which had to be pre-heated before the engine would start. Hence the term ''chauffeur'' which, in this context, means something like "heater-upper". The chauffeur would prime the hot tubes at the start of a journey, after which the natural compression ...
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Starter (engine)
A starter (also self-starter, cranking motor, or starter motor) is a device used to rotate (crank) an internal-combustion engine so as to initiate the engine's operation under its own power. Starters can be electric, pneumatic, or hydraulic. The starter can also be another internal-combustion engine in the case, for instance, of very large engines, or diesel engines in agricultural or excavation applications. Internal combustion engines are feedback systems, which, once started, rely on the inertia from each cycle to initiate the next cycle. In a four-stroke engine, the third stroke releases energy from the fuel, powering the fourth (exhaust) stroke and also the first two (intake, compression) strokes of the next cycle, as well as powering the engine's external load. To start the first cycle at the beginning of any particular session, the first two strokes must be powered in some other way than from the engine itself. The starter motor is used for this purpose and it is not re ...
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