Herscovici Classification
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Herscovici Classification
The Herscovici classification is a system of categorizing medial malleolus fractures of the distal tibia based on level. __TOC__ Classification {, class="wikitable" , - ! Type ! Description , - , A , Avulsion fracture of the anterior colliculus involving the superficial deltoid ligament , - , B , Intermediate fracture , - , C , Fracture at the level of the plafond ( Lauge-Hansen external rotation-abduction type) , - , D , Plafond fracture ( Lauge-Hansen supination-adduction type) See also * Ankle fracture * Pilon fracture * Danis–Weber classification * Lauge-Hansen classification The Lauge-Hansen classification is a system of categorizing ankle fractures based on the foot position and the force applied. __TOC__ Classification See also * Danis–Weber classification The Danis–Weber classification (often known just as t ... References Bone fractures Ankle fracture classifications Injuries of ankle and foot ...
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Malleolus
A malleolus is the bony prominence on each side of the human ankle. Each leg is supported by two bones, the tibia on the inner side (medial) of the leg and the fibula on the outer side (lateral) of the leg. The medial malleolus is the prominence on the inner side of the ankle, formed by the lower end of the tibia. The lateral malleolus is the prominence on the outer side of the ankle, formed by the lower end of the fibula. The word ''malleolus'' (), plural ''malleoli'' (), comes from Latin and means "small hammer". (It is cognate with ''mallet''.) Medial malleolus The medial malleolus is found at the foot end of the tibia. The medial surface of the lower extremity of tibia is prolonged downward to form a strong pyramidal process, flattened from without inward - the medial malleolus. * The ''medial surface'' of this process is convex and subcutaneous. * The ''lateral'' or ''articular surface'' is smooth and slightly concave, and articulates with the talus. * The ''anterior bo ...
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Bone Fracture
A bone fracture (abbreviated FRX or Fx, Fx, or #) is a medical condition in which there is a partial or complete break in the continuity of any bone in the body. In more severe cases, the bone may be broken into several fragments, known as a ''comminuted fracture''. A bone fracture may be the result of high force impact or stress, or a minimal trauma injury as a result of certain medical conditions that weaken the bones, such as osteoporosis, osteopenia, bone cancer, or osteogenesis imperfecta, where the fracture is then properly termed a pathologic fracture. Signs and symptoms Although bone tissue contains no pain receptors, a bone fracture is painful for several reasons: * Breaking in the continuity of the periosteum, with or without similar discontinuity in endosteum, as both contain multiple pain receptors. * Edema and hematoma of nearby soft tissues caused by ruptured bone marrow evokes pressure pain. * Involuntary muscle spasms trying to hold bone fragments in place. D ...
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Anatomical Terms Of Location
Standard anatomical terms of location are used to unambiguously describe the anatomy of animals, including humans. The terms, typically derived from Latin or Greek roots, describe something in its standard anatomical position. This position provides a definition of what is at the front ("anterior"), behind ("posterior") and so on. As part of defining and describing terms, the body is described through the use of anatomical planes and anatomical axes. The meaning of terms that are used can change depending on whether an organism is bipedal or quadrupedal. Additionally, for some animals such as invertebrates, some terms may not have any meaning at all; for example, an animal that is radially symmetrical will have no anterior surface, but can still have a description that a part is close to the middle ("proximal") or further from the middle ("distal"). International organisations have determined vocabularies that are often used as standard vocabularies for subdisciplines of anatom ...
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Tibia
The tibia (; ), also known as the shinbone or shankbone, is the larger, stronger, and anterior (frontal) of the two bones in the leg below the knee in vertebrates (the other being the fibula, behind and to the outside of the tibia); it connects the knee with the ankle. The tibia is found on the medial side of the leg next to the fibula and closer to the median plane. The tibia is connected to the fibula by the interosseous membrane of leg, forming a type of fibrous joint called a syndesmosis with very little movement. The tibia is named for the flute ''tibia''. It is the second largest bone in the human body, after the femur. The leg bones are the strongest long bones as they support the rest of the body. Structure In human anatomy, the tibia is the second largest bone next to the femur. As in other vertebrates the tibia is one of two bones in the lower leg, the other being the fibula, and is a component of the knee and ankle joints. The ossification or formation of the bone ...
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Avulsion Fracture
An avulsion fracture is a bone fracture which occurs when a fragment of bone tears away from the main mass of bone as a result of physical trauma. This can occur at the ligament by the application of forces external to the body (such as a fall or pull) or at the tendon by a muscular contraction that is stronger than the forces holding the bone together. Generally muscular avulsion is prevented by the neurological limitations placed on muscle contractions. Highly trained athletes can overcome this neurological inhibition of strength and produce a much greater force output capable of breaking or avulsing a bone. Types Dental avulsion Traumatic complete displacement of a tooth from its socket in alveolar bone. It is a serious dental emergency in which prompt management (within 20–40 minutes of injury) affects the prognosis of the tooth. Tuberosity avulsion of the 5th metatarsal left, Proximal fractures of 5th metatarsa The tuberosity avulsion fracture (also known as pseud ...
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Anterior Colliculus
The anterior colliculus is the anterior portion of the medial malleolus of the distal tibia, forming part of the ankle The ankle, or the talocrural region, or the jumping bone (informal) is the area where the foot and the leg meet. The ankle includes three joints: the ankle joint proper or talocrural joint, the subtalar joint, and the inferior tibiofibular joi ... mortise. It has an attachment of the anterior tibiotalar ligament. References See also Tibia {{musculoskeletal-stub ...
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Deltoid Ligament
The deltoid ligament (or medial ligament of talocrural joint) is a strong, flat, triangular band, attached, above, to the apex and anterior and posterior borders of the medial malleolus. The deltoid ligament is composed of 4 fibers: 1. Anterior tibiotalar ligament 2. Tibiocalcaneal ligament 3. Posterior tibiotalar ligament 4. Tibionavicular ligament. It consists of two sets of fibers, superficial and deep. Superficial fibres Of the superficial fibres, * ''tibionavicular'' pass forward to be inserted into the tuberosity of the navicular bone, and immediately behind this they blend with the medial margin of the plantar calcaneonavicular ligament; * ''tibiocalcaneal'' descend almost perpendicularly to be inserted into the whole length of the sustentaculum tali of the calcaneus; * ''posterior tibiotalar'' from the posterior colliculus of the medial malleolus to the posteromedial surface of the talus Deep fibres The deep fibres (''anterior tibiotalar'') are attached from the anterio ...
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Plafond
A plafond (French for "ceiling"), in a broad sense, is a (flat, vaulted or dome) ceiling. A plafond can be a product of monumental painting or sculpture. Picturesque plafonds can be painted directly on plaster (as a fresco, oil, glutinous, synthetic paints), on a canvas attached to a ceiling (panel), or a mosaic. As a decorative feature of churches and staterooms, plafonds were popular from the 17th century until the beginning of the 19th century. Designs of this period typically used illusionistic ceiling painting Illusionistic ceiling painting, which includes the techniques of perspective ''di sotto in sù'' and ''quadratura'', is the tradition in Renaissance, Baroque and Rococo art in which ''trompe-l'œil'', perspective tools such as foreshortening, an ... showing the architectural structure behind, strongly foreshortened figures, architectural details, and/or the open sky. References {{architecturalelement-stub ...
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Lauge-Hansen Classification
The Lauge-Hansen classification is a system of categorizing ankle fractures based on the foot position and the force applied. __TOC__ Classification See also * Danis–Weber classification * Herscovici classification The Herscovici classification is a system of categorizing medial malleolus fractures of the distal tibia based on level. __TOC__ Classification {, class="wikitable" , - ! Type ! Description , - , A , Avulsion fracture of the anterior collicul ... References Bone fractures Ankle fracture classifications Injuries of ankle and foot {{Orthopedics-stub ...
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Plafond Fracture
A pilon fracture, is a fracture of the distal part of the tibia, involving its articular surface at the ankle joint. Pilon fractures are caused by rotational or axial forces, mostly as a result of falls from a height or motor vehicle accidents. Pilon fractures are rare, comprising 3 to 10 percent of all fractures of the tibia and 1 percent of all lower extremity fractures, but they involve a large part of the weight-bearing surface of the tibia in the ankle joint. Because of this, they may be difficult to fixate and are historically associated with high rates of complications and poor outcome. ''Pilon'' is the French word for "pestle" and was introduced into orthopedic literature in 1911 by pioneer French radiologist Étienne Destot. Classification Pilon fractures are categorized by two main X-ray schemes, Ruedi-Allgower classification system. and Müller AO Classification of fractures. Treatment The treatment of pilon fractures depends on the extent of the injury. This incl ...
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Ankle Fracture
An ankle fracture is a break of one or more of the bones that make up the ankle joint. Symptoms may include pain, swelling, bruising, and an inability to walk on the injured leg. Complications may include an associated high ankle sprain, compartment syndrome, stiffness, malunion, and post-traumatic arthritis. Ankle fractures may result from excessive stress on the joint such as from rolling an ankle or from blunt trauma. Types of ankle fractures include lateral malleolus, medial malleolus, posterior malleolus, bimalleolar, and trimalleolar fractures. The Ottawa ankle rule can help determine the need for X-rays. Special X-ray views called stress views help determine whether an ankle fracture is unstable. Treatment depends on the fracture type. Ankle stability largely dictates non-operative vs. operative treatment. Non-operative treatment includes splinting or casting while operative treatment includes fixing the fracture with metal implants through an open reduction internal fi ...
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Pilon Fracture
A pilon fracture, is a fracture of the distal part of the tibia, involving its articular surface at the ankle joint. Pilon fractures are caused by rotational or axial forces, mostly as a result of falls from a height or motor vehicle accidents. Pilon fractures are rare, comprising 3 to 10 percent of all fractures of the tibia and 1 percent of all lower extremity fractures, but they involve a large part of the weight-bearing surface of the tibia in the ankle joint. Because of this, they may be difficult to fixate and are historically associated with high rates of complications and poor outcome. ''Pilon'' is the French word for "pestle" and was introduced into orthopedic literature in 1911 by pioneer French radiologist Étienne Destot. Classification Pilon fractures are categorized by two main X-ray schemes, Ruedi-Allgower classification system. and Müller AO Classification of fractures. Treatment The treatment of pilon fractures depends on the extent of the injury. This i ...
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