Chauffeur's Fracture
Chauffeur's fracture, also known as Hutchinson fracture, is a type of Intraarticular fracture, intraarticular 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 Radial styloid process, 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 back-fired while the chauffeur was Starter (engine), hand-cranking to start the car. The back-fire forced the crank backward into the chauffeur's palm and produced the characteristic styloid fracture. Reference ... [...More Info...]       [...Related Items...]     OR:     [Wikipedia]   [Google]   [Baidu]   |
|
Orthopedics
Orthopedic surgery or orthopedics (American and British English spelling differences, alternative spelling orthopaedics) is the branch of surgery concerned with conditions involving the musculoskeletal system. Orthopedic surgeons use both surgical and nonsurgical means to treat musculoskeletal Physical trauma, trauma, Spinal disease, spine diseases, Sports injury, sports injuries, degenerative diseases, infections, tumors and congenital disorders. Etymology Nicholas Andry coined the word in French as ', derived from the Ancient Greek words ("correct", "straight") and ("child"), and published ''Orthopedie'' (translated as ''Orthopædia: Or the Art of Correcting and Preventing Deformities in Children'') in 1741. The word was Assimilation (linguistics), assimilated into English as ''orthopædics''; the Typographic ligature, ligature ''æ'' was common in that era for ''ae'' in Greek- and Latin-based words. As the name implies, the discipline was initially developed with atte ... [...More Info...]       [...Related Items...]     OR:     [Wikipedia]   [Google]   [Baidu]   |
|
Intraarticular Fracture
An intraarticular fracture is a bone fracture in which the break crosses into the surface of a joint. This always results in damage to the cartilage Cartilage is a resilient and smooth type of connective tissue. Semi-transparent and non-porous, it is usually covered by a tough and fibrous membrane called perichondrium. In tetrapods, it covers and protects the ends of long bones at the joints .... Compared to extraarticular fractures, intraarticular have a higher risk for developing long-term complications, such as posttraumatic osteoarthritis. See also * Intracapsular fracture References Further reading * * External links Bone fractures {{Injury-stub} ... [...More Info...]       [...Related Items...]     OR:     [Wikipedia]   [Google]   [Baidu]   |
|
Oblique 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''. An open fracture (or compound fracture) is a bone fracture where the broken bone breaks through the skin. 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. Most bone fractures require urgent medical attention to prevent further injury. 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 multipl ... [...More Info...]       [...Related Items...]     OR:     [Wikipedia]   [Google]   [Baidu]   |
|
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 resec ... [...More Info...]       [...Related Items...]     OR:     [Wikipedia]   [Google]   [Baidu]   |
|
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 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 forearm can ... [...More Info...]       [...Related Items...]     OR:     [Wikipedia]   [Google]   [Baidu]   |
|
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 nut. Structure The scaphoid is situated between the proximal and distal rows of carpal bones. It is located on the radial side of the wrist, adjacent to the styloid process of the radius. It 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 attachm ... [...More Info...]       [...Related Items...]     OR:     [Wikipedia]   [Google]   [Baidu]   |
|
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 resec ... [...More Info...]       [...Related Items...]     OR:     [Wikipedia]   [Google]   [Baidu]   |
|
Distal Radius
The radius or radial bone (: radii or radiuses) 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 longer than the radius, but the radius is thicker. The radius 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 tibia. 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 somewhat arched at the upper end and pass upward from ... [...More Info...]       [...Related Items...]     OR:     [Wikipedia]   [Google]   [Baidu]   |
|
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. 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 infection, which h ... [...More Info...]       [...Related Items...]     OR:     [Wikipedia]   [Google]   [Baidu]   |
|
Jonathan Hutchinson
Sir Jonathan Hutchinson (23 July 1828 – 23 June 1913), was an English surgeon, ophthalmologist, dermatologist, venereologist, and pathologist, who notably advocated for circumcision. He founded Haslemere Educational Museum. Life Jonathan Hutchinson was born in Selby, Yorkshire, of Quaker parents and was 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 a reputation as a skilful 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 Che ... [...More Info...]       [...Related Items...]     OR:     [Wikipedia]   [Google]   [Baidu]   |
|
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 [...More Info...]       [...Related Items...]     OR:     [Wikipedia]   [Google]   [Baidu]   |
|
Chauffeur
A chauffeur () is a person employed to drive a passenger motor vehicle, especially a luxury vehicle such as a large sedan or a limousine. Initially, 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 offer 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. The chauffeur also maintained the car, including routine maintenance and cleaning, and had to be a skilled mechanic to deal with breakdowns and tyre punctures en route, which were very common in the earliest years of the automobile. Only the wealthy could afford the first automobiles, and they generally employed chauffeurs rather than driving themselves. A 1906 article ... [...More Info...]       [...Related Items...]     OR:     [Wikipedia]   [Google]   [Baidu]   |