Lateral process fractures
Eponymous name
Snowboarder's fracture
Epidemiology
10% talus fractures
Second to talar neck fractures
classification
Background
Epidemiology
Much less common than hip and knee OA
Patients tend to be younger
Fragility pelvic fractures
Definition
Fracture of the pelvis caused by a low energy fall
Usually secondary to osteoporosis
Bleeding
Incidence of bleeding low unless on anticoagulation
Fracture pattern
Lateral compression injury
- pubic rami fracture
Background
Indications
RA
OA
AVN
Contra-indications
Infection
Charcot
Paralysis of deltoid
Torn rotator cuff
Insufficient glenoid bone stock
Hangman's / C2 Fracture
Definition
Bilateral Pars Fracture C2
- traumatic axis spondylolisthesis
NHx
Neurological injury uncommon
- fragments separate and decompress
Different to judicial hanging where spinal cord is severed
Xray
Burst Fractures
Definition
Burst fractures
- injury to anterior and middle columns +/- posterior column
Mechanism
Vertical compression
Epidemiology
10% cervical fractures
Most commonly C5/6
Pathology
Anterior & middle columns fail
- if severe, posterior ligament complex fails