Classification and diagnosis of condylar process fractures.
Multiple tibial plateau fracture classification systems have been developed but the most widely accepted and used system is the Schatzker Classification System. It consists of six condyle fracture types classified by fracture pattern and fragment anatomy. Each increasing numeric fracture type denotes increasing severity.
A clinically relevant mandibular condyle classification system should be easy to understand, and be easy to recall, for implementation into the management of a condylar fracture. An accurate appreciation of the location of the mandibular condylar fracture assists with the determination of either an operative or nonoperative management regimen.
Milch was the first to describe lateral condyle fracture patterns. Milch type 1 fractures extend through the ossification center of the trochlea, while Milch type 2 fractures extend medial to the ossification center. Unfortunately, this classification system does not provide treatment or prognostic guidance.
The management of the fractured mandibular condyle is one of the most difficult and controversial topic in maxillofacial trauma.4 Different treatment modalities have been used to treat the fractured man-dibular condyle, most common and effective treatment option being the open reduction in case of maximum occlusion.
In all patients X-rays of the elbow enable the diagnosis of a humeral condylar fracture to be made. Occasionally, advanced imaging, such as a CT scan of both elbow joints is required. A CT scan can provide additional information such as the presence of a HIF in the pets other elbow and can help in planning the fracture repair required.
Lateral condyle fractures of the humerus are the second most common fracture about the elbow in children. The injury typically occurs as a result of a varus- or valgus-applied force to the forearm.
A tibial plateau fracture is a break of the upper part of the tibia (shinbone) that involves the knee joint. Symptoms include pain, swelling, and a decreased ability to move the knee. People are generally unable to walk. Complication may include injury to the artery or nerve, arthritis, and compartment syndrome.