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PEM Ortho X-ray Curriculum

General Considerations

Fracture Type

Type Description
Transverse Bicortical, perpendicular to bony axis
Oblique Bicortical, angled in comparison to bony axis
Spiral Pieces rotated or twisted in relation to one another
Avulsion Tendon or ligament pulls off a chip of bone
Hairline or Fissure Minimal extension into outer bony layer
Unique to Paediatrics
Buckle or torus One side of the bone buckles upon itself without disrupting the other side or causing angulation
Greenstick One side of the fracture has broken and the other is angulated
Bowing Bending deformity without grossly visible fracture
Salter-Harris (SH) Defined by wether the epiphysis (end of bone), metaphysis (shaft of bone) and/or physis (growth plate) is involved.