ch. 4 Closed Fracture

Posted: May 5, 2012 in Traumatology
  • Oestern and Tscherne classification of soft tissue injury in closed fractures (Fracture is not exposed to the environment.)
Grade 0
  • Minimal soft tissue damage
  • indirect injury to limb (torsion)
  • simple fracture pattern
Grade 1
  • Superficial abrasion or contusion
  • mild fracture pattern
Grade 2
  • Deep abrasion
  • skin or muscle contusion
  • severe fracture pattern
  • direct trauma to limb
Grade 3
  • Extensive skin contusion or crush injury
  • severe damage to underlying muscle
  • compartment syndrome
  • subcutaneous avulsion

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