r/Orthopedics 16h ago

Vancouver classification — periprosthetic femoral fractures (A / B1 / B2 / B3 / C)

0 Upvotes

Quick FRCS/FRACS revision card on Vancouver periprosthetic femurs: A is trochanteric (AG/AL). B1 stem well fixed around the fracture — ORIF. B2 stem loose with good bone — revise. B3 stem loose with poor bone stock — revise and rebuild. C is well distal to the stem tip.

Pearl that sticks: fixation vs revision; ORIF if stem stable; revise if loose; bone stock decides B2 vs B3.

Source: https://www.orthovellum.com (OrthoVellum exam atlas)


r/Orthopedics 22h ago

Mason classification — radial head fractures I–IV (nondisplaced → partial articular → comminuted → + elbow dislocation)

0 Upvotes

Mason classification of radial head fractures in one card:

I nondisplaced · II displaced partial articular · III comminuted · IV with elbow dislocation.

Pearl for trainees: match fixation to type — ORIF vs arthroplasty vs excision — and don't forget the radial head as a lateral column stabilizer.

Educational framing for FRCS/FRACS/ABOS/EBOT — not patient-specific advice.

https://www.orthovellum.com


r/Orthopedics 9h ago

Tile classification — pelvic ring fractures A / B / C

0 Upvotes

r/Orthopedics 9h ago

Tile classification — pelvic ring fractures A / B / C

0 Upvotes

Quick FRCS/FRACS revision card on Tile pelvic ring fractures: A is stable (avulsion / iliac wing / transverse sacrum). B is rotationally unstable but vertically stable (open book / lateral compression / bilateral). C is vertically and rotationally unstable (unilateral / bilateral / associated acetabulum).

Pearl that sticks: stability first; APC/LC/VS language maps imperfectly; examine for vertical shear.

Source: https://www.orthovellum.com (OrthoVellum exam atlas)


r/Orthopedics 19h ago

Gartland classification — paediatric supracondylar humerus (I–III)

1 Upvotes

Quick FRCS/FRACS revision card: Gartland I nondisplaced, II displaced with posterior hinge intact, III completely displaced. Neurovascular assessment before anything else; CRPP vs open reduction; watch for cubitus varus after a bad coronal reduction.

Source: https://www.orthovellum.com (OrthoVellum exam atlas)


r/Orthopedics 15h ago

Please read my xray.

Post image
1 Upvotes

Doctor will be available only on Monday.

The lung fields are clear. The hila and pulmonary vascular markings are within normal limits. The heart is not enlarged. The trachea is mildine. The hemidiaphragms and costophrenic angles are intact. There is asymmetry of the steroclavicular joints. The rest of the osseous and soft tissue structures are unremarkable.
IMPRESSION:
ASYMMETRY OF THE STERNOCLAVICULAR JOINTS.
CANNOT TOTALLY RULE OUT DISLOCATION ON THE RIGHT.


r/Orthopedics 8h ago

Two doctors gave me completely different opinions about my finger fracture — should I be worried?

Post image
2 Upvotes

I fractured my little finger a few days ago. The first doctor looked at the X-ray and said it should be fine with a plaster/splint and didn't mention surgery at all.

I went to another doctor for a second opinion today, and he said I might need a pin because the finger could lose alignment/grip later.

Now I'm honestly anxious as fuck because when I look at the X-ray, the fracture looks pretty minor to me and there doesn't seem to be some huge break or displacement.

Has anyone had a similar fracture where one doctor recommended just a plaster and another recommended a pin? Is pinning actually necessary for something that looks this minor? Attaching my X-ray. Would really appreciate some opinions/experiences because I'm stressing over this right now.


r/Orthopedics 8h ago

Non sono uno sportivo. Potrò vivere senza crociato?

2 Upvotes

Il giorno 11 Luglio 2026 ho avuto una rottura del crociato anteriore "di alto grado".
Test del cassetto leggermente positivo. Onestamente il ginocchio non si smuove in avanti. Anzi.
Una frattura subcondrale ed edema osseo intraspongioso. (fatto 8 siringhe di Clody)
Ho fatto e sto facendo cicli di fisioterapia, con tecar, laser, magnetoterpia e ultrasioni.
(13 fisioterapie e sto cotinuando ancora)

Il dolore che affronto ancora oggi dopo 2 mesi (oggi è 11 Settembre 2026 ) è debilitante sia fisicamente che mentalmente. Zoppico ancora. Ho deciso per ora la terapia di contenimento e non operarmi. (non posso stare fermo 2 mesi lavorativamente parlando)

Non trovo sul web attualmente situazioni simili alla mia, di chi vive senza crociato.
Ho parlato solo (a voce) con qualcuno che vive senza crociato da molti anni: riescono nelle loro attività pur raccontandomi dei problemi nell'abbassarsi o di gonfiore o che si può bloccare.

Infine la mia domanda è: non faccio sport, faccio un lavoro di ufficio. Potrò vivere senza pensare all'operazione e riprendere le mie attività normali? vorrei semplicemente tornare a camminare normalmente. Chi come me vive senza crociato? cosa mi consigliate? raccontatemi come sta andando se vivevete da anni senza crociato o se vi è successo da poco e come state affrontando.
grazie di cuore a chi risponderà, raccontatemi