Classification used for fracture shown in photograph is?

Indian PG JIPMER
#1

Classification used for fracture shown in photograph is?

1.Hawkins’s classification
2.Gartland cassification
3.Maryland classification
4.Garden classification

sol:

Supracondylar fracture classification is based on the degree and direction of displacement, and the presence of intact cortex. It applies to extension supracondylar fractures rather than the rare flexion supracondylar fracture.

Classification
Classification is based on the Gartland system:

  1. Type I: undisplaced or minimally displaced

a. Ia: undisplaced in both projections

b. Ib: minimal displacement, medial cortical buckle, capitellum remains intersected by anterior humeral line

  1. Type II: displaced but with intact cortex

a. IIa: posterior angulation with intact posterior cortex; anterior humeral line does not intersect capitellum

b. IIb: rotatory or straight displacement but fracture remains in contact

  1. Type III: completely displaced

a. IIIa: complete posterior displacement with no cortical contact

b. IIIb: complete displacement with soft tissue gap (i.e. bone ends held apart by interposed soft tissues)