Authors of section

Authors

Andrew Howard, Theddy Slongo

Executive Editor

Fergal Monsell

General Editor

Chris Colton

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13-M/3.2 III and IV - Multifragmentary, complete with/without contact between fracture planes

The patterns of these fractures are characterized by a complete multifragmentary metaphyseal fracture with varying degrees of displacement. These fractures typically appear in children approaching skeletal maturity, following high-energy-transfer injuries.

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This is a multifragmentary metaphyseal fracture (13-M/3.2 III), unusually in a 7-year-old child.

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Older child (older than 6 years):

  • Completely displaced fracture (13-M/3.2 IV)
  • No contact between fracture planes
  • Small additional fragment
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Older child (12-year-old):

  • Completely displaced (13-M/3.2 IV)
  • No contact between fracture planes
  • Large third fragment makes reduction intrinsically unstable
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