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Avulsion fracture to ankle
Avulsion fracture to ankle
Published: 2015/09/18
Channel: Fracture Care
Avulsion Fractures Around The Hip In Adolescence - Everything You Need To Know - Dr. Nabil Ebraheim
Avulsion Fractures Around The Hip In Adolescence - Everything You Need To Know - Dr. Nabil Ebraheim
Published: 2013/01/11
Channel: nabil ebraheim
Ankle Scope with Avulsion Fracture SFISM
Ankle Scope with Avulsion Fracture SFISM
Published: 2014/03/28
Channel: southflsportsmed
Avulsion Fractures & Bone Bruises Around The Knee - Everything You Need To Know - Dr. Nabil Ebraheim
Avulsion Fractures & Bone Bruises Around The Knee - Everything You Need To Know - Dr. Nabil Ebraheim
Published: 2017/09/29
Channel: nabil ebraheim
Tibial Avulsion Fracture
Tibial Avulsion Fracture
Published: 2017/02/19
Channel: Aiden Aung
What Is A Avulsion Fracture?
What Is A Avulsion Fracture?
Published: 2017/08/31
Channel: Call into Question
Broken Index Finger / Avulsion Fracture / Post-surgery
Broken Index Finger / Avulsion Fracture / Post-surgery
Published: 2012/05/10
Channel: Safari Outfitter
Day 2 Avulsion Fracture / Ankle Sprain and Self Care!
Day 2 Avulsion Fracture / Ankle Sprain and Self Care!
Published: 2015/04/30
Channel: The Dancing Soul
Proximal Fifth Metatarsal Fractures - Everything You Need To Know - Dr. Nabil Ebraheim
Proximal Fifth Metatarsal Fractures - Everything You Need To Know - Dr. Nabil Ebraheim
Published: 2011/11/18
Channel: nabil ebraheim
What Is The Treatment For An Avulsion Fracture Of The Ankle?
What Is The Treatment For An Avulsion Fracture Of The Ankle?
Published: 2017/11/03
Channel: Cwerd Ceel
How Long Does It Take To Recover From An Avulsion Fracture?
How Long Does It Take To Recover From An Avulsion Fracture?
Published: 2017/08/30
Channel: Cash for Question
Avulsion Fracture Eval
Avulsion Fracture Eval
Published: 2016/04/14
Channel: Dylan Kennedy
What Is The Treatment For An Avulsion Fracture Of The Ankle?
What Is The Treatment For An Avulsion Fracture Of The Ankle?
Published: 2017/08/31
Channel: Call into Question
How Long Does It Take To Recover From An Avulsion Fracture?
How Long Does It Take To Recover From An Avulsion Fracture?
Published: 2017/10/09
Channel: Bet My Bet
Ankle  fracture / Fractures and its repair- Everything You Need To Know - Dr. Nabil Ebraheim
Ankle fracture / Fractures and its repair- Everything You Need To Know - Dr. Nabil Ebraheim
Published: 2010/10/29
Channel: nabil ebraheim
Navicular Fractures - Everything You Need To Know - Dr. Nabil Ebraheim
Navicular Fractures - Everything You Need To Know - Dr. Nabil Ebraheim
Published: 2013/01/23
Channel: nabil ebraheim
Avulsion Fracture to midfoot
Avulsion Fracture to midfoot
Published: 2015/04/22
Channel: Fracture Care
Ankle Fractures Explained
Ankle Fractures Explained
Published: 2015/04/16
Channel: BestFootDoc
Avulsion fracture (Medical Condition)
Avulsion fracture (Medical Condition)
Published: 2015/05/21
Channel: Medical Condition Information
CALCANEAL AVULSION FRACTURES ,heel bone injury - Everything You Need To Know - Dr. Nabil Ebraheim
CALCANEAL AVULSION FRACTURES ,heel bone injury - Everything You Need To Know - Dr. Nabil Ebraheim
Published: 2010/12/10
Channel: nabil ebraheim
Joshua Iraci from Franklin High School gets an avulsion fracture of the hip. @ Hart Park May13 2014
Joshua Iraci from Franklin High School gets an avulsion fracture of the hip. @ Hart Park May13 2014
Published: 2014/05/21
Channel: Michael Iraci
What Is An Avulsion Fracture?
What Is An Avulsion Fracture?
Published: 2017/08/31
Channel: Call into Question
Arthroscopic fixation ACL avulsion fracture demo by Dr Bancha Chernchujit
Arthroscopic fixation ACL avulsion fracture demo by Dr Bancha Chernchujit
Published: 2015/03/27
Channel: Bancha Chernchujit
Fibular avulsion fracture of the ankle
Fibular avulsion fracture of the ankle
Published: 2017/08/11
Channel: Nadia Natasha
Inverted Avulsion Fracture
Inverted Avulsion Fracture
Published: 2016/12/01
Channel: Andrew Roy
Fracture of the Fifth Metatarsal
Fracture of the Fifth Metatarsal
Published: 2015/07/21
Channel: BestFootDoc
Volar Plate Avulsion
Volar Plate Avulsion
Published: 2014/05/08
Channel: Daniel Mastella
What Is A Chip Fracture In The Ankle?
What Is A Chip Fracture In The Ankle?
Published: 2017/08/31
Channel: Call into Question
Volar Plate Avulsion
Volar Plate Avulsion
Published: 2017/04/07
Channel: ctisus
How Long Does It Take For An Avulsion Fracture Of The Hip To Heal?
How Long Does It Take For An Avulsion Fracture Of The Hip To Heal?
Published: 2017/08/30
Channel: Cash for Question
Tibial Spine Avulsion Fractures Arthroscopic Reduction and Internal Fixation
Tibial Spine Avulsion Fractures Arthroscopic Reduction and Internal Fixation
Published: 2015/10/04
Channel: NewYorkOrtho
AllSports Medicine - Avulsion Injuries of the Hip
AllSports Medicine - Avulsion Injuries of the Hip
Published: 2013/03/08
Channel: Johns Hopkins All Children's Hospital
What Is An Avulsion Fracture Of The Lateral Malleolus?
What Is An Avulsion Fracture Of The Lateral Malleolus?
Published: 2017/08/31
Channel: Call into Question
Avulsion Fracture Hip Exercises
Avulsion Fracture Hip Exercises
Published: 2016/10/16
Channel: C.A.M. Sports Performance Training, LLC
Posterior Cruciate Ligament Avulsion-Fracture Arthroscopic Reinsertion
Posterior Cruciate Ligament Avulsion-Fracture Arthroscopic Reinsertion
Published: 2017/06/01
Channel: Diego García-Germán Vázquez
Mallet finger avulsion injury
Mallet finger avulsion injury
Published: 2017/02/22
Channel: Leo Valentin MD
Surgical Repair of a Jones Fracture
Surgical Repair of a Jones Fracture
Published: 2016/03/15
Channel: Sadikatul Bari Sadik
Fracture-Avulsion Full Demo 1995
Fracture-Avulsion Full Demo 1995
Published: 2013/08/07
Channel: TheHatredinherit
Arthroscopic Treatment of Greater Tuberosity Avulsion Fractures | Broken Shoulder
Arthroscopic Treatment of Greater Tuberosity Avulsion Fractures | Broken Shoulder
Published: 2017/05/03
Channel: shoulderspecialists
CALCANEAL AVULSION FRACTURES ,heel bone injury   Everything You Need To Know   Dr  Nabil Ebraheim
CALCANEAL AVULSION FRACTURES ,heel bone injury Everything You Need To Know Dr Nabil Ebraheim
Published: 2017/01/01
Channel: مكتبة وحيد طب بشري لخدمة طلاب طب طنطا علم ينتفع بة
What Is Avulsion Fracture Of Hip?
What Is Avulsion Fracture Of Hip?
Published: 2017/08/31
Channel: Call into Question
What is the recovery from a tibial spine avulsion?
What is the recovery from a tibial spine avulsion?
Published: 2017/06/16
Channel: Dr. David Geier
Tibial spine avulsion fracture
Tibial spine avulsion fracture
Published: 2017/07/17
Channel: ortho tube
Avulsion fracture of tibial tuberosity in young dog
Avulsion fracture of tibial tuberosity in young dog
Published: 2016/03/14
Channel: Titiphan Trakanpol
Arthroscopic Reduction and Fixation of Tibial Spine Avulsion Fracture
Arthroscopic Reduction and Fixation of Tibial Spine Avulsion Fracture
Published: 2016/04/30
Channel: James Chen, MD
Treatment of Tibial Spine Avulsion Fracture
Treatment of Tibial Spine Avulsion Fracture
Published: 2017/09/23
Channel: ortho tube
How To Treat a Rectus Femoris Avulsion Fracture | Orlando Hip Pain Treatment
How To Treat a Rectus Femoris Avulsion Fracture | Orlando Hip Pain Treatment
Published: 2017/02/10
Channel: Pursuit Physical Therapy
Arthroscpic Reduction & Fixation ACL Avulsion Fracture in a Child
Arthroscpic Reduction & Fixation ACL Avulsion Fracture in a Child
Published: 2011/09/03
Channel: Dr Christopher Vertullo: Specialist Orthopaedic Knee Surgeon
Hip Avulsion Fracture of the Anterior Inferior Iliac Spine
Hip Avulsion Fracture of the Anterior Inferior Iliac Spine
Published: 2014/03/18
Channel: Proscan Imaging
ACL avulsion treated with Arthroscopic Screw fixation
ACL avulsion treated with Arthroscopic Screw fixation
Published: 2015/10/15
Channel: Dr Chintan Vadi
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WIKIPEDIA ARTICLE

From Wikipedia, the free encyclopedia
  (Redirected from Tendon avulsions)
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Avulsion fracture
AvulsionvolarmidproxmetacarpalMark.png
Avulsion fracture of the proximal metacarpal on the palm side

An avulsion fracture is a bone fracture which occurs when a fragment of bone tears away from the main mass of bone as a result of physical trauma. This can occur at the ligament due to the application forces external to the body (such as a fall or pull) or at the tendon due to a muscular contraction that is stronger than the forces holding the bone together. Generally muscular avulsion is prevented due to the neurological limitations placed on muscle contractions. Highly trained athletes can overcome this neurological inhibition of strength and produce a much greater force output capable of breaking or avulsing a bone.

Treatment[edit]

If the fracture is small, it is usually sufficient to treat with rest and support bandage, but in more severe cases, surgery may be required. Ice may be used to relieve swelling.[1]

For displaced avulsion fractures, they are best managed by either open reduction and internal fixation or closed reduction and pinning. Open reduction (using surgical incision) and internal fixation is used when pins, screws, or similar hardware is needed to fix the bone fragment.

Dental avulsion[edit]

Traumatic complete displacement of a tooth from its socket in alveolar bone. It is a serious dental emergency in which prompt management (within 20–40 minutes of injury) affects the prognosis of the tooth.[2]

5th metatarsal tuberosity avulsion[edit]

The tuberosity avulsion fracture (also known as pseudo-Jones fracture or dancer's fracture[3] is a common fracture of the fifth metatarsal (the bone on the outside edge of the foot extending to the little toe).[4] This fracture is likely caused by the lateral band of the plantar aponeurosis (tendon).[5] Most of these fractures are treated with a hard-soled shoe or walking cast. This is needed until the pain goes away and then the patient can return to normal activities.[4] Healing is usually completed within eight weeks.[6]

Tibial tuberosity avulsion[edit]

X-ray of a 15 year old male, showing an older avulsion fracture of the tibial tuberosity.

A tibial tuberosity avulsion fracture is an incomplete or complete separation of the tibial tuberosity from the tibia. This occurs as a result of a violent contraction of the quadriceps muscles, most often as a result of a high-power jump. Incomplete fractures are usually treatable with the traditional RICE (rest, ice, compression, elevation) method, but complete/displaced fractures will most often require surgery to pin the tuberosity back in place. Tibial tuberosity avulsions occur most often in teenagers that engage in a large amount of sporting activities, and many studies have shown a history with Osgood-Schlatter's disease to be linked to the fracture.

Other animals[edit]

Dinosaurs[edit]

In 2001, Bruce Rothschild and other paleontologists published a study examining evidence for tendon avulsions in theropod dinosaurs. Among the dinosaurs studied, Avulsion injuries were only noted among Tyrannosaurus and Allosaurus. Scars from these sorts of injuries were limited to the humerus and scapula. A divot on the humerus of Sue the T. rex was one such avulsion. The divot appears to be located at the origin of the deltoid or teres major muscles. The localization in theropod scapulae as evidenced by the tendon avulsion in Sue suggests that theropods may have had a musculature more complex and functionally different from those of their descendants, the birds.[7]

See also[edit]

References[edit]

  1. ^ "Avulsion fracture: How is it treated?". Mayo Clinic. April 8, 2010. Retrieved April 22, 2010. 
  2. ^ Zadik Y (December 2008). "Algorithm of first-aid management of dental trauma for medics and corpsmen". Dent Traumatol. 24 (6): 698–701. doi:10.1111/j.1600-9657.2008.00649.x. PMID 19021668. 
  3. ^ Robert Silbergleit. "Foot Fracture". Medscape.com. Retrieved October 19, 2011. 
  4. ^ a b Gary A. Rosenberg & James J. Sferra (September–October 2000). "Treatment Strategies for Acute Fractures and Nonunions of the Proximal Fifth Metatarsal". Journal of the American Academy of Orthopaedic Surgeons. 8 (5): 332–338. 
  5. ^ Richli WR, Rosenthal DI (October 1984). "Avulsion fracture of the fifth metatarsal: experimental study of pathomechanics". American Journal of Roentgenology. 143 (4): 889–91. doi:10.2214/ajr.143.4.889. 
  6. ^ JC DeLee (1993). RA Mann; MJ Coughlin, eds. Fractures and dislocations of the foot. Surgery of the Foot and Ankle. 2 (6th ed.). St Louis: Mosby-Year Book. pp. 1627–1640. 
  7. ^ Rothschild, B., Tanke, D. H., and Ford, T. L., 2001, Theropod stress fractures and tendon avulsions as a clue to activity: In: Mesozoic Vertebrate Life, edited by Tanke, D. H., and Carpenter, K., Indiana University Press, p. 331-336.

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