![]() ![]() Any concern for this injury warrants non-emergent magnetic resonance imaging (MRI), which provides evaluation for labral as well as osseous injury. The inferior glenoid rim should be closely interrogated on pre- and post-reduction shoulder radiographs. An osseous or bony Bankart fracture is a chip fracture of the anterior inferior glenoid cortical rim on which the labrum rests (Fig. The soft tissue Bankart lesion is an injury to the anterior or anteroinferior glenoid labrum, the fibrocartilagenous structure that surrounds and deepens the bony glenoid. Named after the renowned English orthopedic surgeon Arthur Bankart, the Bankart lesion is often associated with the Hill-Sachs lesion due to their common mechanism of injury. ![]() We also briefly review the mechanism of each injury, associated complications, any follow-up imaging needed, and treatment. We illustrate fundamental descriptors of each injury that a clinician should expect in a radiology report. In this two-part series, our goal is to provide emergency providers with consistent, accurate definitions and depictions of commonly and less frequently encountered extremity fracture eponyms, keying in on important imaging features that differentiate these fractures. Unfortunately, the imprecise use of eponyms can result in confusion and miscommunication. Eponymous extremity fractures are commonly encountered in the emergency setting and are frequently used in interactions amongst radiologists, emergency clinicians, and orthopedists. Their use allows physicians to quickly provide a concise description of a complex injury pattern. J Bone and Joint Surgery.Eponyms are embedded throughout medicine they can be found in medical literature, textbooks, and even mass media. A Treatise on Fractures in the Vicinity of Joints, and on Certain Forms of Accidental and Congenital Dislocations, pp. The reduction is acceptable until referral for internal fixation can occur. The patient underwent reduction of the fracture, under sedation and was placed in an above elbow cast, with the wrist extended. The fracture may also result in acute median nerve injury (refer to examination of the hand), or delayed carpal tunnel syndrome secondary to narrowing of the entry into the canal. Due to the instability of the fracture, most will require internal fixation. Mal-union can result in significant deformity sometimes called a ‘garden spade deformity’. This is a difficult fracture to reduce and one that is prone to slippage of fracture fragments. A followup X-ray needs to be performed several days after the plaster is applied to assess for slippage. Supination can aid in reduction and plastering in the fully supinated position with the elbow flexed at 90 degrees can aid in keeping the fracture fragments from slipping. Attemps at initial reduction can be achieved by the opposite positioning to that of a colles fracture. In most cases Smith’s Fractures are unstable and will need internal fixation.
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