Ortho Classifications

14 classifications

Humerus (2 classifications)
1. Classification of proximal humerus fracture
Name: Neer’s classification (based on fracture segments(

Classes:

• Type I – Articular segment

• Type II – Greater tuberosity
• Type III – Lessor tuberosity
• Type IV – Humeral shaft

2. Supracondyler fracture of the humerus

Name: Gartland classification

Classes:
• Type I – Non-displaced
• Type II – Displaced fracture with intact posterior cortex
• Type III – Complete displace
Radius (1 Classification)
3. Head of radius fracture
Name: Manson Classification
Classes:

• Type I - Undisplaced radial head or neck

• Type II - Displaced radial head or neck
• Type III - Severely comminuted radial head or neck
• Type IV - Radial fracture with dislocation
Ulna (1 Classification)
4. Monteggia Fracture Dislocation
Name: Bado Classification
Classes:

• Type I – Anterior dislocation

• Type II – Posterior dislocation
• Type III – Lateral dislocation
• Type IV – Anterior dislocation with radial shaft fracture
Femur (5 Classifications)
5. Femoral head fracture
Name: Pipkin Classification
 Classes:
 Type I - Fracture inferior to fovea
 Type II - Fracture superior to fovea
 Type III - Femoral head + acetabulum fracture

 Type IV - Femoral head + femoral neck fracture

6. Femoral neck fracture

Name: Garden Classification
Classes:
 Type I – Incomplete fracture
 Type II – Completed fracture + non-displaced
 Type III – Complete fracture + partially displaced
 Type IV - Femoral head + fully displaced

7. Intertrochanteric fracture
Name: Evan’s Classification
Classes:
 Type I – two part undisplaced
 Type 2 – two part displaced
 Type 3 – three fragments without posteriolateral support
 Type – 4 three fragments without medial supprt
 Type 5 – four fragments without posteri-lateral and posterior-medial support
 Type 6 – Reverse oblique fracture

8. Femoral shaft fracture

Name: Winquist and Hansen classification
Classes:

• Type 0 - No comminution
• Type 1 - Insignificant butterfly fragment with transverse or short oblique fracture
• Type 2 - Large butterfly of less than 50% of the bony width, > 50% of cortex intact
• Type 3 - Larger butterfly leaving less than 50% of the cortex in contact
• Type 4 - Segmental comminution

9. Distal femoral fracture

Name: Muller
Classes:
 • Type A – Extra-articular (supracondylar)
• Type B - Inta-articular (unicondyler)
• Type B – Inta-articular (Bicondyler)
Tibia (3 Classifications)
10. Tibial Palateu fracture
Name: Schatzker’s Classification

Classes:

• Type I – Split
• Type II – Split depression
• Type III – Central depression
• Type IV – Split fracture (Medial)
• Type V – Bicondyler fracture
• Type VI – Dislocation of metaphysis and diaphysis

11. Tibial shaft fracture

Name: Tscherne and Goetzen closed fracture classification
Classes:

• Grade 0 – minimal soft tissue injury, simple pattern fracture

• Grade 1 – Superficial abrasion, mild-to-moderate pattern fracture
• Grade 2 – Deep abrasion, impending compartmental syndrome, severe pattern
fracture
• Grade 3 – Extended crush, Severe pattern, neurovascular injury

12. Tibial pilon fracture

Name: Ruedi and Allgower

Classes:

• Type I – non-displaced cleavage of the ankle joint

• Type II – Displaced fracture with minimal impaction or comminution
• Type III – Displaced fracture with minimal impaction or comminution and articular
impaction

Ankle (1 Classification)
13. Ankle joint fracture
Name: Weber Danis Classification
Classes:
 Type A - Fibula Fracture distal to mortise
 Type B - Fibula Fracture at the level of the mortise
 Type C - Fibula Fracture proximal to mortise