(v. t.) To reduce to minute particles, or to a fine powder; to pulverize; to triturate; to grind; as, to comminute chalk or bones; to comminute food with the teeth.
Example Sentences:
(1) The treatment of a Smith type-II fracture is a volar buttress plate unless extended comminution is present.
(2) Pure blow-out fracture or comminuted facial fracture, double vision and amnesia emerged as additional factors which yielded an efficient scoring system with a sensitivity of 89% and specificity of 90% for the population upon which it was based.
(3) The characteristic injuries were compression wedge-shaped fractures, multiple fractures of the vertebrae, comminuted and traumatic spondylolistheses and dislocation fractures.
(4) The following signs in the preoperative radiographs were predictive of unfavorable outcome: small head fragment, comminution of the calcar femorale, and varus angulation of the head.
(5) One hospital had a significantly higher proportion of patients wounded by bullets that disrupted after impact; these wounds were associated with comminuted fractures.
(6) Traumatic lesions of the anterior cranial fossa (ACF) with comminuted depressed fractures and with tears of dura require operative management.
(7) Shortening in severe comminution was the main complication and was not controlled by supplementary cast-bracing.
(8) Stable fractures treated in skin traction did well and extensively comminuted fractures appeared to be best treated with 90-90 skeletal traction.
(9) Comminuted body fractures are best treated with an anterior strut graft.
(10) Serious septal injuries may include comminuted caudal border fractures, septal crushes, and saddling with loss of septal height.
(11) In comminuted fractures, the axial deviation persists but can be compensated for by the adjacent segments of the spine.
(12) Special attention should be focused on injuries with comminution and bone loss in the medial wall and floor of the orbit, with loss of cartilaginous nasal support, and with orbital displacement and dystopia.
(13) A comminuted burst ("teardrop") fracture produced by axial loading of the vertebral bodies should be stabilized by an anterior cortical strut graft for early mobilization and realignment of the spinal column to prevent progressive deformity.
(14) A new technique is presented for the treatment of comminuted intraarticular fractures of the base of the thumb metacarpal.
(15) Forty-seven patients had unstable comminuted fractures, and 20 of these had medial displacement osteotomies performed.
(16) Errors in surgical judgment were attributed to inadequate preoperative analysis of the pattern of the fracture; undetected intraoperative comminution during reaming or insertion of the nail, or both; or postoperative failure to recognize an increase in comminution and instability of the fracture.
(17) Special attention must be paid to the Sarmiento type-II fracture with severe comminution of the dorsal cortex, severe radial shortening (greater than 10 mm) and dorsal tilt (greater than 25 degrees).
(18) Its treatment concurrent with the treatment of a severely comminuted fracture of the mandible has been reported.
(19) Preservation of the radial head with anatomic reduction and rigid internal fixation is preferred, but radial head replacement may be necessary in cases with extensive comminution.
(20) Forty comminuted or unstable fractures of the femoral shaft were treated by closed intramedullary reaming and locked nailing.
Fracture
Definition:
(n.) The act of breaking or snapping asunder; rupture; breach.
(n.) The breaking of a bone.
(n.) The texture of a freshly broken surface; as, a compact fracture; an even, hackly, or conchoidal fracture.
(v. t.) To cause a fracture or fractures in; to break; to burst asunder; to crack; to separate the continuous parts of; as, to fracture a bone; to fracture the skull.
Example Sentences:
(1) after operation for hip fracture, and merits assessment in other high-risk groups of patients.
(2) It is suggested that the Japanese may have lower trabecular bone mineral density than Caucasians but may also have a lower threshold for fracture of the vertebrae.
(3) Three of the patients had had fractures of the femoral neck.
(4) Anatomic and roentgenographic criteria used for the assessment of reduction in ankle fractures are highlighted in this review of ankle trauma.
(5) The decline in the frequency of serious complications was primarily due to a decrease in the proportion of patients with open fractures treated with plate osteosynthesis from nearly 50% to 19%.
(6) Two cases of posterior lumbar vertebral rim fracture and associated disc protrusion in adolescents are presented.
(7) The most important conclusion of both conferences was that oestrogen substitution can significantly reduce the incidence of fractures in postmenopausal women.
(8) From 1978 to 1983 in the Orthopedic University Clinic (Oskar-Helene-Heim, Berlin) 75 children with fractures of the distal humerus received medical treatment.
(9) Fractures which occur near the base of the dens have a low propensity to unite spontaneously.
(10) These unusual fractures are not easily detected on the routine three-view "hand-series."
(11) Internal fixation of these pathological fractures appeared to be the best treatment.
(12) Thirteen patients had had a posterior dislocation with an associated fracture of the femoral head located either caudad or cephalad to the fovea centralis (Pipkin Type-I or Type-II injury), one had had a posterior dislocation with associated fractures of the femoral head and neck (Pipkin Type III), two had had a posterior dislocation with associated fractures of the femoral head and the acetabular rim (Pipkin Type IV), and three had had a fracture-dislocation that we could not categorize according to the Pipkin classification.
(13) The incidence of femur fracture in non-cemented hip arthroplasty has been reported to be between 4.1% and 27.8%.
(14) In open fractures especially in those with severe soft tissue damage, fracture stabilisation is best achieved by using external fixators.
(15) By measurement and analysis of the changes in carpal angles and joint spaces, carpal instability was discovered in 41 fractures, an incidence of 30.6%.
(16) Conservatively treated compressed fractures of the distal radius dorsal metaphysis healed despite primarily good reduction and consequent treatment with a decrease in dorsal length.
(17) Unstable subcapital fractures and dislocation fractures of the humerus can usually be set by closed reduction.
(18) Formation of the functional contour plaster bandage within the limits of the foot along the border of the fissure of the ankle joint with preservation of the contours of the ankles 4-8 weeks after the treatment was started in accordance with the severity of the fractures of the ankles in 95 patients both without (6) and with (89) dislocation of the bone fragments allowed to achieve the bone consolidation of the ankle fragments with recovery of the supportive ability of the extremity in 85 (89.5%) of the patients, after 6-8 weeks (7.2%) in the patients without displacement and after 10-13 weeks (11.3%) with displacement of the bone fragments of the ankles.
(19) In 17 patients with femoral neck fractures who were between 15 and 40 years old the incidence of aseptic necrosis in patients followed more than 2 years was 18.7 per cent.
(20) The fracture can be treated arthroscopically by rigid internal fixation, while at the same time treating possible associated lesions.