Collins and Temple classified traumatic open joint injuries.
Classification:
(1) major type
(2) subtype (for Types 1, 2 and 3)
|
Features of Injury |
Type |
|
single capsular perforation or laceration without extensive soft tissue injury |
1 |
|
single or multiple capsular perforation or lacerations with extensive soft tissue injury |
2 |
|
open periarticular fracture with extension through the adjacent intra-articular surface |
3 |
|
open dislocation |
4 |
|
associated nerve and/or vascular injury requiring repair |
4 |
|
Features of Injury |
Subtype |
|
no injury to any articular surface or minimal injury (< 2 mm stepoff or gap; area of comminution < 1 square centimeter) |
A |
|
significant injury to a single articular surface (>= 2 mm stepoff or gap; area of comminution >= 1 square cm) |
B |
|
significant injury to biarticular surfaces (>= 2 mm stepoff or gap; area of comminution >= 1 square cm) |
C |
|
meniscoligamentous disruption |
C |
where:
• The original table has < 2 mm and > 2 mm for stepoff or gap but no "=2".
• The original table has < 1 square cm and > 1 square cm but no "=1".
• There is no subtype category for minor injury to biarticular surfaces.
Specialty: Surgery, orthopedic, Emergency Medicine, Critical Care, Surgery, general
