Description

The AO-ASIF (Arbeitsgemeinschaft fur Osteosynthesefragen, Association for the Study of Internal Fixation) developed a classification system for fractures, based on location and type of fracture.


 

Code for location: 13 (humerus, distal)

 

Locations:

(1) extra-articular (A)

(2) partial articular (B)

(3) complete articular fracture (C)

 

Extra-articular

Type of Fracture

Fracture Code

apophyseal avulsion

lateral epicondyle

A1.1

 

medial epicondyle, non-incarcerated

A1.2

 

medial epicondyle, incarcerated

A1.3

metaphyseal, simple

oblique downwards and inwards

A2.1

 

oblique downwards and outwards

A2.2

 

transverse

A2.3

metaphyseal, multi-fragmentary

with an intact wedge

A3.1

 

with a fragmented wedge

A3.2

 

complex

A3.3

 

 

Partial Articular Fracture

Type of Fracture

Fracture Code

lateral sagittal

capitellum

B1.1

 

transtrochlear simple

B1.2

 

transtrochlear multi-fragmentary

B1.3

medial sagittal

transtrochlear simple, through the medial side (Milch I)

B2.1

 

transtrochlear simple, through the groove

B2.2

 

transtrochlear multi-fragmentary

B2.3

frontal

capitellum

B3.1

 

trochlea

B3.2

 

capitellum and trochlea

B3.3

 

 

Complete Articular Fracture

Type of Fracture

Fracture Code

articular simple, metaphyseal simple

with slight displacement

C1.1

 

with marked displacement

C1.2

 

T-shaped epiphyseal

C1.3

articular simple, metaphyseal multi-fragmentary

with intact wedge

C2.1

 

with a fragmented wedge

C2.2

 

complex

C2.3

multi-fragmentary

metaphyseal simple

C3.1

 

metaphyseal wedge

C3.2

 

metaphyseal complex

C3.3

 


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