Intermediate
Technical
IVT
comminuted fracture
Pronunciation: kuh-min-YOO-ted
Fracture pattern where the bone is broken into three or more fragments.
Full Definition
A comminuted fracture is a type of bone fracture characterized by the presence of three or more bone fragments at the fracture site. This pattern typically results from high-energy trauma and represents a more complex injury than simple two-part fractures. Comminuted fractures are challenging to treat because the multiple fragments must be anatomically reduced and stabilized, often requiring surgical intervention. The presence of comminution may indicate compromised blood supply to bone fragments and can affect healing time and prognosis.
Usage
Usage note: Not synonymous with 'compound fracture' which refers to open wounds.
In Context
- "The comminuted tibial plateau fracture required plate fixation with bone grafting." — Surgical consultation note
- "Given the degree of comminution, the prognosis for functional recovery is guarded." — Discharge summary
Also known as
multifragmentary fracture
Contrasted with
simple fracture
two-part fracture
Don't confuse with
compound fracture
complete fracture