Müller AO Classification of fractures
{{Short description|System for classifying bone fractures}}
File:AO Fracture Classification - Adult.png
The Müller AO Classification of fractures is a system for classifying bone fractures initially published in 1987{{cite book | title=Classification AO des fractures. Tome I. Les os longs | publisher=Springer-Verlag |vauthors=Müller ME, Nazarian S, Koch P | year=1987 | location=Berlin}} by the AO Foundation as a method of categorizing injuries according to therognosis of the patient's anatomical and functional outcome. "AO" is an initialism for the German "Arbeitsgemeinschaft für Osteosynthesefragen", the predecessor of the AO Foundation.
It is one of the few complete fracture classification systems to remain in use today after validation.{{cite journal | title=How reliable are reliability studies of fracture classifications? A systematic review of their methodologies |vauthors=Audigé L, Bhandari M, Kellam J | journal=Acta Orthop Scand | year=2004 | volume=75 | issue=2 | pages=184–94 | pmid=15180234 | doi=10.1080/00016470412331294445| doi-access= }}
Comprehensive classification of the long bones
The English language version of the system{{cite book | title=The Comprehensive Classification of Fractures of Long Bones | publisher=Springer-Verlag |vauthors=Müller ME, Nazarian S, Koch P, etal | year=1990 | location=New York}} allows consistent in detail description of a fracture in defined terminology by creating a 5-element alphanumeric code:
class="wikitable" |
colspan="2"|Localisation
!colspan="3"|Morphology |
---|
Bone
|Segment |Type |Group |Subgroup |
1/2/3/4
|1/2/3/(4) |A/B/C |1/2/3 |.1/.2/.3 |
=Localisation=
=Type=
Each fracture is next given a letter (A, B or C) to describe the joint involvement of the fracture:
class="wikitable" |
Segment
!A !B !C |
---|
1
|Extra-articular |Partial articular |Complete articular |
2
|Simple |Wedge |Complex |
3
|Extra-articular |Partial articular |Complete articular |
The exceptions to this step include:
class="wikitable" |
Localisation
!A !B !C |
---|
11 - Proximal humerus
|Extra-articular, unifocal |Extra-articular, bifocal |Articular |
31 - Proximal femur
|Extra-articular, trochanteric |Extra-articular, neck |Articular, head |
44 - Malleoli
|Infrasydesmotic |Transyndesmotic |Suprasyndesmotic |
=Groups & Subgroups=
Finally, the fracture is given 2 further numbers to denote the fracture pattern and geometry.
For segment 2 (diaphyseal) fractures:
class="wikitable" |
rowspan="2"|Type
!colspan="3"|Group |
---|
1
!2 !3 |
A - simple
|Spiral |Oblique |Transverse |
B - wedge
|Spiral |Bending |Multifragmentory |
C - complex
|Spiral |Segmental |Irregular |
For segment 1 and 3 (epiphyseal and metaphyseal) fractures:
class="wikitable" |
rowspan="2"|Type
!colspan="3"|Group |
---|
1
!2 !3 |
A - extra-articular
|Simple |Wedge |Complex |
B - partial articular
|Split |Depression |Split-depression |
C - articular
|Simple articular, simple metaphyseal |Simple articular, complex metaphyseal |Complex articular, complex metaphyseal |
Subgroups are then used to describe the fractures in terms of displacement (versus apposition, which is the degree to which the parts are in contact with each other), rotation, angulation and shortening.
AO pediatric comprehensive classification of long bone fractures
A pediatric version of the long-bone classification was published in 2006{{cite journal | title=Development and validation of the AO pediatric comprehensive classification of long bone fractures by the Pediatric Expert Group of the AO Foundation in collaboration with AO Clinical Investigation and Documentation and the International Association for Pediatric Traumatology | vauthors=Slongo T, Audigé L, Schlickewei W, Clavert JM, Hunter J, ((International Association for Pediatric Traumatology)) | journal=J Pediatr Orthop | year=2006 | volume=26 | issue=1 | pages=43–9 | pmid=16439900 | doi=10.1097/01.bpo.0000187989.64021.ml| s2cid=21127278 }} to further classify fractures of immature bone and so the effects on future growth:
class="wikitable" |
colspan="3"|Localisation
!colspan="3"|Morphology |
---|
Bone
|Segment |Type |Child |Severity |Exceptions |
1/2/3/4
|1/2/3 |E/M/D |1-9 |.1/.2 |I-IV |
OTA/AO Classification unifying extension
The Orthopaedic Trauma Association Committee for Coding and Classification initially published their classification system covering the whole skeleton in 1996.{{cite journal | title=Fracture and dislocation compendium | author=Orthopaedic Trauma Association Committee for Coding and Classification | journal=J Orthop Trauma | year=1996 | volume=10 | issue=Suppl 1:v–ix | pages=1–154 | pmid=8814583}} In 2006{{cite journal | title=Fracture and Dislocation Classification | author=Orthopaedic Trauma Association | journal=J Orthop Trauma | year=2007 | volume=21 | issue=Suppl | pages=S1–S133 | pmid=18277234 | doi=10.1097/00005131-200711101-00001| s2cid=24535478 | doi-access=free }} they published a revision, unifying the Muller/AO and OTA systems into a single alphanumeric classification, which has been further updated in 2018:{{cite web |title=AO/OTA Fracture and Dislocation Classification Compendium—2018 |url=https://www.aofoundation.org/trauma/clinical-library-and-tools/journals-and-publications/classification |website=AO Trauma |publisher=AO Foundation |access-date=30 September 2022 |language=en}}
References
{{reflist}}
External links
- [https://surgeryreference.aofoundation.org AO Surgery Reference]
{{Fractures |state=autocollapse}}
{{DEFAULTSORT:Muller AO Classification of fractures}}