How Do You Spell BUTTONHOLE FRACTURE?
Pronunciation: [bˈʌtənhˌə͡ʊl fɹˈakt͡ʃə] (IPA) 
Pronunciation: [bˈʌtənhˌə͡ʊl fɹˈakt͡ʃə] (IPA)
A buttonhole fracture, also known as a gutter fracture, is a type of injury that occurs in the bone. It refers to a specific type of fracture where the bone is broken in such a way that a small fragment or splinter of bone remains attached to one of the main pieces. This creates a hole-like appearance, resembling a buttonhole, hence the term buttonhole fracture.
This type of fracture most commonly occurs in long bones, such as those in the arms or legs. It is typically caused by a strong force or impact that forces the bone to bend or twist beyond its normal range of motion. The attached bone fragment in a buttonhole fracture can sometimes affect the stability and alignment of the bone, leading to additional complications.
Buttonhole fractures can cause significant symptoms, including pain, swelling, bruising, inability to move or bear weight on the affected limb, and deformity at the site of the fracture. Diagnosis usually involves a physical examination, along with imaging tests such as X-rays or CT scans, which can confirm the presence and severity of the fracture.
Treatment for a buttonhole fracture typically involves immobilizing the affected limb with a cast or splint to facilitate bone healing. In some cases, surgical intervention may be necessary to align and stabilize the bone fragments, especially if there is a significant displacement or if the fracture affects joint function. Physical therapy may also be recommended to restore strength and mobility to the affected limb once the bone has healed.
Perforation of a bone with loss of substance, as in a gunshot wound.
A practical medical dictionary. By Stedman, Thomas Lathrop. Published 1920.
The term "buttonhole fracture" is derived from the appearance of the bone fracture.
"Buttonhole" refers to a small opening, typically used for fastening buttons on clothing. In the case of a buttonhole fracture, it describes the shape and appearance of the fracture. When viewing the fractured bone, it may resemble a buttonhole due to the presence of two parallel fracture lines on either side of the bone fragment, resembling the holes on either side of a button. The term "buttonhole fracture" is commonly used in reference to fractures of the distal radius, the large bone on the thumb side of the forearm, near the wrist.
