The term "gutter fracture" is commonly used in orthopedics to describe a specific type of hand fracture. The word "gutter" is spelled with a "u" and "e," with the stress on the first syllable. The phonetic transcription for "gutter" is /ˈɡʌtər/. The word "fracture" is spelled as it is pronounced, with the stress on the first syllable. The phonetic transcription for "fracture" is /ˈfræktʃər/. Thus, "gutter fracture" is pronounced as /ˈɡʌtər/ /ˈfræktʃər/.
A gutter fracture is a type of bone fracture that occurs near a joint, particularly in the fingers or toes. It is characterized by a specific pattern in which the bone is broken into two fragments that are united by a third fragment bridging across the joint, resembling a gutter-like structure. This distinct configuration is due to the placement of the fracture line along the articular surface of the joint.
Gutter fractures typically occur as a result of direct trauma or intense force applied to the affected joint. The placement of the fracture in the articular surface can lead to the displacement of the joint, causing pain, swelling, and limited range of motion. In severe cases, the fracture may disrupt the alignment of the joint, leading to deformity or instability.
Treatment of a gutter fracture usually involves immobilization of the joint using a splint or cast, which helps to stabilize the fractured bone fragments and allow for proper healing. In some instances, surgery may be necessary to realign the joint and fixate the fragments using pins, screws, or wires.
Prompt medical evaluation and intervention are crucial for gutter fractures to ensure appropriate healing and minimize long-term complications such as joint stiffness or malunion. Physical therapy may also be recommended to restore joint function and strength after the fracture has healed.
A long, narrow, depressed fracture of the skull.
A practical medical dictionary. By Stedman, Thomas Lathrop. Published 1920.