An avulsion injury arises when a bone fragment is pulled away by a ligament or tendon
A stress fracture arises in a normal bone as a result of repetitive low impact trauma
Periprosthetic fractures occur at the site of orthopaedic metalwork
Describing a fracture is usually better than labelling it with an eponymous term
Avulsion injury
Range of movement at a joint is normally limited by ligaments or tendons which may withstand injury better than the bone to which they are attached. Excessive movement at a joint, may result in a bone fragment being pulled off, or 'avulsed', by a tendon or ligament.
A fracture arising in this way is called an 'avulsion fracture'.
A bone fragment has been avulsed from the distal phalanx due to hyperflexion at the distal interphalangeal joint (DIPJ)
The tendon remains intact
Stress fracture
Whereas a pathological fracture can arise from a single minor trauma to an abnormal bone, a stress fracture is the result of repeated low impact trauma to a normal bone.
The 'march' fracture is a common stress fracture of a metatarsal bone. This is not only seen in soldiers who march, but also as the result of other repetitive weight-bearing activities.
The lucent (black) areas around the metalwork are a sign of loosening of the prosthesis
The weakened bone has fractured
Eponymous fractures
There is great variance in understanding of the defining features of many eponymous injuries. For example, there is no common agreement on the definition of a 'Colle's fracture'.
Eponyms may be useful in some settings, but if there is any doubt about the nature of an injury, then it is best to avoid using an eponymous term and describe the injury more specifically.