A systematic approach for the description of<unk> should be used to aid in clear communication with radiologists and consulting specialists.
Laterality
Open vs. Closed
Affected Bone
Location
Intra-articular vs. extra-articular
Portion of long-bone (proximal, middle, distal)
Anatomic site (ex. supracondylar, intertrochanteric, subtrochanteric, femoral neck)
Direction (orientation of<unk> line relative to long-axis)
Transverse
Oblique
Spiral
Impacted
Torus / Greenstick (Peds)
Alignment
Displacement (distal relative to proximal fragment)
State in terms of direct measurement (e.g. 4mm) or %width of bones (50% displacement)
Angulation
Deviation from longitudinal axis, described in degrees and direction
Direction of apex of angle formed from redrawn longitudinal axes of<unk> fragments
Valgus angulation is lateral
Varus angulation is medial
Rotation
Twisting around longitudinal axis (distal relative to proximal fragment)
Described as medial or lateral rotation (towards or away from midline respectively)
Separation
Distance two fragments have been pulled apart (but not offset from each other)
Shortening
Amount by which a bone's length has been reduced (expressed in mm or cm)
May occur by impaction or by overriding
Other
Incomplete: Only one side of cortex disrupted
Stress: Caused by repetitive low-force trauma/impact
Pathologic: Caused by trivial trauma or biomechanically routine force, suggestive of abnormal bone.
Fracture-Dislocation: Be careful not to describe these injuries as<unk> with displacement
Fragmentation
Segmental (>2 fragments, with one segment not connected to either end)
Comminuted (>3 fragments)
Intra-articular vs. extra-articular
Portion of long-bone (proximal, middle, distal)
Anatomic site (ex. supracondylar, intertrochanteric, subtrochanteric, femoral neck)
Transverse
Oblique
Spiral
Impacted
Torus / Greenstick (Peds)
Displacement (distal relative to proximal fragment)
State in terms of direct measurement (e.g. 4mm) or %width of bones (50% displacement)
Angulation
Deviation from longitudinal axis, described in degrees and direction
Direction of apex of angle formed from redrawn longitudinal axes of<unk> fragments
Valgus angulation is lateral
Varus angulation is medial
Rotation
Twisting around longitudinal axis (distal relative to proximal fragment)
Described as medial or lateral rotation (towards or away from midline respectively)
Separation
Distance two fragments have been pulled apart (but not offset from each other)
Shortening
Amount by which a bone's length has been reduced (expressed in mm or cm)
May occur by impaction or by overriding
Other
Incomplete: Only one side of cortex disrupted
Stress: Caused by repetitive low-force trauma/impact
Pathologic: Caused by trivial trauma or biomechanically routine force, suggestive of abnormal bone.
Fracture-Dislocation: Be careful not to describe these injuries as<unk> with displacement
State in terms of direct measurement (e.g. 4mm) or %width of bones (50% displacement)
Deviation from longitudinal axis, described in degrees and direction
Direction of apex of angle formed from redrawn longitudinal axes of<unk> fragments
Valgus angulation is lateral
Varus angulation is medial
Twisting around longitudinal axis (distal relative to proximal fragment)
Described as medial or lateral rotation (towards or away from midline respectively)
Distance two fragments have been pulled apart (but not offset from each other)
Amount by which a bone's length has been reduced (expressed in mm or cm)
May occur by impaction or by overriding
Incomplete: Only one side of cortex disrupted
Stress: Caused by repetitive low-force trauma/impact
Pathologic: Caused by trivial trauma or biomechanically routine force, suggestive of abnormal bone.
Fracture-Dislocation: Be careful not to describe these injuries as<unk> with displacement
Segmental (>2 fragments, with one segment not connected to either end)
Comminuted (>3 fragments)
Salter Harris
Fractures 
Gingival hyperplasia
Joint dislocations 
Vertebral fractures and dislocations
Knee fractures
Pediculosis
Pelvic fractures
Hepatomegaly