Cause:

  • Traumatic
  • Stress
  • Pathologic

Location:

  • Which bone?
  • Which part of the bone?
  • Laterality (right, left, or bilateral)

Type:

  • Non-displaced
  • Displaced
  • Open (Gustilo classification where applicable)
  • Closed (Greenstick, spiral, etc.)
  • Salter-Harris (specify type)

Encounter:

  • Initial
  • Subsequent
    • For routine healing
    • For delayed healing
    • For non-union
    • For malunion
  • Sequela (such as bone shortening)

Include the external cause of the fracture, such as fall while skiing, motor vehicle accident, tackle in sports, etc.