Stage | Clinical findings | Radiological findings |
0 Inflammatory |
Localized warmth, oedema/swelling and erythema | Almost normal or minimal abnormality |
1 Developmental |
Marked localized swelling, warmth, and redness; minor bone deformity, joint instability (ligamentous laxity). | Focal bone demineralization (osteopenia). Bony debris at articular margins. Fragmentation of subchondral bone. Periarticular fracture. Subluxation, and/or dislocation. |
2 Healing |
Continued but decreased warmth, oedema and erythema, major bone deformity, bone instability | Absorption of fine osseous debris. Coalescence/fusion of bone fragments. Callus formation and/or new periosteal bone formation. Sclerosis of bone ends. |
3 Remodelling |
No warmth, swelling, redness, fixed bone deformity, joint stiffness | Appearance of a mature fracture callus. Bony remodelling of major fragments. Decreased sclerosis (rounding of bone ends) signify the finality of the permanent deformity |