scholarly journals Assessment and Management of Acute Volar Rim Fractures

2021 ◽  
Author(s):  
John J. Heifner ◽  
Jorge L. Orbay
Keyword(s):  
Clinical Outcomes ◽  
Distal Radius ◽  
Initial Treatment ◽  
Distal Radius Fractures ◽  
Rigid Fixation ◽  
Locking Plates ◽  
Radius Fractures ◽  
Fixed Angle ◽  
Intraoperative Evaluation ◽  
Initial Reduction

AbstractThe volar rim of the distal radius is the only bony restraint to volar carpal subluxation. Higher loads across the volar rim require stable and rigid fixation to maintain reduction and allow healing while rehabilitation begins. Volar marginal fragments are not amenable to buttressing by fixed angle volar locking plates. Appropriate management of volar marginal fragments comprises two steps—recognition of their presence and rigid anatomical repair. The best opportunity for success in the presence of a volar marginal fragment is its adequate initial treatment. The purpose of this review is to reinforce the importance of a complete preoperative and intraoperative evaluation of distal radius fractures. Volar marginal fragments can easily be overlooked even following initial reduction and fixation. Understanding the relevant anatomy and loading parameters can facilitate intraoperative decisions on approach and fixation, which are integral to achieving optimal clinical outcomes.

scholarly journals Comparison Between External Fixators and Fixed-Angle Volar-Locking Plates in the Treatment of Distal Radius Fractures

2016 ◽  
Vol 04 (02) ◽  
pp. 50-54 ◽  
Author(s):  
Alberto Jorge-Mora ◽  
David Cecilia-López ◽  
Victor Rodríguez-Vega ◽  
Laura Suárez-Arias ◽  
Eva Andrés-Esteban ◽  
...  
Keyword(s):  
Distal Radius ◽  
Distal Radius Fractures ◽  
External Fixators ◽  
Locking Plates ◽  
Radius Fractures ◽  
Fixed Angle

scholarly journals Minimising the risk of extensor pollicis longus rupture following volar plate fixation of distal radius fractures: a cadaveric study

2011 ◽  
Vol 93 (1) ◽  
pp. 57-60 ◽  
Author(s):  
DC Perry ◽  
DMG Machin ◽  
JA Casaletto ◽  
DJ Brown
Keyword(s):  
High Risk ◽  
Distal Radius ◽  
Plate Fixation ◽  
Tendon Injury ◽  
Distal Radius Fractures ◽  
Volar Plate ◽  
Radius Fractures ◽  
Extensor Pollicis Longus ◽  
Fixed Angle ◽  
Volar Plate Fixation

INTRODUCTION Rupture of extensor pollicis longus (EPL) tendon is a recognised complication following volar plate fixation of distal radius fractures, usually from attrition caused by prominent screws. We sought to identify the screw holes in some of the most commonly used plates which may precipitate tendon injury. SUBJECTS AND METHODS Three fixed-angle volar locking plates were sequentially positioned into 18 cadaveric arms. A wire was passed through each of the holes in the plates using a locking guide and the dorsal relationships noted. RESULTS Each plate had specific ‘high-risk’ holes which directed the wire towards the EPL groove. The central screw holes appeared mostly implicated in EPL injury. CONCLUSIONS Awareness of ‘high-risk’ holes and appropriate minor alterations in surgical technique may consequently decrease the incidence of EPL irritation and rupture.

Treatment of distal radius fractures with locking plates: an update

2018 ◽  
Vol 28 (8) ◽  
pp. 1537-1542 ◽  
Author(s):  
Francois Loisel ◽  
Hugo Kielwasser ◽  
Grégoire Faivre ◽  
Thomas Rondot ◽  
Séverin Rochet ◽  
...  
Keyword(s):  
Distal Radius ◽  
Distal Radius Fractures ◽  
Locking Plates ◽  
Radius Fractures

A Biomechanical Comparison of a Dorsal 3.5-mm T-Plate and a Volar Fixed-Angle Plate in a Model of Dorsally Unstable Distal Radius Fractures

2005 ◽  
Vol 19 (3) ◽  
pp. 187-191 ◽  
Author(s):  
Frank A. Liporace ◽  
Salil Gupta ◽  
Gerard K. Jeong ◽  
Michael Stracher ◽  
Fredrick Kummer ◽  
...  
Keyword(s):  
Distal Radius ◽  
Distal Radius Fractures ◽  
Radius Fractures ◽  
Fixed Angle ◽  
Biomechanical Comparison

scholarly journals The Effect of Socioeconomic Factors on Outcomes of Distal Radius Fractures: A Systematic Review

Hand ◽  
2017 ◽  
Vol 13 (5) ◽  
pp. 509-515 ◽  
Author(s):  
Jessica L. Truong ◽  
Chris Doherty ◽  
Nina Suh
Keyword(s):  
Systematic Review ◽  
Socioeconomic Factors ◽  
Clinical Outcomes ◽  
Distal Radius ◽  
Full Text ◽  
Distal Radius Fractures ◽  
Quality Analysis ◽  
Current Evidence ◽  
Radius Fractures ◽  
Full Text Screening

Background: Socioeconomic factors are known to affect outcomes for both medical and surgical conditions. The purpose of this systematic review was to assess the current evidence regarding the effect of socioeconomic factors such as income, geographic location, educational level, and occupation on clinical outcomes after distal radius fractures. Methods: A systematic search strategy was performed to identify studies commenting on the effect of socioeconomic factors on clinical outcomes following open or closed distal radius fracture repair. Abstract and full-text screening was performed by 2 independent reviewers, and articles were evaluated by Structured Effectiveness Quality Evaluation Scale (SEQES). Treatment outcomes of interest included, but were not limited to, pain, function, range of motion, and grip strength. Results: There were 1745 studies that met our inclusion and exclusion criteria for abstract screening. Of these, 48 studies met our inclusion criteria for full-text screening and 20 studies met our criteria for quality analysis with the SEQES score. There were 3 studies of high quality, 16 of moderate quality, and 1 of low quality. Meta-analyses were not possible due to the variability in outcomes of interest across papers. Conclusions: Patient factors indicative of socioeconomic status are relevant predictors of functional outcome after distal radius fractures. There is currently limited evidence in this area of research, and further examination should be considered to improve outcomes from a patient and system standpoint.

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