Distal radius fracture

Author(s):  
Graham Alastair

♦ Active treatment increasingly used♦ It is important to recognize type B fractures♦ CT useful to define complex fractures♦ K wiring quick and simple but complex fractures often require plating♦ Palmar locking plates useful for complex fractures♦ Dorsal plates only used occasionally because of complications.

2014 ◽  
Vol 3 (62) ◽  
pp. 13736-13743
Author(s):  
Shaleen Sareen ◽  
Baljit Singh ◽  
Aditya Bhardwaj ◽  
Parminder Virdi ◽  
Simarpreet S Bhattal

2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Anja M. Hjelle ◽  
Jan-Erik Gjertsen ◽  
Ellen M. Apalset ◽  
Roy M. Nilsen ◽  
Anja Lober ◽  
...  

Abstract Background It is mechanically plausible that osteoporosis leads to more severe peripheral fractures, but studies investigating associations between BMD and radiographically verified complexity of distal radius fractures are scarce. This study aims to study the association between osteoporosis, as well as other risk factors for fracture, and the AO classification of distal radius fractures. Methods In this observational study, 289 consecutive patients aged ≥40 years with a distal radius fracture were included. Bone mineral density (BMD) of the hips and spine was measured by dual-energy x-ray absorptiometry (DXA), and comorbidities, medication, physical activity, smoking habits, body mass index (BMI), and history of previous fracture were registered. The distal radius fractures were classified according to the Müller AO system (AO) (type B and C regarded as most complex). Results Patients with osteoporosis (n = 130) did not have increased odds of a more complex distal radius fracture (type B + C, n = 192)) (n = vs type A (n = 92) (OR 1.1 [95% CI 0.5 to 2.3]) compared to those with osteopenia /normal BMD (n = 159). Patients with AO fracture types A or C had a higher prevalence of osteoporosis than patients with type B fracture. Conclusions Distal radius fracture patients with osteoporosis did not sustain more complex fractures than those with osteopenia/normal BMD according to the AO classification system. The AO classification of distal radius fracture cannot be used to decide which patients should be referred to DXA scan and considered for secondary fracture prevention.


Injury Extra ◽  
2010 ◽  
Vol 41 (12) ◽  
pp. 164
Author(s):  
Talvinder Singh ◽  
Nikolas Jagodzinski ◽  
Rory Norris ◽  
Simon Tan ◽  
Vaikunthan Rajaratnam ◽  
...  

Author(s):  
Sung Jin An ◽  
Sang Hyun Lee ◽  
Dong Hee Kim ◽  
Hyo Seok Jang ◽  
Sung Min Hong ◽  
...  

Purpose: The most common surgical treatment for distal radius fracture is internal fixation using volar locking plates, but it is sometimes difficult to maintain reduction with them. Therefore, this research reports the results of surgical treatment with additional radial column plates.Methods: We analyzed 12-month follow-up results in 100 cases. The patients had the B or C types of distal radius fractures, in accordance with AO classification, and underwent surgical treatment at our hospital from May 2013 to December 2019. There were 16 cases of B-type and 84 cases of C-type fractures. Out of these, 87 were treated with volar locking plates (V group) and 13 had additional radial column plates (VR group). The results of surgical treatment were examined clinically by measuring the disabilities of the arm, shoulder and hand (DASH) and Mayo wrist score, and radiologically by measuring the radial length, radial inclination, and volar tilt, before and after surgery.Results: After treatment, the radiographic average in the V group showed a radial length of 12.3 mm, radial inclination of 20.2°, and volar tilt of 5.8°, while the VR group showed 11.6 mm, 22.3°, and 9.0° respectively. A statistically significant difference was found in the DASH score, and the DASH score showed good results in the VR group.Conclusion: Additional radial column plate fixation is worth considering because it provides clinically and radiologically satisfactory results in treatment of B and C types distal radius fracture involving articular surface.


Author(s):  
P. M. Mervinrosario ◽  
Vijay Narasimman Reddy ◽  
Aravind Ravichandran

The present case report describe Open Reduction & Internal Fixation of a Distal Radius Fracture With a Volar Locking Plate. Anatomical reduction & stable fixation of fracture with or without bone grafting, greatly reduces the incidence of post-traumatic osteoarthritis & stiffness. The accuracy of fracture reduction co- relates directly to the final outcome. A 34-year-old man fell on his right outstretched h&. He presented to the casuality & on physical examination, he was noted to have deformity about his right wrist with moderate swelling. There was no neuro-vascular deficit. Various treatment modalities have been developed for distal radius fracture fixation. Treatment options range from closed reduction & cast application to open reduction with plates & screws. Locking plates address intra-articular & metaphyseal comminution. Biomechanical studies comparing volar fixed- angle locking plates with that of conventional dorsal plates report volar fixed-angled plates to be superior in terms of their strength.


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