Incidence of Carpal Coalition in an Asian Population – Preliminary Findings of a Study on Patients from a Distal Radius Fracture Database

2017 ◽  
Vol 22 (02) ◽  
pp. 156-159 ◽  
Author(s):  
Sean Ong ◽  
Sreedharan Sechachalam
Keyword(s):  
Distal Radius Fracture ◽  
Distal Radius ◽  
Incidental Finding ◽  
African Descent ◽  
Asian Population ◽  
The Other ◽  
Radius Fracture ◽  
Western Literature ◽  
Preliminary Results ◽  
Carpal Coalition

Background: Congenital carpal coalition is usually seen as an incidental finding. The incidence of carpal coalition has been reported from 0.1 to 9.5 %; highest incidence has been reported in people of African descent. The purpose of our study is to evaluate the incidence and subtypes of carpal coalition in an Asian population. Methods: Review of the radiographs of the patients in our distal radius fracture database from 2009 to 2014 was conducted to determine the incidence and type of carpal coalition. Results: 4141 patients’ wrist radiographs were reviewed. 2 cases of carpal coalition were identified; this leads to an incidence of 0.048%. One was of luno-triquetral type and the other was of capito-hamate type. Conclusions: The preliminary results of our study indicate that carpal coalition in the Asian population is less common than that reported in the Western literature. Our results are inconclusive as to the type of carpal coalition that is more common.

Distal Radius Fracture Treatment Outcomes in Patients With Ipsilateral Hemiplegia or Hemiparesis

Hand ◽  
2021 ◽  
pp. 155894472199973
Author(s):  
Nicholas Munaretto ◽  
Adam Tagliero ◽  
Raahil Patel ◽  
Peter C. Rhee
Keyword(s):  
Distal Radius Fracture ◽  
Distal Radius ◽  
Case Series ◽  
Distal Radius Fractures ◽  
Radius Fracture ◽  
Functional Classification ◽  
Radius Fractures ◽  
Radiographic Outcomes ◽  
Ipsilateral Hemiparesis

Background Little information exists to guide decision-making with regard to distal radius fractures in the setting of ipsilateral hemiparesis or hemiplegia. Methods Patients who sustained a distal radius fracture in the setting of ipsilateral hemiparesis or hemiplegia secondary to brain injury were evaluated. Investigated variables included perioperative pain, preinjury House functional classification score, length of immobilization, radiographic outcome measurements, and time to union. Results There were 15 patients with distal radius fractures with a mean age of 65.9 years. The mean clinical and radiographic follow-up was 2.8 and 2.9 years, respectively. Wrists were placed into the nonoperative group (NOG, n = 10) and operative group (OG, n = 5). Pain significantly decreased at final follow-up for both groups. Baseline House functional classification scores averaged 1.3 and 1.6 for the NOG and OG, respectively, and were maintained at final follow-up. Length of immobilization for the NOG was 46 days and OG was 37 days, P = .15. Radiographic outcomes at final follow-up in the NOG and OG, respectively, were a mean radial height of 9.3 versus. 11.6 mm, radial inclination of 18.3° versus 22.3°, 4.2° dorsal tilt versus 5.3° volar tilt, and tear drop angle of 45.6° versus 44.5°. There were no significant differences in these measurements. Time to radiographic union averaged 58 days for the NOG and 67 days for the OG, P = .42. There were no revision surgeries. Conclusions Based on this small case series, patients with distal radius fracture and ipsilateral hemiparesis or hemiplegia may have similar clinical, functional, and radiographic outcomes, regardless of nonoperative or operative treatment.

scholarly journals A New Volar Plate DiPhos-RM for Fixation of Distal Radius Fracture

2013 ◽  
Vol 17 (1) ◽  
pp. 41-45 ◽  
Author(s):  
Luigi Tarallo ◽  
Raffaele Mugnai ◽  
Roberto Adani ◽  
Fabio Catani
Keyword(s):  
Distal Radius Fracture ◽  
Distal Radius ◽  
Volar Plate ◽  
Radius Fracture

Surgical Technique of Corrective Osteotomy for Malunited Distal Radius Fracture Using the Computer-Simulated Patient Matched Instrument

2016 ◽  
Vol 21 (02) ◽  
pp. 133-139 ◽  
Author(s):  
Tsuyoshi Murase
Keyword(s):  
Bone Graft ◽  
Distal Radius Fracture ◽  
Distal Radius ◽  
Locking Plate ◽  
Corrective Osteotomy ◽  
Extensor Tendon ◽  
Radius Fracture ◽  
Soft Tissue Release ◽  
Dorsal Plate ◽  
Volar Locking Plate

The conventional corrective osteotomy for malunited distal radius fracture that employs dorsal approach and insertion of a trapezoidal bone graft does not always lead to precise correction or result in a satisfactory surgical outcome. Corrective osteotomy using a volar locking plate has recently become an alternative technique. In addition, the use of patient-matched instrument (PMI) via computed tomography simulation has been developed and is expected to simplify surgical procedures and improve surgical precision. The use of PMI makes it possible to accurately position screw holes prior to the osteotomy and simultaneously perform the correction and place the volar locking plate once the osteotomy is completed. The bone graft does not necessarily require a precise block form, and the problem of the extensor tendon contacting the dorsal plate is avoided. Although PMI placement and soft tissue release technique require some degree of specialized skill, they comprise a very useful surgical procedure. On the other hand, because patients with osteoporosis are at risk of peri-implant fracture, tandem ulnar shortening surgery should be considered to avoid excessive lengthening of the radius.

Assessing the Relationship Between Bone Density and Loss of Reduction in Nonsurgical Distal Radius Fracture Treatment

2021 ◽  
Author(s):  
Jason H. Ghodasra ◽  
Imran S. Yousaf ◽  
Kavya K. Sanghavi ◽  
Tamara D. Rozental ◽  
Kenneth R. Means ◽  
...  
Keyword(s):  
Bone Density ◽  
Distal Radius Fracture ◽  
Distal Radius ◽  
Radius Fracture ◽  
Fracture Treatment ◽  
Loss Of Reduction ◽  
The Relationship
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