scholarly journals A Rare Combination of Posterior Elbow Dislocation with Ipsilateral Intra-Articular Distal Radius Fracture with Radiocarpal Dislocation: Case Report and Literature Review

2021 ◽  
pp. 93-99
Author(s):  
Dany K. Aouad ◽  
Ramzi Musharrafieh ◽  
Fouad Jabbour ◽  
Nabil Dib ◽  
Alexandre H. Nehme
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Distal Radius Fracture ◽  
Distal Radius ◽  
Closed Reduction ◽  
Elbow Dislocation ◽  
Daily Activities ◽  
Radius Fracture ◽  
Forearm Fractures

Separate elbow dislocation and forearm fractures are common injuries, with both injuries occurring concomitantly and ipsilaterally being rare. We report a case of a 70-year-old female patient who had a posterior elbow dislocation with ipsilateral comminuted distal radius fracture with anterior radiocarpal dislocation. Closed reduction of the elbow was done with open reduction and internal fixation of the distal radius fracture. At 6-month follow-up, the patient had no pain, with satisfactory range of motion of both joints, resuming her previous daily activities.

scholarly journals COMPARATIVE STUDY OF RADIOLOGICAL AND FUNCTIONAL OUTCOME OF EXTRA ARTICULAR DISTALRADIUS FRACTURE TREATED CONSERVATIVELY WITH RESPECT TO ITS POSITION OF IMMOBILIZATION

2018 ◽  
Vol 6 (1) ◽  
pp. 46-51
Author(s):  
Gopal Prasad Gnawali
Keyword(s):  
Functional Outcome ◽  
Distal Radius Fracture ◽  
Distal Radius ◽  
Closed Reduction ◽  
Functional Results ◽  
Plaster Cast ◽  
Radius Fracture ◽  
Chi Square ◽  
Radiological Parameters

INTRODUCTION: Distal radius fracture is one of the common injury in orthopedic trauma. Traditionally,this fracture is being treated with closed reduction and immobilization in palmer flexion and ulnar deviation. This position of immobilization has been shown with poor functional result. So the aim of our study is to compare the radiological and functional outcome of distal radius fracture treated conservatively with respect to position of immobilization. MATERIAL AND METHODS: Hundred patients, all above 20 years of age with distal radius fracturewhere treated with closed reduction and below elbow cast application. Patients were randomly allocated to dorsal and palmer flexed plaster cast application, fifty in dorsiflexion group and fifty in palmer flexion group. All patients were followed up at 2nd week, 4th week, 6th week and 12th weeks. Radiological parameters measured in every follow-up and functional parameters measured after removal of cast in last two follow up. The results were scored and compared by Demerit Scoring System of Saito. For comparison, t test and Chi square test were used as necessary.RESULTS: All fractures united. All individual movements of wrist were significantly better in the dorsiflexed immobilized group as compared with  the  palmerflexed immobilized  group. Radiological parameters  were  also markedly better  in the dorsiflexed group.CONCLUSION: Both radiological and functional results of the extra articular distal radius fracture are better if the fracture immobilized in the dorsiflexed position after reduction rather than traditional palmer flexion position. Journal of Universal College of Medical SciencesVol. 6, No. 1, 2018, page: 46-51

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 Radius distraction could contribute to long-term stability for treating distal radioulnar joint instability during volar plating of distal radius fracture: a retrospective case series study

2021 ◽  
Author(s):  
Cheng-Yu Yin ◽  
Hui-Kuang Huang ◽  
Duretti Fufa ◽  
Jung-Pan Wang
Keyword(s):  
Surgical Technique ◽  
Distal Radius Fracture ◽  
Distal Radius ◽  
Case Series ◽  
Distal Radioulnar Joint ◽  
Radius Fracture ◽  
Radioulnar Joint ◽  
Druj Instability

Abstract BackgroundThe surgical technique of radius distraction for stabilization of distal radioulnar joint (DRUJ) if intraoperative DRUJ instability was found after the fixation of distal radius fracture has been previously described, but this surgical technique lacks clinical and radiographic effect in minimal 3 years follow-up. We therefore evaluated the clinical outcome and radiographic results of radius distraction in minimal 3 years follow-up.MethodsWe reviewed the case series of distal radius fracture with concomitant DRUJ instability receiving radius distraction from the senior author over a 5-year period (January 1st, 2013 to June 30th, 2017) retrospectively, and the evaluation of clinical and radiographic outcomes was performed at clinic as long-term follow-up; a total 34 patients had been evaluated.ResultsAt minimal post-operative 36 months follow-up, all cases demonstrated acceptable wrist range of motion with stable DRUJs and low NRS of wrist pain (0.6, SD 0.7) and DASH score (mean 9.1, SD 6.2), and there were no cases suffering from nonunion of distal radius. The mean ulnar variance of injured wrist and uninjured wrist were − 1.2 mm and 0.2mm, respectively (SD 1.0 and 0.6) with significant statistical difference.ConclusionsRadius distraction during volar fixation of distal radius fracture should be consider if DRUJ instability was found by the radioulnar stress test intraoperatively, and the long-term DRUJ stability could be achieved by maintenance of normal-to-negative ulnar variance, with decreased wrist pain and satisfactory function outcome.Level of EvidenceTherapeutic Level IV

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