Wrist Fractures - Span vs Fix vs Plaster

OrthoMedia ◽  
2021 ◽  
Keyword(s):  
Wrist Fractures

Understanding the Patterns of Deformity of Wrist Fractures Using Computer Analysis

2020 ◽  
Vol 16 (3) ◽  
pp. 194-200
Author(s):  
Shai Luria
Keyword(s):  
Computer Modeling ◽  
Computer Analysis ◽  
Computer Models ◽  
Fracture Morphology ◽  
Patient Specific ◽  
Surgical Approaches ◽  
Surgical Indications ◽  
Wrist Fractures ◽  
Novel Methods ◽  
Made In

Computer modeling of the wrist has followed other fields in the search for descriptive methods to understand the biomechanics of injury. Using patient-specific 3D computer models, we may better understand the biomechanics of wrist fractures in order to plan better care. We may better estimate fracture morphology and stability and evaluate surgical indications, design more adequate or effective surgical approaches and develop novel methods of therapy. The purpose of this review is to question the actual advances made in the understanding of wrist fractures using computer models.

Direct Digital Radiography Versus Storage Phosphor Radiography in the Detection of Wrist Fractures

2002 ◽  
Vol 57 (4) ◽  
pp. 258-262 ◽  
Author(s):  
Siegfried Peer ◽  
Ulrich Neitzel ◽  
Salvatore M. Giacomuzzi ◽  
Sigurd Pechlaner ◽  
Karl Heinz KÜnzel ◽  
...  
Keyword(s):  
Digital Radiography ◽  
Wrist Fractures ◽  
Storage Phosphor ◽  
Storage Phosphor Radiography

Restoring Wrist Rotation in Injured Pianists and Violinists

2009 ◽  
Vol 24 (2) ◽  
pp. 88-90
Author(s):  
Ian Winspur ◽  
Katherine Butler
Keyword(s):  
General Population ◽  
Distal Ulna ◽  
Professional Musicians ◽  
String Instruments ◽  
Wrist Fractures ◽  
Technical Details ◽  
The Ideal

Wrist fractures are common injuries in musicians, and a number of these fractures heal in a mal-united position, interfering with wrist rotation. This can prevent musicians who play keyboard instruments and the smaller string instruments from assuming the required wrist positions. Resection of the distal ulna (Darrach procedure), while somewhat discredited for the general population, has proved to be the ideal operation for this problem in musicians and has been used successfully on five professional musicians. This procedure, the rationale for its use in musicians, and the important technical details are discussed.

16-MDCT in the Detection of Occult Wrist Fractures: A Comparison with Skeletal Scintigraphy

2005 ◽  
Vol 184 (5) ◽  
pp. 1470-1474 ◽  
Author(s):  
Ashley M. Groves ◽  
Heok Cheow ◽  
Kottekkattu Balan ◽  
Helen Courtney ◽  
Philip Bearcroft ◽  
...  
Keyword(s):  
Skeletal Scintigraphy ◽  
Wrist Fractures

scholarly journals Which Are the Most Relevant Questions in the Assessment of Outcome after Distal Radial Fractures?

2015 ◽  
Vol 2015 ◽  
pp. 1-6
Author(s):  
Donald Buchanan ◽  
D. Prothero ◽  
J. Field
Keyword(s):  
Patient Satisfaction ◽  
Scoring Systems ◽  
Multivariate Regression Analysis ◽  
Distal Radial Fractures ◽  
Level Of Evidence ◽  
Household Chores ◽  
Wrist Fractures ◽  
Satisfactory Outcome ◽  
Level Of Satisfaction ◽  
Individual Variables

A study was designed to determine which wrist scoring system best correlates with patient satisfaction and which individual variables predict a satisfactory outcome. We looked at forty-five females and 5 males with wrist fractures at 12 weeks after injury and compared their level of satisfaction with various respected outcome measures. The mean age was 66 years. Multivariate regression analysis was carried out using a statistical software package. Patient satisfaction correlated best with the MacDermid, Watts, and DASH scores. The variables in these scoring systems that predicted satisfaction were pain and ability to perform household chores or usual occupation, open packets, and cut meat. The four most important questions to ask in the clinic following wrist fractures are about severity of pain and ability to open packets, cut meat, and perform household chores or usual occupation. This may provide simple and more concise means of assessing outcome after distal radial fractures. Level of evidence is level 4.

scholarly journals Diagnostic accuracy of history taking, physical examination and imaging for phalangeal, metacarpal and carpal fractures: a systematic review update.

2019 ◽  
Author(s):  
Patrick Krastman ◽  
Nina M. Mathijssen ◽  
Sita M.A. Bierma-Zeinstra ◽  
Gerald Kraan ◽  
Jos Runhaar
Keyword(s):  
Physical Examination ◽  
Diagnostic Accuracy ◽  
Predictive Value ◽  
Scaphoid Fracture ◽  
Radiological Examination ◽  
Supporting Evidence ◽  
History Taking ◽  
Wrist Fractures ◽  
Scaphoid Fractures ◽  
Work Up

Abstract Background The standard diagnostic work-up for hand and wrist fractures consists of history taking, physical examination and imaging if needed, but the supporting evidence for this work-up is limited. The purpose of this study was to systematically examine the diagnostic accuracy of tests for hand and wrist fractures. Methods A systematic search for relevant studies was performed. Methodological quality was assessed and sensitivity (Se), specificity (Sp), accuracy, positive predictive value (PPV) and negative predictive value (NPV) were extracted from the eligible studies. Results Of the 35 eligible studies, one described the diagnostic accuracy of history taking for hand and wrist fractures. Physical examination with or without radiological examination for diagnosing scaphoid fractures (five studies) showed Se, Sp, accuracy, PPV and NPV ranging from 15-100%, 13-98%, 55-73%, 14-73% and 75-100%, respectively. Physical examination with radiological examination for diagnosing other carpal bone fractures (one study) showed a Se of 100%, with the exception of the triquetrum (75%). Physical examination for diagnosing phalangeal and metacarpal fractures (one study) showed Se, Sp, accuracy, PPV and NPV ranging from 26-55%, 13-89%, 45-76%, 41-77% and 63-75%, respectively. Imaging modalities of scaphoid fractures showed predominantly low values for PPV and the highest values for Sp and NPV (24 studies). Magnetic Resonance Imaging (MRI), Computed Tomography (CT), Ultrasonography (US) and Bone Scintigraphy (BS) were comparable in diagnostic accuracy for diagnosing a scaphoid fracture, with an accuracy ranging from 85-100%, 79-100%, 49-100% and 86-97%, respectively. Imaging for metacarpal and finger fractures showed Se, Sp, accuracy, PPV and NPV ranging from 73-100%, 78-100%, 70-100%, 79-100% and 70-100%, respectively. Conclusions Only one study was found on the diagnostic accuracy of history taking for hand and wrist fractures in the current review. Physical examination was of moderate use for diagnosing a scaphoid fracture and of limited use for diagnosing phalangeal, metacarpal and remaining carpal fractures. MRI, CT and BS were found to be moderately accurate for the definitive diagnosis of clinically suspected carpal fractures.

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