scholarly journals PHYSIOTHERAPY REHABILITATION OF DISTAL RADIAL FRACTURE TO ENHANCE THE ACTIVITY OF DAILY LIVING

2021 ◽  
Vol 10 (4) ◽  
pp. 3343-3345
Author(s):  
Ragini Dadgal
Keyword(s):  
Patient Outcomes ◽  
Distal Radius ◽  
Daily Living ◽  
Wrist Joint ◽  
Functional Independence ◽  
Distal Radial Fracture ◽  
Radial Fracture ◽  
Provide Pain Relief ◽  
Positive Effect ◽  
Fracture Of Distal Radius

Fracture of distal radius is the commonest fracture present in the upper limb. In fact, it is most commonly treated by the doctor. An outstretched hand is the most common cause of distal radius or wrist fractures. The fracture of distal radius can also lead to nerve injury mostly median nerve. Physical Therapy plays important role which provides positive effect in treating post fracture cases. A case of 45 years female is presented in this report who had an fall over right wrist joint and diagnosed with distal radius fracture and operated conservatively results into pain over wrist joint, decrease in physical activities. Rehabilitation protocol is explained below in the report. We report that there were improvement in patient outcomes level increases in muscles strength, provide pain relief and improvement in patient functional Independence.

scholarly journals QSAR STUDIES OF SOME SUBSTITUTED IMIDAZOLE DERIVATIVES AS POTENT ANTIFUNGAL AGENTS

2021 ◽  
Vol 10 (4) ◽  
pp. 3346-3350
Author(s):  
Sumeet Prachand
Keyword(s):  
Patient Outcomes ◽  
Distal Radius ◽  
Antifungal Agents ◽  
Wrist Joint ◽  
Functional Independence ◽  
Wrist Fractures ◽  
Qsar Studies ◽  
Provide Pain Relief ◽  
Positive Effect ◽  
Fracture Of Distal Radius

Fracture of distal radius is the commonest fracture present in the upper limb. In fact, it is most commonly treated by the doctor. An outstretched hand is the most common cause of distal radius or wrist fractures. The fracture of distal radius can also lead to nerve injury mostly median nerve. Physical Therapy plays important role which provides positive effect in treating post fracture cases. A case of 45 years female is presented in this report who had a fall over right wrist joint and diagnosed with distal radius fracture and operated conservatively results into pain over wrist joint, decrease in physical activities. Rehabilitation protocol is explained below in the report. We report that there were improvement in patient outcomes level increases in muscles strength, provide pain relief and improvement in patient functional Independence.

Radiographic Outcome of Unstable Distal Radial Fracture Treated by Closed Reduction and Pin in Plaster

2009 ◽  
Vol 2 ◽  
pp. CMTIM.S1929
Author(s):  
Ebrahim Ghaiem Hasankhani ◽  
Mohamad Taghi Pivandi ◽  
Ali Birjandi Nejad
Keyword(s):  
Distal Radius ◽  
Closed Reduction ◽  
Low Cost ◽  
Distal Radial Fracture ◽  
Radial Fracture ◽  
Radiographic Outcome ◽  
Satisfactory Outcome ◽  
Appropriate Treatment ◽  
Type C ◽  
Fracture Of Distal Radius

Background There is controversy about the appropriate treatment for severely displaced and unstable comminuted fracture of distal radius (type C of AO or OTA classification). Recently, there has been an increase in the number of predilection for surgical management of this fracture. Aim To determine the radiographic outcome in type C fractures of the distal radius treated with closed reduction and pin in plaster. Materials and Methods Eighty consecutive patients 60 male and 20 female, average age 40 years (22–60 years), with type C fractures of the distal radius seen between February 2001 and July 2003 in Shahid Kamiab Hospital of Mashad University, were treated by closed reduction and pin in plaster, followed up by anteroposterior and lateral radiographs to evaluate radial height, inclination and volar tilt. Results There was significant improvement in the measurements of radial height, inclination and volar tilt after closed reduction and pin in plaster, and at the time the pins and plaster were removed. (P = 0.00). Conclusion Closed reduction and pin in plaster is an effective, simple and low cost method in type C fractures of distal radius with satisfactory outcome.

scholarly journals Volar Fixation of Dorsally Displaced Distal Radial Fracture Using Locking Compression Plate

2005 ◽  
Vol 13 (2) ◽  
pp. 153-157 ◽  
Author(s):  
KK Wong ◽  
KW Chan ◽  
TK Kwok ◽  
KH Mak
Keyword(s):  
Distal Radius ◽  
Locking Plate ◽  
Locking Compression Plate ◽  
Distal Radial Fracture ◽  
Radial Fracture ◽  
Distal Radial Fractures ◽  
Compression Plate ◽  
One Year ◽  
Compression Plating ◽  
Unstable Fractures

Purpose. To evaluate the functional and radiological results of treating unstable fractures of the dorsal distal radius with a volar locking plate. Methods. Dorsally displaced distal radial fractures in 30 patients (11 men and 19 women; mean age, 58.6 years) were fixed by volar locking compression plate and followed up for a minimum of one year. Results. At final functional assessment, 24 patients achieved excellent and 5 achieved good outcomes, with one patient exhibiting fair results. Radiological scores demonstrated 22 excellent and 8 good outcomes. No nonunion or infection occurred. Conclusion. Volar locking compression plating is a safe and effective treatment for unstable fractures of the dorsal distal radius.

RADIOLOGICAL ASSESSMENTS OF INJECTED CALCIUM SULFATE BONE CEMENTS IN THE TREATMENT OF DISTAL RADIAL FRACTURE

2013 ◽  
Vol 25 (05) ◽  
pp. 1340006 ◽  
Author(s):  
Li-Ho Hsu ◽  
Chih-Yung Chiang ◽  
Kai-Chiang Yang ◽  
Chang-Chin Wu
Keyword(s):  
Calcium Sulfate ◽  
Soft Tissues ◽  
Wrist Joint ◽  
Distal Radial Fracture ◽  
Radial Fracture ◽  
Distal Radial Fractures ◽  
Percutaneous Injection ◽  
Negative Results ◽  
Cement Block ◽  
Post Operation

It has been reported in many literatures that different kinds of bone graft augmentations have been applied in the treatment of distal radial fractures with favorable results. The authors applied calcium sulfate cement in the treatment of distal radial fractures and evaluated the radiological outcomes of 33 patients. The radiological changes of cement statuses, implants, and radiological parameter of distal radius were analyzed. After closed reduction of the displacement, fractures were fixed by Kirschner pins and stabilized by percutaneous injection of premixed calcium sulfate bone cement. Periodic X-ray evaluations were obtained at immediate post-operation and at every month. A total of 28 patients completed the follow-up and the cement extravasations into wrist joint or into soft tissues had been seen in almost every patient. The gradual settling and losses of radial height, radial inclination angle, and volar tilting angles were significant even after removal of Kirschner pins after 8 weeks. Gradual absorptions of cured cement block inside and outside distal radial cortices were observed in every case and complete absorptions of intraosseous cements after 8 weeks happened in 53.6% (15/28) of patients. The extravasated cements took longer time to fade away. The radiological results of current study revealed negative results of calcium sulfate applied in the treatment of distal radial fracture in terms of reduction parameters and cement block longevity.

TREATMENT OF CHRONIC ULNAR WRIST DISORDERS

Hand Surgery ◽  
1998 ◽  
Vol 03 (01) ◽  
pp. 17-34
Author(s):  
H. Ono ◽  
H. Yajima ◽  
S. Tamai
Keyword(s):  
Wrist Joint ◽  
Preoperative Assessment ◽  
Distal Radioulnar Joint ◽  
Distal Radial Fracture ◽  
Radial Fracture ◽  
Interposition Arthroplasty ◽  
Radioulnar Joint

Forty-four patients underwent surgery for chronic ulnar-sided wrist disorders. Their diagnoses were malunion of distal radial fracture in 25 patients, ulnocarpal abutment syndrome in 11, and primary distal radioulnar joint (DRUJ) osteoarthrropathies in eight. The procedures performed included Darrach's procedure in three patients, ulnar shortening in 17, hemiresection interposition arthroplasty in six, and Sauvé-Kapandji's procedure in 18. Each case was assessed preoperatively and postoperatively using a modified Cooney's score. The overall result included 17 excellent outcomes, 12 good, 13 fair, and two poor. In order to select the best procedure for patients with disorders of the ulnar wrist joint, preoperative assessment of DRUJ congruity and stability is essential. In ulnocarpal disorders without DRUJ incongruity, ulnar shortening should be selected. In cases with DRUJ incongruity but stable, hemiresection interposition arthroplasty is indicated. In cases with an unstable, incongruous DRUJ, Sauvé-Kapandji's procedure is recommended. Darrach's procedure is indicated only in elderly, inactive patients.

THE INTERNAL CONSISTENCY AND VALIDITY OF THE PATIENT EVALUATION MEASURE FOR OUTCOMES ASSESSMENT IN DISTAL RADIUS FRACTURES

2007 ◽  
Vol 32 (3) ◽  
pp. 262-267 ◽  
Author(s):  
D. P. FORWARD ◽  
J. S. SITHOLE ◽  
T. R. C. DAVIS
Keyword(s):  
Distal Radius ◽  
Internal Consistency ◽  
Objective Measures ◽  
Distal Radial Fracture ◽  
Strongly Correlated ◽  
Patient Evaluation ◽  
Radial Fracture ◽  
Radius Fractures ◽  
Evaluation Measure ◽  
Fracture Outcome

The internal consistency and validity of the Patient Evaluation Measure (PEM) was investigated in the setting of the distal radius fracture by assessing 200 patients 6 to 42 years after injury using the PEM and DASH questionnaires and objective measures of outcome. The PEM was completed separately for both the injured and uninjured wrist. We found highly significant correlations between the PEM and objective measures and, also, between the PEM and DASH scores. We also calculated a comparative PEM score by subtracting the score of the uninjured wrist from that of the injured side, to eliminate the effect of co-existing disease. This score was more strongly correlated with outcome than the PEM alone. We suggest that the PEM is a valid method of assessing distal radial fracture outcome. It may, also, be used to reduce the effect of symptoms from coexisting bilaterally represented pathologies.

Association of scapholunate dissociation and two-part articular fractures of the distal radius

2019 ◽  
Vol 44 (5) ◽  
pp. 468-474 ◽  
Author(s):  
Grace T.W. Sun ◽  
Simon B.M. MacLean ◽  
Justin J. Alexander ◽  
Richard Woodman ◽  
Gregory I. Bain
Keyword(s):  
Distal Radius ◽  
Ct Scans ◽  
Distal Radial Fracture ◽  
Fracture Type ◽  
Radial Fracture ◽  
Scapholunate Dissociation ◽  
Distal Radial Fractures ◽  
Level Of Evidence ◽  
Articular Fracture ◽  
Articular Fractures

Scapholunate dissociation may occur in association with distal radial fractures and is easily missed at initial presentation. The aim of this study was to examine variances in the scapholunate distance with respect to subtypes of two-part partial articular distal radial fractures. Axial computed tomography (CT) scans of acute two-part intra-articular radial fractures were assessed retrospectively from 80 patients and compared to 20 controls. From each scan, two images were analysed to identify the scaphoid, lunate and articular fracture line in the distal radius for fracture type categorization. The images were overlaid on a standardized distal radius template and the scapholunate distance measured. Significant increase in the scapholunate distance was noted in fracture subtypes: radial styloid oblique; dorsal ulnar column; sagittal ulnar column; and volar coronal. We conclude that these findings support the need for a higher index of suspicion for scapholunate dissociation in these distal radial fracture subtypes. Level of evidence: III

scholarly journals Comparison of radiographic and functional results of die-punch fracture of distal radius between volar locking plating (VLP) and external fixation (EF)

2019 ◽  
Vol 14 (1) ◽  
Author(s):  
Yanqing Zhou ◽  
Yanbin Zhu ◽  
Xiong Zhang ◽  
Dehu Tian ◽  
Bing Zhang
Keyword(s):  
External Fixation ◽  
Distal Radius ◽  
Wrist Joint ◽  
Statistical Significance ◽  
Functional Results ◽  
Bony Union ◽  
Wrist Flexion ◽  
Significance Level ◽  
Significant Difference ◽  
Fracture Of Distal Radius

Abstract Purpose The aim of this study is to investigate the radiographic and functional results of die-punch fracture of distal radius treated by volar locking plate (VLP) or external fixation (EF). Methods Between January 2015 and June 2018, 87 patients who were treated with EF or VLP were included in this study. At postoperative 6 months and at least 12 months, radiographic and functional outcomes were evaluated, and compared between two groups using SPSS 21.0. Results The follow-up period was 15.6 months in average, and at the mean 8.5 weeks bony union was achieved in all patients. At 6-month visit, patients in VLP group had significantly better wrist flexion (79.2° vs. 71.8°) and pronation (79.5° vs. 75.2°) than those in EF group, but the difference was non-significant at the last visit (> 12 months); as for other parameters, no significant differences were observed. No significant difference was found between both groups in term of volar tilt, radial inclination, radial height, ulnar variance, or Gartland–Werley score and DASH. The articular step-off was significantly greater in EF than VLP group (0.6 mm vs. 0.3 mm, p < 0.001). The overall incidence of complications seemed higher in EF group (25% vs. 14%), but not approaching to the statistical significance level. Conclusions Patients with VLP fixation of die-punch fractures had better wrist flexion and pronation at 6-month visit and more favorable wrist joint congruence at the last visit, but ultimately their outcome was comparable with those treated by EF.

Fractures of the Distal Radius and Scaphoid

1996 ◽  
Vol 21 (6) ◽  
pp. 772-774 ◽  
Author(s):  
J. OSKAM ◽  
J. S. DE GRAAF ◽  
H. J. KLASEN
Keyword(s):  
Conservative Treatment ◽  
Operative Treatment ◽  
Distal Radius ◽  
Functional Results ◽  
Distal Radial Fracture ◽  
Radial Fracture ◽  
Wrist Injury ◽  
Distal Radial Fractures ◽  
Scaphoid Fractures

Simultaneous fractures of the distal radius and scaphoid is an uncommon wrist injury. During the period 1980 to 1993, 23 patients with a median age of 39 years were treated for this injury. The median follow-up period was 7 years. All scaphoid fractures were undisplaced and located in the waist or distal third. An extraarticular distal radial fracture was observed in 15 wrists. A below elbow cast including the thumb was applied in 18 wrists for a mean duration of 9 weeks, and operative treatment was used in only 5 patients. All scaphoid fractures healed without complications. During conservative treatment there were three redisplacements of distal radial fractures. The final functional results were good in 18, fair in four, and poor in one patient. Because complications occurred at the distal radius we have changed our conservative treatment policy from a below elbow cast including the thumb to a dorsal splint for 6 weeks.

scholarly journals Soft bandage versus casting in the treatment of torus fracture of distal radius in children; a prospective randomized study

2016 ◽  
Vol 11 (4) ◽  
pp. 3-8 ◽  
Author(s):  
Prakash Bahadur Thapa ◽  
Rudra Prasad Marasini ◽  
Shrawan Kumar Thapa ◽  
Nabeesman Singh Pradhan ◽  
Shreekrishna Giri
Keyword(s):  
Distal Radius ◽  
Randomized Study ◽  
Cost Effective ◽  
Plaster Cast ◽  
Medical Sciences ◽  
Significant Difference ◽  
Provide Pain Relief ◽  
The Mean ◽  
Cast Group ◽  
Fracture Of Distal Radius

Background & Objectives: Various methods of immobilization have been recommended for the treatment of torus fracture of distal radius in children. The purpose of this study is to determine if soft bandage is as effective and safe as below elbow circumferential casts in the treatment of torus fracture of the distal radius in the children.Materials & Methods: Children from 4 to 14 years of age, who presented to emergency and outpatient department of orthopaedics and trauma at National Academy of Medical Sciences with an isolated torus fracture of distal radius, were randomized and treated with either soft bandage or below-elbow plaster cast by the same investigators. Patients with associated neurovascular injuries, bilateral torus fractures, concomitant physeal injuries and associated musculoskeletal injuries were excluded. The patients were followed up at weekly interval for 4 weeks and analyzed with VAS, ROM and outcome questionnaire and data were analyzed by using SPSS 18.Results: Among the 114 patients analyzed, 57 patients were kept in soft bandage group and 57 in below-elbow cast group. The mean age in soft bandage group was 8.29 year and the mean age in below-elbow cast group was 8.55 years. There was no significant difference between the two groups with regard to patient demographics, initial fracture characteristics and mechanism of injury.Conclusion: Treatment of distal radius torus fracture with soft bandage is a cost-effective and safe in the children below 14 years of age. These minor fractures are stable and not subject to the risks of late displacement which can be very effectively treated symptomatically to provide pain relief by using soft bandage only and educating the parents about the nature of this paediatrics fracture.Journal of College of Medical Sciences-Nepal, Vol.11(4) 2015: 3-8

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