Comparison between Distractor Application on Both Radial &amp; Ulnar Side and Radial Side Only for Fracture Distal Radius with Ulnar Styloid Fracture

Objective This study was performed to determine the prevalence of triangular fibrocartilage complex (TFCC) injuries as shown by 3.0T magnetic resonance imaging (MRI) in patients with distal radius fractures. Methods In total, 57 patients with distal radius fractures underwent 3.0T MRI examinations to observe the incidence of TFCC injuries after manual reduction and cast fixation. The fracture type was categorized by the AO classiﬁcation, and the TFCC injury pattern was evaluated using the Palmer classiﬁcation. The correlation between the location of the TFCC injury and the distal radius fracture pattern, distal radioulnar joint instability, or ulnar styloid fracture was analyzed. Results Fifty-five TFCC injuries were diagnosed. There was no significant relationship between the TFCC injury pattern and the type of distal radius fracture, distal radioulnar joint instability, or ulnar styloid fracture. Conclusions This study revealed a high prevalence of TFCC injuries in patients with distal radius fractures. The 3.0T MRI examination helps to assess TFCC injuries in patients with distal radius fractures. Clinical Trial Registration ChiCTR1800017101.

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Ulnar Styloid Fracture With Distal Radius Fracture

The Journal Of Hand Surgery ◽

10.1016/j.jhsa.2011.08.035 ◽

2012 ◽

Vol 37 (3) ◽

pp. 568-569 ◽

Cited By ~ 11

Author(s):

Robert W. Wysocki ◽

David S. Ruch

Keyword(s):

Distal Radius Fracture ◽

Distal Radius ◽

Radius Fracture ◽

Ulnar Styloid ◽

Ulnar Styloid Fracture

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Management of Distal Ulnar Fracture Combined with Distal Radius Fracture

The Journal of Hand Surgery (Asian-Pacific Volume) ◽

10.1142/s2424835516400075 ◽

2016 ◽

Vol 21 (02) ◽

pp. 155-160 ◽

Cited By ~ 5

Author(s):

Jae Kwang Kim ◽

Jong-Oh Kim ◽

Yong-Do Koh

Keyword(s):

Distal Radius Fracture ◽

Distal Radius ◽

Distal Radius Fractures ◽

Radius Fracture ◽

Surgical Approaches ◽

Radius Fractures ◽

Ulnar Styloid ◽

Cast Immobilization ◽

Distal Ulna ◽

Ulnar Styloid Fracture

The distal ulna is composed of the ulnar styloid, ulnar head, and distal ulnar metaphyseal area. Most of distal ulnar metaphyseal fractures are associated with distal radius fractures and this incidence tends to be greater in osteoporotic elderly. Consideration of the treatment of distal ulna metaphyseal fracture should be addressed after treating a distal radius fracture. If it is stable, cast immobilization is preferred, however, if it shows malalignment or instability, an operative method should be considered. More than half of distal radius fractures are combined with an ulnar styloid fracture, and considerable cases of ulnar styloid fractures result in nonunion. However, ulnar styloid nonunion usually does not cause any problems on the wrist. Recent studies of distal radius fractures treated using a volar locking plate have reported that neither the initial displacement nor the size of a concomitant ulnar styloid fracture affects clinical outcome, which suggests surgical approaches may usually not be indicated for ulnar styloid fractures.

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A Comparison of Outcomes after K-Wire Fixation of Distal Radius Fractures with and without Associated Ulnar Styloid Fracture

Handchirurgie · Mikrochirurgie · Plastische Chirurgie ◽

10.1055/s-0034-1366997 ◽

2014 ◽

Vol 46 (01) ◽

pp. 7-11 ◽

Cited By ~ 4

Author(s):

A. Zyluk ◽

A. Mazur ◽

P. Puchalski

Keyword(s):

Distal Radius ◽

Distal Radius Fractures ◽

Radius Fractures ◽

Ulnar Styloid ◽

Ulnar Styloid Fracture ◽

Wire Fixation

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Ulnar Styloid Fracture Accompanying Distal Radius Fracture Does Not Affect Hand Function, but What About Hand Dexterity?

Journal of Hand and Microsurgery ◽

10.1055/s-0040-1721564 ◽

2021 ◽

Author(s):

Hande Usta ◽

Umut Eraslan ◽

Merve Sarıipek ◽

Ali Kitis

Keyword(s):

Range Of Motion ◽

Distal Radius Fracture ◽

Distal Radius ◽

Hand Function ◽

Pinch Strength ◽

Ulnar Styloid ◽

Ulnar Styloid Fracture ◽

Hand Dexterity ◽

Significant Difference ◽

Quick Dash

Abstract Introduction Hand dexterity is not addressed in patients with distal radius fracture (DRF) accompanied with ulnar styloid fracture (USF) in literature. This study aimed to determine whether an associated USF following a DRF has any effect on hand dexterity. Materials and Methods Patients diagnosed with DRF were included in the study and were divided into two groups according to the USF presence (USF group and non-USF group). Pain, range of motion, Quick-DASH (Quick-Disabilities of the Arm, Shoulder, and Hand), handgrip and pinch strength, Purdue Pegboard test, and Jebsen Taylor Hand Function test were measured in the sixth month. Results A total of 125 patients, 68 females (54.4%) and 57 males (45.6%) were included in the study. The mean age of the patients was 47.15 ± 13.41 (18–65) years. There were 60 patients (48%) in the USF group and 65 patients (52%) in the non-USF group. No significant difference was found in pain, range of motion, Quick-DASH and handgrip and pinch strength between the groups (p > 0.05). The hand dexterity tests showed no statistically significant difference between the groups in the sixth month (p > 0.05). Discussion Hand function can be determined more accurately by assessing hand dexterity. In this study, it is emphasized that concomitant USF does not lead to poorer hand dexterity.

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