scholarly journals Effect of ulnar styloid fracture on outcomes after conservative treatment of distal radius fracture

2016 ◽  
Vol 27 (2) ◽  
pp. 87-93 ◽  
Author(s):  
Sualp Turan
2016 ◽  
Vol 21 (02) ◽  
pp. 155-160 ◽  
Author(s):  
Jae Kwang Kim ◽  
Jong-Oh Kim ◽  
Yong-Do Koh

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.


2011 ◽  
Vol 9 (8) ◽  
pp. 648-651 ◽  
Author(s):  
Gholam Hossein Kazemian ◽  
Hooman Bakhshi ◽  
Matt Lilley ◽  
Mohammad Emami Tehrani Moghaddam ◽  
Mohammad M. Omidian ◽  
...  

2017 ◽  
Vol 25 (1) ◽  
pp. 230949901769098 ◽  
Author(s):  
Faisal Johandi ◽  
Sreedharan Sechachalam

Purpose: We evaluate the clinical and functional outcome of open primary repair of acute TFCC tears in distal radius fracture, when there is gross intraoperative distal radioulnar joint (DRUJ) instability after fixation of the distal radius, in the absence of an ulnar styloid fracture or when the ulnar fracture fragment is too small to be fixed. Methods: A retrospective review of our institution’s distal radius fracture database over a 4-year period (January 2010 to December 2013). A total of 12 (1.38%) out of 3379 patients had an open TFCC repair in the same setting as fixation of distal radius. Assessment of outcome involved the analysis of objective and subjective clinical and functional outcomes. Results: All patient regained Activities of Daily Living (ADL) independence; eleven out of 12 patients (91.7%) returned to pre-injury function and 8 out of 11 patients (72.7%) returned to their jobs. DRUJ stability was preserved in 10 patients (83.3%) with 10 patients (83.3%) having grip strength of at least 50%, compared to the uninjured hand, and 7 (58.3%) with grip strength of more than or equal to 75%. Complications of surgery identified can be classified into 4 broad categories: infection, neurological complications, persistent DRUJ instability and prolonged pain. Conclusion: The authors believe a primary open repair of the TFCC should be considered when patients present with instability during intra-operative DRUJ ballottement test after distal radius fixation, in the absence of an ulnar styloid fracture or when the ulnar fracture fragment is too small to be fixed.


2021 ◽  
Author(s):  
The Annals of Research

Objective:To analyze the correlation between the prognosis of distal radius fracture and ulnar styloid fracture with internal fixation.Methods:A total of 22 patients with distal radius fractures admitted to our hospital from January 2017 to December 2019 were selected and divided into a reference group (11 cases, combined) and an observation group (11 cases, not combined) according to whether the patients were complicated with ulnar styloid fractures.Case Description:All patients were treated with internal fixation. Imaging parameters of the wrist (including ulnar Angle, palmaric inclination, radial styloid height, etc.) and range of motion of the wrist were observed before and after the last follow-up of the two groups.Results:Patients in both groups were followed up for 6 to 12 months, and there was no statistical significance in imaging parameters, range of wrist motion and other indexes of postoperative and last follow-up between the two groups (P>0.05).Conclusion:Ulnar styloid fracture has no significant effect on functional recovery in patients with distal radius fracture treated by fixation.


2010 ◽  
Vol 15 (2) ◽  
pp. 216-222 ◽  
Author(s):  
J.C. Belloti ◽  
V.Y. Moraes ◽  
M.B. Albers ◽  
F. Faloppa ◽  
J.B. Gomes Dos Santos

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