China
Africa
Explore chapters and articles related to this topic
Bones and fractures
Published in Henry J. Woodford, Essential Geriatrics, 2022
Distal radius fractures occur when there is an attempt to lessen the impact of a fall by using an outstretched arm. The treatment of this type of fracture is usually by placing the limb in a cast. Occasionally open or closed reduction is necessary for proper alignment. It does not usually necessitate hospital admission. However, normal functioning may be impaired, particularly in frail older people who live alone. A good functional recovery is expected in the longer term following this type of fracture. Five-year survival rates are significantly reduced after either hip or vertebral fractures but appear to be unaffected following distal radius fractures.123
Distal radius osteoporotic features
Published in Peter V. Giannoudis, Thomas A. Einhorn, Surgical and Medical Treatment of Osteoporosis, 2020
Donato Perretta, Jesse B. Jupiter
Internal fixation of distal radius fractures is based on the presumption that restoration of the anatomy of the distal radius will improve the ultimate outcome. Early mobilization of the digits and wrist is another positive aspect of internal fixation. With an increasing amount of displacement, the biomechanics of the wrist joint become significantly altered. Dorsal tilt and radial shortening increase the amount of load borne by the ulna (13). Excessive dorsal angulation of the distal radius can lead to compensatory changes in the carpus and adaptive carpal instability.
Forearm and hand
Published in Pankaj Sharma, Nicola Maffulli, Practice Questions in Trauma and Orthopaedics for the FRCS, 2017
Pankaj Sharma, Nicola Maffulli
This clinical scenario describes rupture of the extensor pollicis longus tendon. This is a well-recognised complication following fracture of the distal radius. The fracture produces irregularity over the dorsal surface of the distal radius, which can result in attrition rupture of the tendon. Rupture of the extensor pollicis longus tendon usually occurs just distal to Lister’s tubercle. The treatment of choice is an extensor indicis proprius tendon transfer.
Distraction plating for bilaterally severely comminuted distal radius fracture: a case report
Published in Case Reports in Plastic Surgery and Hand Surgery, 2023
Yuta Izawa, Hiroko Murakami, Tetsuya Shirakawa, Kazuo Sato, Toshiki Yoshino, Yoshihiko Tsuchida
The goal of treating distal radius fractures is to obtain a stable and movable wrist joint. Various treatment options are available, including conservative treatment, but open reduction and internal fixation are required in cases with severe instability or high disposition. The gold standard for internal fixation is volar locking plate fixation [1,2], and fragment-specific fixation is recommended when the articular surface is severely comminuted [3,4]. However, high-energy trauma may be accompanied by severe comminution and soft tissue damage, which are difficult to treat using a traditional internal fixation strategy. In such cases, external fixation is generally regarded as the next best treatment option [5,6]. External fixation spans the wrist joint continuously to maintain alignment until bone union; however, pin site infection and inconvenience owing to the fixation apparatus that the patient has to wear are common problems with this approach. Distraction plating is a method of bridging fixation from the radial shaft to the third metacarpal bone subcutaneously on the dorsal side and is used as an alternative to external fixation [7–10]. Although there is concern that the limitation of range of motion will remain due to the fixation of the wrist joint until implant removal, it has been reported that an acceptable range of motion of the wrist joint will eventually be obtained. Herein, we report a case in which distraction plating was performed for a bilateral highly comminuted distal radius fracture, with acceptable results obtained in the wrist joint’s range of motion and function.
“The more I do, the more I can do”: perspectives on how performing daily activities and occupations influences recovery after surgical repair of a distal radius fracture
Published in Disability and Rehabilitation, 2022
Julie M. Collis, Elizabeth C. Mayland, Valerie Wright-St Clair, Nada Signal
A fracture of the distal radius is a common upper extremity injury frequently treated by surgical repair, followed by wrist mobilisation within two weeks of surgery [1]. Wrist stiffness, pain, and functional or sensorimotor impairment can persist after surgery [2–4] and rehabilitative strategies that address impairment and promote early recovery are needed. Wrist and forearm exercises are routinely used during early rehabilitation to promote movement [1,5]. Performance of daily activities can also be used but is poorly defined as a rehabilitative strategy and not as widely promoted as exercise interventions [6]. One of the barriers to occupation-based interventions is a lack of knowledge about how occupation facilitates recovery from injury [7,8]. Without such understandings it is difficult to design interventions that capitalise on the benefits of occupation.
Reliability of recommendations to reduce a fracture of the distal radius
Published in Acta Orthopaedica, 2021
Emily Z Boersma, Joost T P Kortlever, Maria W G Nijhuis-Van Der Sanden, Michael J R Edwards, David Ring, Teun Teunis
For the study addressing the influence of expert-based criteria on recommendation for a reduction, we selected 20 consecutive radiographs between November 2017 and February 2018 treated in the Radboud UMC, Nijmegen. Inclusion criteria for the radiographs were: patients aged between 18 and 90 years old, fracture classification AO types A and C fractures, fractures with a dorsal angulation near the threshold of acceptable alignment (dorsal angulation of 5 to 15 degrees), and good-quality radiographs. Radiographs were measured and classified by (EB [researcher]) and checked by a hand surgeon (DR). We included 5 radiographs with dorsal angulation between 5° and 7.5°, 10 radiographs between 7.6° and 12.5°, and 5 radiographs between 12.6° and 15°. All radiographs included a posteroanterior and lateral view of the fractured distal radius.