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https://www.readbyqxmd.com/read/30522962/classification-of-the-transverse-pattern-of-mason-ii-radial-head-fractures-and-its-usefulness-in-arthroscopic-osteosynthesis-anatomo-surgical-study
#1
J R Ballesteros-Betancourt, A Lázaro-Amorós, R García-Tarriño, S Sastre-Solsona, A Combalia-Aleu, M Llusá-Pérez
OBJECTIVE: The management of MasonII fracture pattern assisted by arthroscopy is a valid technique that provides good results. The objective of this study was to draw attention to the usefulness of the location of the fracture in the head of the radius in defined quadrants with respect to the bicipital tuberosity through CT. This would help to plan the optimal forearm position to access each quadrant and foresee the specific difficulties of each one. MATERIAL AND METHOD: We dissected 4 specimens of cryopreserved cadaver...
December 3, 2018: Revista Española de Cirugía Ortopédica y Traumatología
https://www.readbyqxmd.com/read/30506496/three-dimensional-kinematics-of-the-flexor-pollicis-longus-tendon-in-relation-to-the-position-of-the-fpl-plate-and-distal-radius-width
#2
L Schlickum, S Quadlbauer, Ch Pezzei, E Stöphasius, T Hausner, M Leixnering
INTRODUCTION: The standard therapy of intra-articular and extra-articular distal radius fractures consists of open reduction and stabilization using palmar osteosynthesis with an angularly stable plate. The integrity of the flexor pollicis longus tendon (FPLT) may be mechanically affected by the plate, with rupture rates between 1 and 12% reported in the literature, occurring during a postoperative time period from 4 to 120 months. The aim of this study was to investigate the position of the tendon in relation to the distal edge of the plate using high-resolution ultrasonic imaging...
December 1, 2018: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/30317380/prevalence-of-posttraumatic-arthritis-following-distal-radius-fractures-in-non-osteoporotic-patients-and-the-association-with-radiological-measurements-clinician-and-patient-reported-outcomes
#3
C M Lameijer, H J Ten Duis, D Vroling, M T Hartlief, M El Moumni, C K van der Sluis
INTRODUCTION: Outcomes of non-osteoporotic patients who sustained a distal radius fracture (DRF) have not gained much attention in recent literature. The aims of this study were to determine the prevalence of posttraumatic arthritis (PA), to analyze associations of radiological measurements, clinician-reported and patient-reported outcomes (CROs and PROs) with PA and gain insight into employment changes after DRF in non-osteoporotic patients. METHODS: Non-osteoporotic patients following a DRF were selected...
December 2018: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/30059004/volar-plating-of-distal-radius-fractures-does-not-restore-the-anatomy
#4
Mette Lund Madsen, Daniel Wæver, Lars Carl Borris, Lise Loft Nagel, Mads Henriksen, Rikke Thorninger, Jan Duedal Rölfing
INTRODUCTION: The objective of this study was to evaluate whether volar locking plating can restore the anatomical volar tilt of 12° and the anatomical length of the radius relative to the ulna. We retrospectively reviewed the radio-graphic outcome of distal radius fractures treated with two different first-generation locking plate systems; VariAx (Stryker) and Acu-Loc (Acumed). METHODS: Three independent observers evaluated radial volar tilt and ulnar variance (> 2 mm) on radiographs taken preoperatively, immediately after the operation and five weeks later...
August 2018: Danish Medical Journal
https://www.readbyqxmd.com/read/29657444/radial-axial-interosseous-load-rail-test-for-essex-lopresti-type-injuries
#5
REVIEW
Zachary C Lum, Eric G Huish, Marc A Trzeciak
Background: When approaching radial head and neck fractures, the decision for ORIF, resection, or arthroplasty is often performed intraoperatively. Factors that contribute include ligamentous and bony stability, cartilage injury, mechanical alignment as well as patient factors. Recent data has suggested conventional methods may not be sufficiently sensitive in detecting Essex Lopresti injuries. Here we describe an intraoperative technique that could objectively assess proximal radio-ulnar stability with subsequent disruption of the ligamentous structures...
March 2018: Journal of Orthopaedics
https://www.readbyqxmd.com/read/29655367/biologic-plating-of-unstable-distal-radial-fractures
#6
Jae-Man Kwak, Gu-Hee Jung
BACKGROUND: Volar locking plating through the flexor carpi radialis is a well-established technique for treating unstable distal radial fractures, with few reported complications. In certain circumstances, including metaphyseal comminuted fractures, bridge plating through a pronator quadratus (PQ)-sparing approach may be required to preserve the soft tissue envelope. This study describes our prospective experience with bridge plating through indirect reduction. METHODS: Thirty-three wrists (four 23A2, six 23A3, 15 23C1, and eight 23C2) underwent bridge plating through a PQ-sparing approach with indirect reduction from June 2006 to December 2010...
April 14, 2018: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/29643907/fixation-of-unstable-distal-radius-fractures-by-using-expandable-intramedullary-nailing-system-in-adult-patients
#7
Murat Calbiyik
Objective: To present our experience on intramedullary nailing device Sonoma Wrx (Sonoma Orthopedic Products Inc., Santa Rosa, CA, USA) used for internal fixation of extra-articular or simple intra-articular distal radius fractures in adult population. Methods: This study was conducted from February 2011 to October 2016. A total of 48 patients (mean age 47.3±5.6 years, 35.4% females) with distal radius fracture, who underwent intramedullary distal radius fixation by using Sonoma Wrx were included in this retrospective study...
January 2018: Pakistan Journal of Medical Sciences Quarterly
https://www.readbyqxmd.com/read/29520536/mdct-arthrography-assessment-of-scaphoid-nonunion-advanced-collapse-distribution-of-cartilage-damage-and-relationship-with-scaphoid-nonunion-features
#8
Michel D Crema, Catherine Phan, Anne Miquel, Celine Quach, Lionel Arrivé, Yves Menu
OBJECTIVES: Our primary aim was to evaluate the distribution and severity of cartilage damage in a sample of patients with scaphoid nonunion advanced collapse (SNAC), assessed on MDCT arthrography, with regard to two well-known SNAC staging systems. Secondarily, we wanted to see if the degree of cartilage damage varied with the location of the nonunion. METHODS: We retrospectively included 35 patients with a history of SNAC who had undergone MDCT arthrography. The location of the fracture was defined as the proximal, middle, or distal third of the scaphoid...
August 2018: Skeletal Radiology
https://www.readbyqxmd.com/read/29351268/use-of-different-methods-of-intramedullary-nailing-for-fixation-of-distal-radius-fractures-a-retrospective-analysis-of-clinical-and-radiological-outcomes
#9
COMPARATIVE STUDY
Murat Çalbıyık, Deniz Ipek
BACKGROUND We aimed to evaluate the clinical and radiologic outcomes of using Sonoma WRx versus Micronail intramedullary nailing for the fixation of distal radius fractures. MATERIAL AND METHODS A total of 68 patients with primarily extra-articular and simple intra-articular fractures of the distal radius who underwent intramedullary distal radius fixation using Sonoma WRx (n=39) or Micronail (n=29) intramedullary nails were enrolled in the study. The clinical outcome measures included the range of motion (ROM), visual analog scale (VAS), functional outcomes (patient-reported Disabilities of the Arm, Shoulder and Hand [DASH] score and clinician-based Gartland-Werley score), radiographic scores (Stewart score), and parameters related to the quality of radiographic reduction and complications (radial inclination, volar tilt, radial height, and radio-ulnar variance)...
January 19, 2018: Medical Science Monitor: International Medical Journal of Experimental and Clinical Research
https://www.readbyqxmd.com/read/28971244/an-uncommon-variant-of-the-essex-lopresti-injury
#10
Mohamed Ali Kedous, Ahmed Msakni, Wael Chebbi, Mourad Zaraa, Mondher Mbarek
The Essex-Lopresti injury is an extremely rare condition combining radial head or neck fracture, distal radio-ulnar joint dislocation and rupture of the interosseous membrane. However, there are rare or unusual varieties or associated injuries. We report a case of a 46-year-old woman with a posterior dislocation of the radio-humeral joint, a radial shaft fracture, and a distal radio-ulnar joint dislocation. She underwent open reduction and internal fixation of the radial shaft fracture followed by an immobilization by a long elbow splint in supination for 6 weeks...
March 2018: Skeletal Radiology
https://www.readbyqxmd.com/read/28969224/neglected-type-i-monteggia-fracture-dislocation-in-adult
#11
Archit Agarwal, Inder Pawar
Neglected Monteggia fracture dislocation is one of the challenging case and it becomes more of a therapeutic dilemma especially in adults. Several surgical techniques are described and in spite of this complication rate following surgery is high. This report concerns with management of three-month-old monteggia fracture dislocation in a 30-year-old male. Patient presented with complete loss of movement at elbow. Patient was managed surgically, with internal fixation of ulna and reduction of radial head with radio-capitellar Kirschner wires...
August 2017: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/28928049/role-for-cementoplasty-in-intra-articular-distal-radius-fractures-cadaver-study-and-application-to-arthroscopy
#12
V Fontaine, M Grunberg, J Soret, K El-Youssef, L-E Gayet, R Taberne
BACKGROUND: Die-punch intra-articular fractures of the distal radius raise surgical challenges. The residual articular step-off must be less than 1mm to prevent the development of radio-carpal osteoarthritis. The objectives of this cadaver study were to evaluate whether cementoplasty was effective in reducing die-punch fractures and to determine whether this technique was feasible as an arthroscopic procedure. HYPOTHESIS: Cementoplasty performed as an arthroscopic procedure is effective in treating die-punch fractures...
February 2018: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/28183230/arthroscopic-assisted-tendon-reconstruction-for-triangular-fibrocartilage-complex-irreparable-tears
#13
R Luchetti, A Atzei
We report our 11-year experience of performing arthroscopically assisted triangular fibrocartilage complex reconstruction in the treatment of chronic distal radio-ulnar joint instability resulting from irreparable triangular fibrocartilage complex injuries. Eleven patients were treated. Three skin incisions were made in order to create radial and ulna tunnels for passage of the tendon graft, which is used to reconstruct the dorsal and palmar radio-ulnar ligaments, under fluoroscopic and arthroscopic guidance...
February 1, 2017: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/27856939/magnetic-resonance-imaging-investigation-of-radio-lunate-relations-use-in-assessing-distal-radial-fracture-reduction
#14
G Medlock, J M Wohlgemut, I M Stevenson, A J Johnstone
Reformatted magnetic resonance imaging scans of 27 normal wrists were examined in incremental degrees of rotation around the central axis of the radial shaft to 30° in both directions from true lateral. A line was superimposed on the outer border of the radial dorsal cortex and continued distally to the carpal region. Measurements were made from the superior pole of the lunate to this line. This distance did not change significantly with rotation. This allows a quick and accurate way of assessing distal radial fracture reduction from poorly taken lateral radiographs...
March 2017: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/27528838/delayed-proximal-migration-of-the-radius-following-radial-head-resection-for-management-of-a-symptomatic-radial-neck-nonunion-managed-with-radial-head-replacement-a-case-report-and-review-of-the-literature
#15
REVIEW
John W Karl, Lauren H Redler, Peter Tang
BACKGROUND: Long-term outcomes of radial head resection for radial head fracture have shown mixed outcomes, depending on the integrity of the soft-tissue stabilizers of the elbow, forearm, and wrist. METHODS: We report a case of a symptomatic delayed proximal migration of the radius after radial head excision for radial neck nonunion which was managed with a staged radial head replacement. Informed consent was obtained from the individual in this case report. RESULTS: At 7 months after radial head replacement, the patient had 90 degrees of forearm supination and 85 degrees of pronation...
2016: Iowa Orthopaedic Journal
https://www.readbyqxmd.com/read/26796996/radial-head-replacement-in-adults-with-recent-fractures
#16
REVIEW
N Bonnevialle
Radial head fractures are fairly common (20% of all traumatic elbow injuries). Non-operative treatment is indicated in non-displaced fractures, and direct stable internal fixation allowing early elbow mobilisation in most other cases. For severely comminuted fractures precluding stable fixation, replacement of the radial head was introduced in the 1970s as a better alternative to simple radial head resection, which can induce instability of the elbow and/or forearm, most notably in patients who have complex fractures with concomitant lesions to other structures...
February 2016: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/26399104/-case-control-study-on-two-osteotomy-techniques-for-the-treatment-of-distal-radial-malunion
#17
Bing-bing Zhang, Zhi-guo Yuan, Jian-jun Shao, Shi-ning Yang, Xi-ping Chai
OBJECTIVE: Radial corrective osteotomy is an established but challenging treatment for distal radial malunion. There is an ongoing discussion about whether an opening or closing-wedge osteotomy between should employed. The purpose of the present study was to retrospectively compare the clinical and radio graphic results between conventional opening-wedge osteotomy and closing-wedge technique. METHODS: From January 2004 and December 2012,42 patients with extra-articular distal radial malunion were managed with corrective osteotomy and were followed for a minimum of one year...
July 2015: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://www.readbyqxmd.com/read/26215317/mason-type-ii-and-iii-radial-head-fracture-in-patients-older-than-65-is-there-still-a-place-for-radial-head-resection
#18
Giuseppe Solarino, Giovanni Vicenti, Antonella Abate, Massimiliano Carrozzo, Girolamo Picca, Biagio Moretti
PURPOSE: To evaluate the clinical outcomes of radial head excision for multifragmentary radial head fracture in patients over 65 years old. METHODS: We retrospectively examined 30 patients over 65 years of age treated with radial head excision for comminuted radial head fractures. Patients were evaluated through clinical examinations, administrative questionnaires (DASH--Disabilities of the Arm, Shoulder and Hand; MEPS--Mayo Elbow Performance Score, VAS--Visual Analog Scale) and plain films...
October 2015: Aging Clinical and Experimental Research
https://www.readbyqxmd.com/read/25975621/comparison-of-osteoarticular-allograft-reconstruction-with-and-without-the-sauv%C3%A3-kapandji-procedure-following-tumour-resection-in-distal-radius
#19
COMPARATIVE STUDY
J Li, Y Jiao, Z Guo, Ch Ji, Z Wang
BACKGROUND: The purpose of this study was to compare the midterm functional and oncological outcomes of patients with distal radial tumours treated with en bloc tumour excision and osteoarticular allograft reconstruction with or without a Sauvé-Kapandji (S-K) procedure. MATERIALS AND METHOD: All cases of osteoarticular allograft reconstruction with or without the S-K procedure following resection of distal radial tumours (giant-cell tumour in 13, desmoplastic fibroma in two, osteosarcoma in one and malignant fibrous histiocytoma in one) performed from 2000 to 2009 were evaluated by clinical and radiologic examinations; the complications, functional outcomes and Musculoskeletal Tumor Society (MSTS) score were recorded...
July 2015: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://www.readbyqxmd.com/read/25281556/outcomes-of-bipolar-radial-head-prosthesis-to-treat-complex-radial-head-fractures-in-22%C3%A2-patients-with-a-mean-follow-up-of-50%C3%A2-months
#20
C Allavena, S Delclaux, N Bonnevialle, M Rongières, P Bonnevialle, P Mansat
BACKGROUND: Radial head replacement is indicated to treat complex proximal radial fractures that are not amenable to internal fixation. HYPOTHESIS: Implantation of a bipolar radial head prosthesis after radial head excision ensures stability of the elbow and forearm, thereby promoting ligament healing and restoring elbow function. MATERIAL AND METHODS: Twenty-two patients managed with implantation of a bipolar radial head prosthesis (Guepar(®)) were evaluated after a mean follow-up of 50 months...
November 2014: Orthopaedics & Traumatology, Surgery & Research: OTSR
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