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Distal radial fracture

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https://www.readbyqxmd.com/read/28208956/a-comprehensive-study-of-internal-distraction-plating-an-alternative-method-for-distal-radius-fractures
#1
Mohit J Jain, Kinjal J Mavani
INTRODUCTION: The management of highly comminuted distal radius fractures still remains a major treatment challenge. Articular comminution and compromised bone quality are the culprits. One novel approach is the technique of Internal Distraction Plating which involves "bridging" the fracture with the use of a standard 3.5mm plate applied dorsally in distraction from the radius, proximal to the fracture, to the long finger metacarpal distally, bypassing the comminuted segment. The plate is removed once fracture union has been achieved...
December 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/28196444/intra-articular-comminution-worsens-outcomes-of-distal-radial-fractures-treated-by-open-reduction-and-palmar-locking-plate-fixation
#2
J O Yoon, S L You, J K Kim
: We studied 50 patients with AO type C2 distal radial fractures and 35 with AO type C3 distal radial fractures treated by open reduction and palmar locking plate fixation. At 3-month clinical assessments, mean wrist flexion arcs, grip strengths and disabilities of the arm, shoulder and hand scores were significantly better for AO type C2 fractures. At 2-year post-operative clinical assessments, mean disabilities of the arm, shoulder and hand scores were significantly better for AO type C2 fractures than for AO type C3 fractures...
March 2017: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/28194713/use-of-compressive-osseointegration-endoprostheses-for-massive-bone-loss-from-tumor-and-failed-arthroplasty-a-viable-option-in-the-upper-extremity
#3
Krista A Goulding, Adam Schwartz, Steven J Hattrup, R Lor Randall, Donald Lee, Damian M Rispoli, Daniel M Lerman, Christopher Beauchamp
BACKGROUND: Endoprostheses using principles of compressive osseointegration have shown good survivorship in several studies involving the lower extremity; however, no series to our knowledge have documented the use of this technology in the management of massive bone loss in the upper limb. QUESTIONS/PURPOSES: (1) What proportion of upper extremity implants using compressive osseointegration fixation principles achieved durable short-term fixation, and what were the modes of failure? (2) What surgical complications resulted from reconstruction using this technique? METHODS: A multiinstitutional retrospective review identified nine patients (five women; four men) who underwent 13 endoprosthetic replacements between 2003 and 2014 using compressive osseointegration (Compliant(®) Pre-stress Device [CPS]; Biomet Inc, Warsaw, IN, USA) in the upper extremity, including two proximal humeri, two humeral diaphyses, seven distal humeri, and two proximal ulna...
February 13, 2017: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/28193139/the-relationship-between-radiological-alignment-of-united-distal-radius-fractures-and-functional-and-patient-perceived-outcomes-in-elderly-patients
#4
Erik Hohmann, Mahendrakumar Meta, Vasudev Navalgund, Kevin Tetsworth
PURPOSE: The purpose of this study was to investigate the relationship between radiological alignment and functional outcomes including strength, range of motion (ROM), and disabilities of the arm, shoulder, and hand (DASH) and patient-rated wrist evaluation (PRWE) scores in elderly patients with united distal radius fractures. METHODS: We reviewed 118 patients (mean age of 76.2 ± 9.5 years, mean follow-up 36.3 ± 17.6 months). Outcome measures included the DASH and PRWE scores, ROM, and grip and pinch strength were measured using a validated mobile hand-held dynamometer...
January 2017: Journal of Orthopaedic Surgery
https://www.readbyqxmd.com/read/28183230/arthroscopic-assisted-tendon-reconstruction-for-triangular-fibrocartilage-complex-irreparable-tears
#5
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/28179058/corrective-osteotomy-is-an-effective-method-of-treating-distal-radius-malunions-with-good-long-term-functional-results
#6
M A M Mulders, P N d'Ailly, B I Cleffken, N W L Schep
INTRODUCTION: Malunion occurs in approximately 23% of non-operatively treated and 11% of operatively treated distal radius fractures. The decision whether to correct a malunion is primarily based on functional impairment and wrist pain. The purpose of this study was to assess the long-term functional outcomes of corrective osteotomies for symptomatic malunited distal radius fractures. METHODS: All consecutive corrective osteotomies of the distal radius performed in one centre between January 2009 and January 2016 were included...
January 31, 2017: Injury
https://www.readbyqxmd.com/read/28164054/a-very-rare-presentation-of-type-1-monteggia-equivalent-fracture-with-ipsilateral-fracture-of-distal-forearm-approach-with-outcome-case-report
#7
Dhananjay Singh, Bhanu Awasthi, Vikas Padha, Sanjay Thakur
INTRODUCTION: We report a case of Type 1 Monteggia equivalent injury with intact radio-capitellar congruity, associated with epiphyseal fracture of distal radius and distal ulna shaft in an 11-year-old boy. There are only a few cases of Monteggia or Monteggia equivalent injury with ipsilateral forearm fractures in children, and injury pattern being reported by us is not only rare but also the only case reported thus far to the best of our knowledge, Sood et al. described Type 1 equivalent with epiphyseal injuries of both radius and ulna Osada et al...
September 2016: Journal of Orthopaedic Case Reports
https://www.readbyqxmd.com/read/28162172/-radiographic-and-clinical-assessment-of-supracondylar-humeral-fractures-resulted-from-sports-in-children
#8
Z J Liu, S N Pan, L J Zhang
Objective: To investigate the radiographic and clinical assessment for supracondylar humeral fractures resulted from sports in children. Methods: The medical records of 166 patients with displaced supracondylar humerus fractures treated in Shengjing Hospital of China Medical University from January 2015 to December 2015 were reviewed.The etiology of 56 of 166 cases was relevant to the sports.Medical records of 56 of 166 patients were reviewed, incluidng gender, the mean age of patient at the time of surgery, the mean duration of injury, radiographic assessment based on the anteroposterior (AP) and lateral radiographs of the elbow, neurologic injury, the Mayo Elbow Performance Score (MEPS) and the criteria of Flynn...
January 17, 2017: Zhonghua Yi Xue za Zhi [Chinese medical journal]
https://www.readbyqxmd.com/read/28155059/outcomes-and-financial-implications-of-intra-articular-distal-radius-fractures-a-comparative-study-of-open-reduction-internal-fixation-orif-with-volar-locking-plates-versus-nonoperative-management
#9
Dong Hao Toon, Rex Antony Xavier Premchand, Jane Sim, Rajaratnam Vaikunthan
BACKGROUND: To evaluate the functional and radiographic outcomes, as well as the treatment costs, of closed displaced intra-articular distal radius fractures treated with either open reduction internal fixation (ORIF) with volar locking plates or nonoperative treatment with plaster cast immobilisation. MATERIALS AND METHODS: A total of 60 patients (32 receiving ORIF, 28 receiving nonoperative treatment) with closed intra-articular distal radius fractures were included...
February 2, 2017: Journal of Orthopaedics and Traumatology: Official Journal of the Italian Society of Orthopaedics and Traumatology
https://www.readbyqxmd.com/read/28152185/mechanical-properties-of-canine-osteosarcoma-affected-antebrachia
#10
Michele A Steffey, Tanya C Garcia, Leticia Daniel, Allison L Zwingenberger, Susan M Stover
OBJECTIVE: To determine the influence of neoplasia on the biomechanical properties of canine antebrachia. STUDY DESIGN: Ex vivo biomechanical study. SAMPLE POPULATION: Osteosarcoma (OSA)-affected canine antebrachia (n = 12) and unaffected canine antebrachia (n = 9). METHODS: Antebrachia were compressed in axial loading until failure. A load-deformation curve was used to acquire the structural mechanical properties of neoplastic and unaffected specimens...
February 2, 2017: Veterinary Surgery: VS
https://www.readbyqxmd.com/read/28145569/modified-thomas-splint-cast-combination-for-the-management-of-limb-fractures-in-small-equids
#11
Søren Ladefoged, Sigrid Grulke, Valeria Busoni, Didier Serteyn, Alexandra Salciccia, Denis Verwilghen
OBJECTIVE: To describe the management and outcome of limb fractures in small domestic equids treated with a modified Thomas splint-cast combination (MTSCC). STUDY DESIGN: Retrospective case series. ANIMALS: Client owned horses and donkeys. METHODS: Medical records, including radiographs, were reviewed for details of animals diagnosed with a limb fracture and treated by external coaptation using a MTSCC (2001-2012). Follow-up >6 months after discharge was obtained via telephone consultation with owners or veterinarians...
February 1, 2017: Veterinary Surgery: VS
https://www.readbyqxmd.com/read/28127499/an-osteological-study-of-supratrochlear-foramen-of-humerus-of-south-indian-population-with-reference-to-anatomical-and-clinical-implications
#12
Shivaleela C, Khizer Hussain Afroze, Lakshmiprabha S
The supratrochlear foramen (STF) is an important and relatively common anatomic variation in the lower end of the humerus in humans. The present study on south Indian population is an attempt to highlight the incidence, morphological features and clinical importance of STF. The study was conducted on dried human humeri of unknown sex and free of pathological changes. The presence of a STF was noted for its shape and divided into three types (oval, round, and irregular). In bones where the foramen was absent the translucency of the septum between the coronoid and the radial fossa was noted by placing the lower end of the humerus against the X-ray view box...
December 2016: Anatomy & Cell Biology
https://www.readbyqxmd.com/read/28119796/distal-radius-fractures-do-not-displace-following-splint-or-cast-removal-in-the-acute-postreduction-period-a-prospective-observational-study
#13
Brock D Foster, Lakshmanan Sivasundaram, Nathanael Heckmann, William C Pannell, Ram K Alluri, Alidad Ghiassi
Background Displacement of distal radius fractures has been previously described in the literature; however, little is known about fracture displacement following splint or cast removal at the initial clinic visit following reduction and immobilization. Purpose The purpose of this study was to evaluate risk factors for fracture displacement following splint or cast removal and physical examination in the acute postinjury period. Methods All patients with a closed distal radius fracture who presented to our orthopedic hand clinic within 3 weeks of injury were prospectively enrolled in our study...
February 2017: Journal of Wrist Surgery
https://www.readbyqxmd.com/read/28119794/the-oblique-metaphyseal-shortening-osteotomy-of-the-distal-ulna-surgical-technique-and-results-of-ten-patients
#14
Szabolcs Benis, Jean F Goubau, Koen Mermuys, Petrus Van Hoonacker, Bart Berghs, Diederick Kerckhove, Bert Vanmierlo
Background Ulnocarpal abutment is a common condition following distal radius fractures. There are different surgical methods of treatment for this pathology: open and arthroscopic wafer procedure or an ulnar shortening osteotomy. We describe an oblique metaphyseal shortening osteotomy of the distal ulna using two cannulated headless compression screws. We report the results of 10 patients treated with this method. Materials and Methods Out of 17 patients, 10 could be reviewed retrospectively for this study...
February 2017: Journal of Wrist Surgery
https://www.readbyqxmd.com/read/28116261/palmaris-longus-tendon-grafting-for-extensor-pollicis-longus-tendon-rupture-bscrew-tip-after-20-years
#15
Jitendra Nath Pal, Amiya Kumar Bera, Amarendra Nath Roy, Wasim Bari
INTRODUCTION: Spontaneous ruptures of extension pollicis longus tendon predominantly occur after undisplaced or minimally displaced distal radial fracture near Lister tubercle. Systemic inflammatory diseases and systemic or local steroid, mechanical causes like bony ridges, presence of bone plate or external fixator pin may precipitate this. Repetitive uses in certain occupation like cooking, cow milking, tailoring and direct trauma in kick boxer are also identified as cause. In this study it is caused by screw tip that also after 20 years...
July 2016: Journal of Orthopaedic Case Reports
https://www.readbyqxmd.com/read/28109556/minimally-invasive-lateral-plate-placement-for-metadiaphyseal-fractures-of-the-humerus-and-its-implications-for-the-distal-deltoid-insertion-it-is-not-only-about-the-radial-nerve-a-cadaveric-study
#16
Emanuel Benninger, Christoph Meier
INTRODUCTION: Minimally invasive lateral placement of plates on the humerus may be associated with a risk of injury to the radial nerve. Whereas this potential complication has been investigated in several studies, there is no data regarding potential injuries to the distal insertion of the deltoid muscle when the plates are passed distally in a submuscular tunnel. METHODS: Minimally invasive plate placement was performed on eight arms in fresh cadavers. A lateral deltoid split approach was made and the plates were introduced in an antegrade submuscular manner from proximal to distal...
January 13, 2017: Injury
https://www.readbyqxmd.com/read/28105502/transfracture-medial-transposition-of-the-radial-nerve-associated-with-plate-fixation-of-the-humerus
#17
Ali Hassan Chamseddine, Amer Abdallah, Hadi Zein, Assad Taha
PURPOSE: The aim of this study was to illustrate safety, feasibility and advantages of transfracture medial transposition of the radial nerve during the lateral approach and lateral plating of humeral fractures located in the mid and distal shaft. METHODS: This was a retrospective review and analysis of medical records and radiographs of 19 patients who underwent a transfracture medial transposition of the radial nerve. Fifteen patients were treated for fresh fracture and four for nonunion...
January 19, 2017: International Orthopaedics
https://www.readbyqxmd.com/read/28099304/three-dimensional-analysis-of-acute-scaphoid-fracture-displacement-proximal-extension-deformity-of-the-scaphoid
#18
Yonatan Schwarcz, Yael Schwarcz, Eran Peleg, Leo Joskowicz, Ronit Wollstein, Shai Luria
BACKGROUND: Our goal was to analyze the movement of acute scaphoid waist fracture fragments and adjacent bones in a common coordinate system. Our hypothesis was that the distal scaphoid fragment flexes and pronates and the proximal fragment extends. METHODS: Computed tomography (CT) scans of patients diagnosed with an acute scaphoid waist fracture were evaluated using a 3-dimensional (3D) model. The scans of 57 nondisplaced and 23 displaced fractures were compared with a control group of 27 scans showing no pathological involvement of the wrist...
January 18, 2017: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/28072734/closed-reduction-using-the-percutaneous-leverage-technique-and-internal-fixation-with-k-wires-to-treat-angulated-radial-neck-fractures-in-children-case-report
#19
Hai Jiang, Yongtao Wu, Youting Dang, Yusheng Qiu
: Pediatric radial neck fractures are uncommon. Severely displaced and angulated fractures usually require treatment. Our goals for treatment are to avoid incision, reduce the fracture adequately with no reduction loss, and achieve good postoperative function. We aimed to observe the clinical outcomes of closed reduction with the percutaneous leverage technique and internal fixation with Kirschner-wires (K-wires) to treat angulated radial neck fractures in children.From January 2011 to April 2013, we treated 16 cases of angulated radial neck fracture in 12 boys and 4 girls...
January 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28070676/-upper-extremity-fractures-in-the-elderly
#20
Roland Biber, S Grüninger, H J Bail
Upper extremity fractures in the elderly are very frequent and second only to hip fractures in the group of fragility fractures. Their impact on mobility and functional decline seems to be underestimated especially when they occur in combination with lower extremity fractures. Fractures of the proximal humerus and the distal radius can often be treated conservatively; however, the indications for operative treatment must not be based on fracture morphology alone and due consideration should be given to all concomitant circumstances affecting functional aspects of patients...
January 2017: Zeitschrift Für Gerontologie und Geriatrie
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