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Distal radial fracture

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https://www.readbyqxmd.com/read/28816287/-diagnostic-value-of-ct-scan-for-ao-b3-fracture-of-distal-radius
#1
S L Li, M Y Wang, Y Lu
OBJECTIVE: To determine whether 3-dimentional CT scans is able to effectively improve the detection rate of AO B3 distal radius fractures in clinics. METHODS: From Jan 2013 to Jan 2014, 30 patients with distal radius fractures were retrospectively enrolled in this study, all the patients directly visited the skeletal trauma emergency department in Beijing Jishuitan Hospital post injury and all of them accepted open reduction and internal fixation of distal radius fractures at last...
August 18, 2017: Beijing da Xue Xue Bao. Yi Xue Ban, Journal of Peking University. Health Sciences
https://www.readbyqxmd.com/read/28811800/a-comparative-study-of-functional-outcome-of-treatment-of-intra-articular-fractures-of-distal-radius-fixed-with-percutaneous-kirschner-s-wires-vs-t-plate
#2
Jahangir Iqbal Khan, Faisal Nazeer Hussain, Tahir Mehmood, Omer Adil
BACKGROUND & OBJECTIVE: Fractures of the distal radius are common with a variable prognosis in case of intra articular extension. The available options include Plaster, External fixation, Prefabricated Splintage using Ligamentotaxis, K-wire fixation, and open reduction internal fixation with T-plate without an as yet clear advantage of one over the others. If these fractures are allowed to collapse, radial shortening, angulation and articular incongruity may cause permanent deformity and loss of function...
May 2017: Pakistan Journal of Medical Sciences Quarterly
https://www.readbyqxmd.com/read/28809637/-comparison-of-short-therm-results-of-conservative-versus-operative-treatment-of-distal-ulna-fractures-associated-with-distal-radius-fracture-treated-by-plate-osteosynthesis
#3
P Meluzinová, L Kopp, P Dráč, K Edelmann, P Obruba
PURPOSE OF THE STUDY The study aims to evaluate and compare the results of conservative and operative treatment of individual types of distal ulna fractures associated with distal radius fracture treated by plate osteosynthesis and to verify the conclusions of the other authors regarding the recommended therapeutic procedures in these fractures. MATERIAL AND METHODS In the period from 08/2013 to 09/2015, a total of 81 patients participated in the prospective randomised study, with the mean follow-up period of 24 months (6-36)...
2017: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca
https://www.readbyqxmd.com/read/28808628/distal-radius-volar-rim-plate-technical-and-radiographic-considerations
#4
Michelle Spiteri, Darren Roberts, Wayne Ng, Jamie Matthews, Dominic Power
AIM: To determine technical considerations and radiographic outcomes of the Synthes volar rim distal radius plate to treat complex intra-articular fractures. METHODS: This review highlights technical considerations learnt using this implant since it was introduced in a major trauma unit in November 2011, including anatomical reduction and whether this was maintained radiographically. RESULTS: Twenty-six of the 382 internally fixed distal radial fractures at our unit (6...
July 18, 2017: World Journal of Orthopedics
https://www.readbyqxmd.com/read/28795436/anatomic-characterization-of-the-humeral-nutrient-artery-application-to-fracture-and-surgery-of-the-humerus
#5
Koichiro Ichimura, Shota Kinose, Yuto Kawasaki, Taro Okamura, Kota Kato, Tatsuo Sakai
Anatomic characterization of the humeral nutrient artery varies among the several textbooks on human anatomy. To clarify the anatomic characteristics of the humeral nutrient artery, we reexamined its origin and course by cadaveric dissection. In typical cases, one prominent nutrient foramen was situated on the anteromedial surface of the humeral shaft, and the nutrient canal distally penetrated the cortical bone layer. The humeral nutrient artery originated from the brachial artery below the level of the nutrient foramen as a short ascending branch...
August 10, 2017: Clinical Anatomy
https://www.readbyqxmd.com/read/28782697/the-role-of-brachioradialis-release-during-ao-type-c-distal-radius-fracture-fixation
#6
Tao Ma, Xin Zheng, Xiao-Bo He, Kai-Jin Guo
INTRODUCTION: Open reduction and internal fixation of distal radius fractures often necessitates release of the brachioradialis from the radial styloid. However, whether this common procedure makes the reduction and fixation easier and affects the elbow function has not been fully understood. HYPOTHESIS: Brachioradialis (BR) release during volar plate fixation for type C distal radius fractures makes internal reduction and fixation easier, and it does not adversely affect wrist or elbow function...
August 3, 2017: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/28770349/prevalence-of-posttraumatic-arthritis-and-the-association-with-outcome-measures-following-distal-radius-fractures-in-non-osteoporotic-patients-a-systematic-review
#7
C M Lameijer, H J Ten Duis, I van Dusseldorp, P U Dijkstra, C K van der Sluis
INTRODUCTION: The objective of this systematic review was to analyze (1) prevalence of radiological posttraumatic arthritis (PA), (2) associations of PA with outcome measures and (3) predictors of PA following distal radius fractures in non-osteoporotic patients. MATERIALS AND METHODS: Nineteen studies were included (10 open source data). RESULTS: In total, 733 patients were described with a weighted mean age of 37 years (range 25-54) at the time of the injury...
August 2, 2017: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/28754445/predictive-power-of-distal-radial-metaphyseal-tenderness-for-diagnosing-occult-fracture
#8
Steven Z Glickel, Lauren Hinojosa, Claire M Eden, Elaine Balutis, O Alton Barron, Louis W Catalano
PURPOSE: To correlate the physical examination finding of distal radial metaphyseal tenderness with plain radiographic and magnetic resonance imaging after acute wrist injury to diagnose occult distal radius fractures. We hypothesized that persistent distal radial metaphyseal tenderness 2 weeks after acute injuries is predictive of an occult fracture. METHODS: Twenty-nine adult patients presented, after acute trauma, with distal radial metaphyseal tenderness and initial plain radiographs and/or fluoroscopic images that did not show a distal radius fracture...
July 26, 2017: Journal of Hand Surgery
https://www.readbyqxmd.com/read/28733100/long-term-outcomes-after-distal-scaphoid-fractures-a-10-year-follow-up
#9
Martin Clementson, Niels Thomsen, Jack Besjakov, Peter Jørgsholm, Anders Björkman
PURPOSE: The aim of this study was to evaluate the functional, clinical, and radiological outcome 10 years after distal scaphoid fractures. METHODS: From a prospective epidemiological study on posttraumatic radial-sided wrist pain, we evaluated 41 cases of distal scaphoid fractures. All cases had been treated nonsurgically in a thumb spica cast. Patients were examined using radiographs, magnetic resonance imaging and computed tomography at the time of injury and with computed tomography after a median of 10 years (range, 8-11 years)...
July 18, 2017: Journal of Hand Surgery
https://www.readbyqxmd.com/read/28725500/volar-plate-fixation-in-patients-older-than-70-years-with-ao-type-c-distal-radial-fractures-clinical-and-radiologic-outcomes
#10
Nicolas S Piuzzi, Ezequiel E Zaidenberg, Matias Pereira Duarte, Jorge G Boretto, Agustin Donndorff, Gerardo Gallucci, Pablo De Carli
Introduction  Treatment of unstable distal radial fractures (DRFs) in elderly patients is controversial, and considering the increasing life expectancy, their appropriate treatment is of growing importance. Our aim was to analyze the clinical and radiologic outcomes in the elderly patients with AO type C DRF treated with volar locking plate (VLP). Materials and Methods  Between 2007 and 2011, 572 DRFs were operated on in our hospital with open reduction and internal fixation with VLP. Of these, only 64 patients (66 DRFs) met the selection criteria (AO type C DRF, age > 70 years, minimum 12-month follow-up)...
August 2017: Journal of Wrist Surgery
https://www.readbyqxmd.com/read/28722129/bone-strength-estimated-by-micro-finite-element-analysis-%C3%A2%C2%B5fea-is-heritable-and-shares-genetic-predisposition-with-areal-bmd-the-framingham-study
#11
David Karasik, Serkalem Demissie, Darlene Lu, Kerry E Broe, Steven K Boyd, Ching-Ti Liu, Yi-Hsiang Hsu, Mary L Bouxsein, Douglas P Kiel
Genetic factors contribute to the risk of bone fractures, partly because of effects on bone strength. High-resolution peripheral quantitative computed tomography (HR-pQCT) estimates bone strength using micro-finite element analysis (µFEA). The goal of this study was to investigate if the bone failure load estimated by HR-pQCT-based µFEA is heritable and to what extent it shares genetic regulation with areal bone mineral density (aBMD). Bone microarchitecture was measured by HR-pQCT at the ultradistal tibia and ultradistal radius in adults from the Framingham Heart Study (n = 1087, mean age 72 years; 57% women)...
July 19, 2017: Journal of Bone and Mineral Research: the Official Journal of the American Society for Bone and Mineral Research
https://www.readbyqxmd.com/read/28717652/morphological-study-of-the-anterior-surface-of-the-distal-radius
#12
Ho-Jung Cho, Soyeon Kim, Dai-Soon Kwak
The shape of the anterior surface of the distal radius is important for designing a distal radius plate for wrist fracture surgery. The aim of this study was to describe the shape of the anterior surface of the distal radius and to compare the results between female and male. We used 90 sides from three-dimensional radial models based on computer tomography images from Korean adult cadavers for this study. The anterior surface was measured in two dimensions in the coronal view, and we sectioned the anterior surface of the models to obtain intermediate and radial sections to measure the curved shape of the anterior surface in sagittal view...
2017: BioMed Research International
https://www.readbyqxmd.com/read/28705590/comparative-study-of-type-b-distal-radius-fractures-with-and-without-lunate-facet-involvement-treated-by-volar-locking-plate-an-observational-study
#13
Xiong Zhang, Yan Zhao, Chunhe Hu, Kunlun Yu, Jiangbo Bai, Dehu Tian, Yi Xu, Bing Zhang
PURPOSE: This study aimed to evaluate the results of volar locking plate for treatment of type B distal radius fractures involving the lunate facet and compare them with those without involvement in lunate facet. METHOD: s: This was a retrospective study. A total of 93 patients with type B distal radius were treated by single volar locking plate between January 2014 and December 2015. Preoperative digital radiographs were used to initially diagnose and further classify this injury according to AO/OTA classification system...
July 10, 2017: International Journal of Surgery
https://www.readbyqxmd.com/read/28691543/volar-locking-plate-fixations-for-displaced-distal-radius-fractures-an-evaluation-of-complications-and-radiographic-outcomes
#14
James Wilson, Jeremy J Viner, Kavan S Johal, Michael J Woodruff
BACKGROUND: A volar locking plate (VLP) is the most frequently used form of implant used for open reduction and internal fixation of distal radius fractures. They are known to have a complication rate of up to 27%. We hypothesized that plate design could influence complication rates. METHODS: We performed a review of patients undergoing VLP fixation for distal radius fracture. A total of 228 patients underwent fixation with the Distal Volar Radial Anatomical (DVR) plate; 388 patients underwent fixation with the VariAx plate...
July 1, 2017: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/28676150/volar-radioscapholunate-arthrodesis-and-distal-scaphoidectomy-after-malunited-distal-radius-fractures
#15
Stefan Quadlbauer, Martin Leixnering, Josef Jurkowitsch, Thomas Hausner, Christoph Pezzei
PURPOSE: The purpose of this study was to assess range of motion (ROM), pain, and incidence of radiographic degenerative joint disease (DJD) after volar radioscapholunate (RSL) arthrodesis and distal scaphoidectomy (DSE) following malunited distal radius fractures (DRF). METHODS: Fourteen patients with malunited DRF and DJD limited to the radiocarpal joint underwent RSL arthrodesis and DSE between 2006 and 2014. These were retrospectively analyzed both clinically and radiologically...
July 1, 2017: Journal of Hand Surgery
https://www.readbyqxmd.com/read/28671904/a-sandwich-method-using-kapandji-intrafocal-pinning-to-facilitate-palmar-plating-of-displaced-distal-radius-fractures
#16
Hui-Kuang Huang, Yi-Chao Huang, Jung-Pan Wang, Ming-Chau Chang
The use of palmar plating in the treatment of dorsally displaced distal radius fracture is very common, and can result in a good functional outcome. We present an easy "sandwich method" to reduce the fracture and to facilitate osteosynthesis. Firstly, the dorsal Kapandji intrafocal wire was applied to achieve the reduction of the dorsally displaced fracture and provide a volar-directed force. Then the intra-articular fractures were reduced or the metaphyseal defect is stuffed with bone graft if necessary. Finally, the anatomical plate is used to buttress and push back the distal fragment to complete the osteosynthesis...
June 30, 2017: Techniques in Hand & Upper Extremity Surgery
https://www.readbyqxmd.com/read/28658746/a-unique-triad-of-muscular-vascular-and-nervous-variations-in-upper-limb
#17
Dharmaraj Wamanrao Tamgire, Yogesh Ashok Sontakke, Sssn Rajasekhar, Karuppusamy Aravindhan
Multiple muscular and neurovascular anomalies in upper limb are reported continuously in medical literature because of their clinical significance. A unique case of the triad of variations was encountered during routine dissection activity. The variations observed were: 1) Accessory third head of biceps brachii; 2) High division of Brachial Artery; 3) Communication between Musculocutaneous Nerve and Median Nerve. Taken independently these variations are common but it is rare in a single cadaver. These abnormalities were found unilaterally on the right arm of the cadaver...
May 2017: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/28656318/efficiency-of-fragment-specific-fixation-plates-in-the-treatment-of-comminuted-distal-radial-fractures
#18
Elhadi Musaab Elhadi Babikir, Eyad Daood Al-Maqdassy, Khalid Hasan, Shamsi Abdul Hameed, Abduljabbar Alhammoud, Mohammed Mubarak Al-Ateeq Al-Dosari
PURPOSE: The purpose of this study was to assess the clinical, radiologic and functional outcome of treating comminuted intra-articular distal radius fractures with fragment specific fixation. METHODS: This was a retrospective chart review of 25 unstable intra-articular distal radius fractures (type C2 AO) that had fragment specific fixation done in the orthopaedic department of the Hamad General Hospital (level 1 trauma center) over three years (2010-2013), with a follow up of one year post-operatively...
June 27, 2017: International Orthopaedics
https://www.readbyqxmd.com/read/28644428/early-results-of-the-conservative-treatment-of-distal-radius-fractures-immobilization-of-the-wrist-in-dorsal-versus-palmar-flexion
#19
Maki Grle, Miro Miljko, Ivana Grle, Faruk Hodžić, Tarik Kapidžić
Aim To evaluate immobilization with dorsal forearm plaster splint with the wrist in dorsal flexion vs palmar flexion in patients with distal radius fracture. Methods In the prospective study (2012-2014) 122 patients (of which 22 patients lost) with fractures of the distal radius type A2, A3 and C according to the AO classification were investigated. At the end there were 50 patients in each of the two groups: the dorsiflexion (DF) group had a total of 37 women and 13 men, mean age was 63.48 ± 14.70, and in the palmar flexion (PF) group there were respectively 38/12, and the mean age was 64...
August 1, 2017: Medicinski Glasnik
https://www.readbyqxmd.com/read/28638948/does-socioeconomic-status-influence-the-epidemiology-and-outcome-of-distal-radial-fractures-in-adults
#20
N D Clement, A D Duckworth, N R Wickramasinghe, C M Court-Brown, M M McQueen
PURPOSE: The aim of this study in adult patients with a distal radial fracture was to determine whether socioeconomic status influenced the epidemiology, mechanism of injury, fracture severity, or the outcome according to function, radiographic assessment, and rate of associated complications. METHODS: We identified 3983 distal radial fractures over a 7-year period. Socioeconomic status was assigned using the Carstairs score, and the population was divided into quintiles depending on deprivation...
June 21, 2017: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
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