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Aditi P Ambekar, Mitushi Deshmukh, Vaishnavi M Thakre, Pooja S Ladkhedkar, Palak R Ahuja
Distal ulna and radius fractures are the most frequent upper extremity fractures seen in emergency rooms. The axis of rotation for forearm pronation and supination runs through the radial head (proximal) and the ulnar fovea (distal). Throughout pronation and supination, the radius can rotate relative to the ulna, thanks to the way its head articulates with it. The ulna remains relatively stable during these movements. However, in cases of fractures of these bones, surgery to repair the radius is usually the best course of action for a distal ulna fracture...
January 2024: Curēus
#22
JOURNAL ARTICLE
Hyun-Gyu Seok, Wook Tae Park, Sung-Jin Park, Sam-Guk Park
OBJECTIVES: The relationship between volar fragment size and postoperative volar tilt loss in complete articular distal radius fracture is not well known. In this study, we measured precise radiological parameters to help identify other factors that might contribute to volar tilt loss. MATERIAL AND METHODS: We retrospectively reviewed the radiological examinations and charts of 256 patients with distal radial fracture who underwent volar locking plate fixation between March 2014 and July 2022...
February 29, 2024: Hand Surgery and Rehabilitation
#23
JOURNAL ARTICLE
James Dalrymple, Aashish Ahluwalia, Aditya Prinja
Supracondylar fractures of the distal humerus are the most common fracture around the elbow in children. A thorough initial assessment must be conducted to identify any associated neurovascular injury and carefully documented. The assessment should include a vascular examination of the radial pulse, temperature, colour and capillary refill time. A neurological examination must comment on the motor and sensory function of the radial, median and ulnar nerves. X-rays allow an evaluation of the fracture location and type, and the degree of displacement...
February 2, 2024: British Journal of Hospital Medicine
#24
JOURNAL ARTICLE
Ho-Won Lee, Ki-Tae Kim, Sanghyeon Lee, Joon-Hyeok Yoon, Jung-Youn Kim
The purpose of this study was to investigate the fracture morphology of distal radius fractures (DRFs) with the status of triangular fibrocartilage complex (TFCC) foveal insertion in patients with or without osteoporosis and to identify the relationship between osteoporosis and foveal tear. Seventy-five patients who underwent surgery for DRF from January 2021 to September 2023 were included. All patients were evaluated by standard radiography and dual-energy X-ray absorptiometry and underwent a 3.0 T magnetic-resonance imaging examination of the involved wrist to identify TFCC foveal tear...
February 8, 2024: Journal of Clinical Medicine
#25
REVIEW
Iqbal F Sayudo, Jesica P Sudarman, André Fernandes, Jae Yong Park, Liron Leibovitch, Elcio Machinski, Mohamed O Mahmoud
The current research on the recommended durations for cast immobilization in adults with distal radial fractures (DRFs) lacks a clear consensus or definitive conclusion. The standard practice involves casting immobilization for five to six weeks. The debate revolves around the potential benefits of shorter periods (three to four weeks) without compromising patient outcomes. While previous research has delved into this subject through systematic reviews, our study stands out by conducting a meta-analysis, aiming for a more precise understanding of whether short or regular cast immobilization duration proves more effective for treating DRFs...
February 2024: Curēus
#26
Ousama Jelti, Abdelilah Barzouq, Oussama El Alaoui, Najib Abdeljaouad, Hicham Yacoubi
We present an unusual case involving the simultaneous dislocation of the trans-scapho-retro-lunate in the right wrist and a posterolateral dislocation in the right elbow joint with a distal radius fracture in a 23-year-old male with no notable medical history. These injuries occurred when he fell from a height of around 12 meters onto his outstretched right hand. The patient presented to the hospital in a normal upper limb trauma position with no discomfort to critical functions. Predominant symptoms at the emergency department were discomfort in the right wrist, hand, and ipsilateral elbow, as well as the entire upper limb functional impairment...
January 2024: Curēus
#27
JOURNAL ARTICLE
Toshiyasu Sakurai, Hiroshi Yamazaki, Keita Tomii, Yuji Takahashi, Yukiho Abe, Yuya Kobayashi
We investigated outcomes of clinic-based hand therapy combined with a home-based exercise programme after anterior plating for distal radial fractures. A total of 102 patients were randomly assigned to one of three groups: a home-based exercise programme alone; a home-based exercise programme combined with four hand therapy sessions in the clinic; and a home-based exercise programme with seven sessions in the clinic. Mean Patient-Rated Wrist Evaluation scores at 6 weeks were significantly better for the group of patients with seven sessions in the clinic than in those with only home exercises (12 vs...
February 16, 2024: Journal of Hand Surgery, European Volume
#28
JOURNAL ARTICLE
William West, Andrew Moore, Caroline Gerhardt, Paul Webb, Odion Binitie, Alexander Lazarides, Douglas Letson, David Joyce
BACKGROUND: Impending and complete pathologic fractures of the distal humerus are rare complications of metastatic cancer. Surgical treatment aims to quickly restore function and minimize pain. Plate and screw fixation (PSF) is a common method for addressing these lesions, but unlike in orthopaedic trauma, there are no clear guidelines for best management. While dual PSF theoretically provides better support and reduces the chance of reoperation due to tumor progression, single PSF is currently the more common choice...
May 2024: Journal of Orthopaedics
#29
JOURNAL ARTICLE
Jason G Makar, Jane Yk Lai, James O Simcock, Richard M Jerram, Alen Lai, Andrew S Levien, QiCai J Hoon, Evelyn Js Hall, Rachel M Basa
OBJECTIVES: The objectives of this study were to report the complications in radial and ulnar diaphyseal fractures in cats and to compare the differences in outcome between single and dual bone internal fixation. METHODS: Medical records between 2004 and 2022 were searched retrospectively for cats with antebrachial diaphyseal fractures treated with internal bone-plate fixation. In total, 49 cases were included from six referral hospitals, including one teaching hospital...
February 2024: Journal of Feline Medicine and Surgery
#30
JOURNAL ARTICLE
Caroline E Plant, Alexander Ooms, Jonathan A Cook, Matthew L Costa, Melina Dritsaki, Helen Dakin, Jonathan Jones, Andrew Mckee, Kevin Smith, Mohamed Hamadto, Steve Gwilym, Tim Chesser, Jaime Candal-Couto, Caroline Hing, David Giddin, Phil Johnston, Aamer Ullah, John Williams, Will Eardley, Makaram Srinivasan, Sridharrao Sampalli, Mark Farrar, Chris Roberts, Khitish Mohanty, Iain MacLeod, Praveen Sarda, Amr Elseehy, Nigel Rossiter, David Warwick, Chris Peach, David MacKay, Richard Benson, Adam Watts, Jonathan Young, Feisal Shah, Stephen Lipscombe, Aaron Ng, Charalambos P. Charalambous, Barnaby Sheriden, Kanthan Theivendran, Pulimamidi Sanjay, Rajesh Nanda, Antony Bateman, Michael Butler, Oliver Keast-Butler, Andrew McAndrew, Wystan Chevannes, Pradeep Kankanalu, Asanka Wijendra, Andreas Fontalis, Hytham Afifi, Marie-Clare Killen, Ryan Higgin, Warran Wignadasan, Ken Wong, Catherine Gibson, Harry Beale, Bob Jennings, James Kennedy, Mark Williamson, Damir Rasidovic, Lydia Jenner, John B Tadros, Steve Milner, James Duncan, Sally Kerr, Louise Nordin, Matt Weston, Olivia Payton, Tofi Oni, Craig Zhao, Sukhdeep Gill, Mohammad Iqbal, Marie-Clare Killen, Khaled Aneiba, Warran Wignadasan, Dilip Pillai, Luke Hughes, Jonathan Crosby, Mike Whitehouse, Thomas Corbett, Arshad Iqbal, Steph Buchan, Laura Beddard, Venkat Vardhan, Becky Beamish, Matt Jones, Jonathan Holley, Rebecca Morrell, Robin Lerner, Kylea Draper
AIMS: The primary aim of this study was to report the radiological outcomes of patients with a dorsally displaced distal radius fracture who were randomized to a moulded cast or surgical fixation with wires following manipulation and closed reduction of their fracture. The secondary aim was to correlate radiological outcomes with patient-reported outcome measures (PROMs) in the year following injury. METHODS: Participants were recruited as part of DRAFFT2, a UK multicentre clinical trial...
February 13, 2024: Bone & joint open
#31
JOURNAL ARTICLE
Mehmet Akdemir, Ali Īhsan Kiliç, Cengizhan Kurt, Sercan Çapkin
Background Distal radius fractures are common fractures. Treatment of intra-articular fractures is controversial, with treatment modalities including closed reduction and casting, open reduction and plating, and closed reduction and fixation with an external fixator. In this study, we compared the clinical and radiological outcomes of our patients treated with three different methods for intra-articular distal radius fractures. We hypothesize that open reduction and plate application are superior. Methodology Adult patients with intra-articular (AO type B and C) fractures of the distal radius and treated with closed reduction-casting, volar locking plate, and external fixator were identified...
January 2024: Curēus
#32
JOURNAL ARTICLE
Julio J Contreras, Diego Soto, Martín Valencia, Miguel López, Alonso Díaz, Sebastián Delgado, Chulong Yuan Lu, Martín Muñoz, Francisco Cortés, Cristobal Díaz, Manuel Beltrán
BACKGROUND: Open reduction and internal fixation with plate is one of the most widely used treatments for distal third humeral shaft fractures. The purpose of this study was to report the outcomes of the treatment of distal third humeral shaft fractures with posterior minimally invasive plate osteosynthesis (MIPO) with segmental isolation of the radial nerve. METHODS: We performed an observational, retrospective, consecutive, monocentric, continuous multioperator study...
February 2024: JSES Rev Rep Tech
#33
REVIEW
Sarah H Townsley, Nicholas Pulos, Alexander Y Shin
Distal radial fractures represent the most common fractures of the upper extremity. Operative treatment is performed for approximately one-third of distal radial fractures in the adult population. Complications following operative treatment of distal radial fractures vary depending on the treatment modality and can be stratified into preoperative and postoperative complications. Complications can occur in the near, intermediate and long term. The most common complications seen are tendon irritation and rupture, chronic regional pain syndrome (CRPS), carpal tunnel syndrome, ulnar or radial neuropathy, compartment syndrome, malunion, inadequate fixation or loss of fixation, symptomatic hardware, post-traumatic arthritis, stiffness and infection...
February 2024: Journal of Hand Surgery, European Volume
#34
JOURNAL ARTICLE
Lingde Kong, Chenfei Li, Jiangbo Bai, Jian Lu
Forearm rotation restriction (FRR) is common after surgery for distal radius fractures (DRFs). The aim of the current study was to investigate the effect of DRFs on forearm rotation. This retrospective study reviewed patients with DRFs who underwent surgical treatment from January 2019 to December 2021. The patients' basic data and radiographic parameters were analyzed. Forearm rotation, including pronation and supination, was assessed using a standard goniometer. The Patient-Rated Wrist Evaluation (PRWE) score was evaluated, and the incidence of FRR at the 6-month follow-up was recorded...
February 4, 2024: Scientific Reports
#35
JOURNAL ARTICLE
Daniel J Cognetti, Dawn M G Rask, Taylor J Bates, Erin R Swan, Thomas B Lynch, Thomas Smith, Robert Powers, Benjamin Plucknette
CASE: A 77-year-old woman who sustained a distal radius and ulna fracture underwent open reduction internal fixation through a standard flexor carpi radialis (FCR) approach. On dissection, a proximal division of the median nerve was identified, with an aberrant motor branch crossing radial to ulnar deep to FCR and superficial to flexor pollicis longus. CONCLUSION: Although many anatomic variants of the median nerve have been described, the current case demonstrates a particularly important median motor branch variant, imposing a substantial risk of iatrogenic injury during a standard FCR approach...
January 1, 2024: JBJS Case Connector
#36
JOURNAL ARTICLE
Ahmed Majid Heydar, Mehmet Burak Yalçın
BACKGROUND: Although isolated distal radius and radial head fractures are common injuries, simultaneous ipsilateral fractures are uncommon. They can range from simple undisplaced fractures at either end to severely comminuted ipsilateral proximal and distal radial fractures. Few cases have been reported with concomitant comminuted distal radius and radial head fractures, and no treatment guidelines are available. Decisions are often based on personal recommendations. The purpose of our study is to increase awareness of this injury pattern and to discuss the mechanism of injury, treatment approach, and functional outcome...
February 2024: Turkish Journal of Trauma & Emergency Surgery: TJTES
#37
JOURNAL ARTICLE
Sanglim Lee, Kwang Gi Kim, Young Jae Kim, Ji Soo Jeon, Gi Pyo Lee, Kyung-Chan Kim, Suk Ha Jeon
BACKGROUND: Recently, deep learning techniques have been used in medical imaging studies. We present an algorithm that measures radiologic parameters of distal radius fractures using a deep learning technique and compares the predicted parameters with those measured by an orthopedic hand surgeon. METHODS: We collected anteroposterior (AP) and lateral X-ray images of 634 wrists in 624 patients with distal radius fractures treated conservatively with a follow-up of at least 2 months...
February 2024: Clinics in Orthopedic Surgery
#38
Shunpei Hama, Koji Moriya, Yoshiyuki Matsuyama, Yutaka Maki, Hiroaki Nakamura
Delayed union and non-union of distal radial fractures (DRFs) are rare, and there are a few reports of delayed union and nonunion of DRFs after palmar locking plate (PLP) fixation. A 68-year-old female patient presented to our hospital with left-sided wrist pain. Radiographs and computed tomography revealed a displaced DRF and ulnar styloid fracture. We performed open reduction and internal fixation with a PLP for the DRF and tension band wiring for the ulnar styloid fracture. However, bone union was not completed three months after the operation...
January 2024: Curēus
#39
JOURNAL ARTICLE
Simon B Kramer, Marjolein A M Mulders, Caroline A Selles, J Carel Goslings, Niels W L Schep
This study reports the long-term results of a randomized controlled trial comparing anterior locking plate fixation with cast immobilization for extra-articular distal radial fractures. After 5.3 years of follow-up, no clinically relevant functional differences were found.
January 31, 2024: Journal of Hand Surgery, European Volume
#40
EDITORIAL
Ruby Grewal
No abstract text is available yet for this article.
January 31, 2024: Journal of Hand Surgery, European Volume
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