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https://www.readbyqxmd.com/read/29655367/biologic-plating-of-unstable-distal-radial-fractures
#1
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/29651313/risk-factors-for-osteoporosis-in-postmenopausal-women-from-the-point-of-view-of-primary-care-gynecologist
#2
Damir Franic, Ivan Verdenik
Introduction: Osteoporosis is a highly prevalent public health problem with osteoporosis-related fractures that account for high morbidity and mortality. Therefore, prevention strategies and early detection of osteoporosis should be carried out in primary gynaecological care units, so as to substantially reduce the risk of fractures and allow the best treatment option for a particular woman. Methods: From 2002 to 2011, we recruited 2956 women. Of the total number of women, we additionally extrapolated 1274 women aged 60-75 years, assumingly, the group of women at higher risk of osteoporosis...
March 2018: Zdravstveno Varstvo
https://www.readbyqxmd.com/read/29644275/delayed-identification-of-an-isolated-paediatric-capitate-fracture
#3
A Khoriati, C Jones, A Abdulkareem, N Ellahee
Fractures of the capitate bone are the second most common injury to a child's wrist but are rarely encountered in isolation. This is reflected in the paucity of described cases in the literature. Their true incidence is unknown as they often do not appear on plain radiographs and may heal without immobilisation. The easiest way to detect these fractures is with an MRI scan. The authors present a rare case of isolated capitate fracture that was initially missed on plain films. This case is important as it highlights the need for a high index of suspicion in paediatric patients with unresolving wrist pain...
December 2017: Trauma Case Reports
https://www.readbyqxmd.com/read/29628706/does-operative-fixation-of-isolated-fractures-of-ulna-shaft-results-in-different-outcomes-than-non-operative-management-by-long-arm-cast
#4
Altaf Hussain, Sandeep Kumar Nema, Deep Sharma, Sujiv Akkilagunta, Gopisankar Balaji
Objective: The optimal treatment for isolated fractures of ulnar shaft is debatable. The purpose of this study was to compare functional outcomes and radiological union in patients treated for isolated fractures of the ulnar shaft by open reduction and internal fixation and a long arm cast. Methods: This prospective study was conducted at level I trauma center from November 2014 to March 2016. 30 patients with isolated fractures of ulnar shaft were randomized to two groups to receive treatment by open reduction and internal fixation by plates and screws and a long arm cast...
March 2018: Journal of Clinical Orthopaedics and Trauma
https://www.readbyqxmd.com/read/29626236/prospective-study-of-comminuted-articular-distal-radius-fractures-stabilized-by-volar-plating-in-the-elderly
#5
Daniel Martinez-Mendez, Alejandro Lizaur-Utrilla, Joaquin de Juan-Herrero
PURPOSE: The objective was to assess the ability of the volar locking plate to maintain the radiographic parameters over the time in elderly patients with complex intra-articular distal radius fractures. METHODS: Prospective cohort of 66 consecutive patients with mean age of 68 (range 60-81) years and AO type C fractures treated with volar locking plate. Radiographic measurements were performed pre and post-operatively at each follow-up. Clinical assessment was made by Patient-Rated Wrist Evaluation scores, Disabilities of the Arm, Shoulder and Hand score, range of motion, and grip strength...
April 7, 2018: International Orthopaedics
https://www.readbyqxmd.com/read/29621979/nordic-innovative-trial-to-evaluate-osteoporotic-fractures-nitep-group-non-operative-treatment-versus-surgery-with-volar-locking-plate-in-the-treatment-of-distal-radius-fracture-in-patients-aged-65-and-over-a-study-protocol-for-a-prospective-randomized-controlled
#6
Teemu P Hevonkorpi, Antti P Launonen, Lauri Raittio, Toni Luokkala, Juha Kukkonen, Aleksi Reito, Bakir O Sumrein, Minna K Laitinen, Ville M Mattila
BACKGROUND: In the literature, there are numerous studies that compare different surgical procedures in the treatment of distal radius fractures (DRF). It is, however, unknown whether operative treatment and better restoration of anatomy with volar locking plate yields a better functional outcome in the elderly population when compared with non-operative treatment. METHODS AND DESIGN: This study is a prospective, randomized, controlled, multi-center trial. The purpose will be to compare the non-operative and operative treatment of initially or early malaligned distal radius fractures in patients aged 65 and older...
April 5, 2018: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/29619121/intra-articular-fracture-of-the-distal-part-of-the-triquetrum-within-the-pisotriquetral-joint-case-report-and-review-of-literature
#7
V Athanasiou, A Panagopoulos, I D Iliopoulos, I Vrahnis, G Diamantakis, P Kraniotis, M Tyllianakis
Background: Intra-articular fractures of the distal part of the triquetrum within the pisotriquetral joint are uncommon, and can be associated with tears of the dorsal carpal ligaments, pisiform subluxation and/or FCU dislocation. Their diagnosis is difficult and requires a high clinical suspicion and a proper radiological examination including oblique wrist x-rays, computed tomography and MRI scan. These fractures can be delayed diagnosed due to late presentation thus leading to painful nonunion, persistent instability and late pisotriquetral arthritis...
2018: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/29616587/biomechanical-strength-of-retrograde-fixation-in-proximal-third-scaphoid-fractures
#8
Charles A Daly, Allison L Boden, William C Hutton, Michael B Gottschalk
BACKGROUND: Current techniques for fixation of proximal pole scaphoid fractures utilize antegrade fixation via a dorsal approach endangering the delicate vascular supply of the dorsal scaphoid. Volar and dorsal approaches demonstrate equivalent clinical outcomes in scaphoid wrist fractures, but no study has evaluated the biomechanical strength for fractures of the proximal pole. This study compares biomechanical strength of antegrade and retrograde fixation for fractures of the proximal pole of the scaphoid...
April 1, 2018: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/29615100/ultrasonography-or-direct-radiography-a-comparison-of-two-techniques-to-detect-dorsal-screw-penetration-after-volar-plate-fixation
#9
Yunus Oc, Bekir Eray Kilinc, Anıl Gulcu, Ali Varol, Rodi Ertugrul, Adnan Kara
BACKGROUND: Complications related to extensor tendons have begun to increase with the use of volar plates in the treatment of distal radius fractures. In this study, we aimed to compare four-plane radiography and ultrasonography in the evaluation of dorsal cortex screw penetration following volar plate fixation. METHODS: We recruited 47 patients (33 males, 14 females, mean age 37.4 years; range 18-58 years). To evaluate dorsal screw penetration in all patients, we performed radiographs at 45° pronation, 45° supination and obtained dorsal tangential graphs at maximum palmar flexion, and a wrist lateral radiograph...
April 3, 2018: Journal of Orthopaedic Surgery and Research
https://www.readbyqxmd.com/read/29611845/dual-radial-styloid-and-volar-plating-for-unstable-fractures-of-the-distal-radius
#10
Matthew R Garner, Patrick C Schottel, Ryan R Thacher, Stephen J Warner, Dean G Lorich
As the operative management of displaced distal radius fractures evolves, intraoperative techniques and fixation strategies evolve as well. Achieving and maintaining an acceptable reduction is paramount but can be difficult with particular fracture patterns. In this article, we describe the use of a radial column plate as a reduction tool in the management of unstable distal radius fractures, along with clinical and radiographic clinical outcomes. This technique can be useful in situations where multiplanar instability exists, or simply when intraoperative assistance is limited...
March 2018: American Journal of Orthopedics
https://www.readbyqxmd.com/read/29599051/the-effect-of-diabetes-on-functional-outcomes-among-individuals-with-distal-radial-fractures
#11
Sana'a A Alsubheen, Joy C MacDermid, David M Walton, Ruby Grewal
STUDY DESIGN: Prospective cohort study. INTRODUCTION: Diabetes is reported to adversely affect outcomes; however, its effect on distal radial fractures (DRF) is not well examined. PURPOSE OF THE STUDY: This study investigated the effect of diabetes on pain, hand function, physical health status, grip strength, and wrist and forearm range of motion among patients with DRF. METHODS: A total of 479 patients with DRF were classified into patients with and without diabetes based on self-report...
March 26, 2018: Journal of Hand Therapy: Official Journal of the American Society of Hand Therapists
https://www.readbyqxmd.com/read/29587687/above-versus-below-elbow-casting-for-conservative-treatment-of-distal-radius-fractures-a-randomized-controlled-trial-and-study-protocol
#12
Aldo Okamura, Gabriel Maciel de Mendonça, Jorge Raduan Neto, Vinicius Ynoe de Moraes, Flavio Faloppa, João Carlos Belloti
BACKGROUND: A variety of cast options are available for the non-surgical treatment of distal radius fractures (DRF) in adults. However, the literature is inconclusive regarding the need to immobilize the elbow joint after reduction in order to prevent rotation of the forearm in order to maintain the reduction of DRF. This study aimed to evaluate the best method of immobilization between above-elbow (AE) and below-elbow (BE) cast groups at the end of six-month follow-up. METHODS: This is a randomized clinical trial with parallel groups and a blinded evaluator...
March 27, 2018: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/29581182/pediatric-hoverboard-and-skateboard-injuries
#13
Sean Bandzar, Daniel G Funsch, Rex Hermansen, Seema Gupta, Andrew Bandzar
OBJECTIVES: To investigate the characteristics of hoverboard injuries compared with skateboard injuries in children presenting to US emergency departments (EDs). METHODS: Data regarding hoverboard and skateboard injuries in children <18 years of age were obtained from the National Electronic Injury Surveillance System for calendar years 2015 and 2016. Data included demographics, body regions injured, and ED disposition. RESULTS: There were an estimated 26 854 hoverboard and 121 398 skateboard injuries treated in US EDs between 2015 and 2016...
March 26, 2018: Pediatrics
https://www.readbyqxmd.com/read/29576925/effects-of-ulnar-styloid-fractures-on-unstable-distal-radius-fracture-outcomes-a-systematic-review-of-comparative-studies
#14
Sami Almedghio, Mohammed Shoaib Arshad, Fayez Almari, Indranil Chakrabarti
Purpose  In this literature review, functional outcomes such as Disability of Arm, Shoulder and Hand (DASH) score and the visual analog scale (VAS) of pain along with clinical outcomes such as range of movement and grip strength of treated distal radius fractures (DRF) accompanied with ulnar styloid fractures (USF) will be compared with those with isolated DRF. Materials and Methods  We analyzed articles from MEDLINE, Embase, and CINAHL that met our predetermined inclusion and exclusion criteria as per the Preferred Reporting Items for Systematic Reviews and Meta-analysis statements...
April 2018: Journal of Wrist Surgery
https://www.readbyqxmd.com/read/29576918/nonspanning-total-wrist-arthrodesis-with-a-low-profile-locking-plate
#15
Schneider K Rancy, Eugene T Ek, Sophia Paul, Robert N Hotchkiss, Scott W Wolfe
Purpose  This study aims to compare the outcomes and complications of our technique for nonspanning total wrist arthrodesis using a locking plate with the standard carpometacarpal spanning technique. Methods  A retrospective review of charts was performed to identify patients who underwent total wrist arthrodesis by the senior author (S.W.W.). We compared the outcomes of 15 cases of nonspanning wrist fusion with a 2.4/2.7 mm locking T plate to 11 cases of spanning wrist fusion with a 2.7/3.5 mm locking compression plate...
April 2018: Journal of Wrist Surgery
https://www.readbyqxmd.com/read/29576914/biomechanics-of-an-articulated-screw-in-acute-scapholunate-ligament-disruption
#16
Matthew E Hiro, Corey J Schiffman, Muturi G Muriuki, Robert M Havey, Leonard I Voronov, Randy R Bindra
Background  An injury to the scapholunate interosseous ligament (SLIL) leads to instability in the scapholunate joint. Temporary fixation is used to protect the ligament during reconstruction or healing of the repair. Rigid screw fixation-by blocking relative physiological motion between the scaphoid and lunate-can lead to screw loosening, pullout, and fracture. Purpose  This study aims to evaluate changes in scaphoid and lunate kinematics following SLIL injury and the effectiveness of an articulating screw at restoring preinjury motion...
April 2018: Journal of Wrist Surgery
https://www.readbyqxmd.com/read/29576913/current-management-of-scaphoid-nonunion-based-on-the-biomechanical-study
#17
Kunihiro Oka, Hisao Moritomo
Scaphoid nonunion causes abnormal wrist kinematics and typically leads to carpal collapse and subsequent degenerative arthritis of the wrist. However, the natural history, including carpal collapse and degenerative arthritis of scaphoid nonunion, may vary at different fracture locations. This article reviews recent biomechanical studies related to the natural history of scaphoid nonunion. In the distal-type fractures (type B2 in Herbert classification), where the fracture located distal to the scaphoid apex, the proximal scaphoid fragment and lunate, which are connected through the dorsal scapholunate interosseous ligament (DSLIL) and dorsal intercarpal ligament (DIC), extend together, and the distal fragment of the scaphoid flexes individually...
April 2018: Journal of Wrist Surgery
https://www.readbyqxmd.com/read/29576647/a-scoring-system-to-demonstrate-the-risk-for-bone-injury-in-patients-with-clinically-suspected-or-occult-scaphoid-fracture
#18
H Bahadir Gokcen, Mehmet Akif Akcal, Koray Unay, Selahattin Ozyurek, Oguz Poyanli, Irfan Esenkaya
Background: It is important to diagnose a scaphoid fracture accurately and start the correct treatment in the shortest time possible. However, the fracture of bone may not be visible on x-ray. In such cases, patients are clinically diagnosed with suspected or occult scaphoid fractures. The aim of this study was to define a scoring system based on physical examination to demonstrate the risk for bone injury in patients with clinically suspected and occult scaphoid fractures with negative radiographs and anatomical snuff box tenderness and to decrease the costs and workforce loss due to unnecessary treatment and magnetic resonance imaging (MRI)...
March 2018: Indian Journal of Orthopaedics
https://www.readbyqxmd.com/read/29564307/prevalence-and-associated-risk-factors-of-sarcopenia-in-female-patients-with-osteoporotic-fracture
#19
Byung-Ho Yoon, Jun-Ku Lee, Dae-Sung Choi, Soo-Hong Han
Background: We determined the prevalence of sarcopenia according to fracture site and evaluated the associated risk factors in female patients with osteoporotic fractures. Methods: A total of 108 patients aged 50 years or older with an osteoporotic fracture (hip, spine, or wrist) were enrolled in this retrospective observational study. A diagnosis of sarcopenia was confirmed using whole-body densitometry for skeletal muscle mass measurement. Logistic regression analysis was used to analyze the risk factors for sarcopenia...
February 2018: Journal of Bone Metabolism
https://www.readbyqxmd.com/read/29558002/risk-factors-predicting-subsequent-falls-and-osteoporotic-fractures-at-4-years-after-distal-radius-fracture-a-prospective-cohort-study
#20
Neha Dewan, Joy C MacDermid, Ruby Grewal, Karen Beattie
In a prospective cohort of 113 patients followed 4 years after distal radius fracture (DRF), 24% of patients experienced a subsequent fall and 19% experienced a subsequent fracture. People with poor balance, greater fracture-specific pain/disability, low bone density, and prior falls had nearly a three times higher risk of subsequent falls. PURPOSE: To determine the extent to which modifiable risk factors alone or in combination with bone mineral density (BMD) and non-modifiable risk factors predict subsequent falls and osteoporotic (OP) fractures after distal radius fracture (DRF)...
March 20, 2018: Archives of Osteoporosis
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