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Distal radius fracture

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https://www.readbyqxmd.com/read/29154969/adults-with-cystic-fibrosis-have-deficits-in-bone-structure-and-strength-at-the-distal-tibia-despite-similar-size-and-measuring-standard-and-relative-sites
#1
Kyle K Nishiyama, Sanchita Agarwal, Anna Kepley, Fernando Rosete, Yizhong Hu, X Edward Guo, Claire L Keating, Emily A DiMango, Elizabeth Shane
Individuals with cystic fibrosis (CF) have lower bone mineral density (BMD) by DXA and are at higher risk of fracture than healthy controls. However, the 2-dimensional measurement of areal BMD (aBMD) provided by DXA is influenced by bone size and the true extent of the bone deficit is unclear. Our objective was to use high-resolution peripheral quantitative computed tomography (HR-pQCT) and individual trabecula segmentation (ITS) analysis to compare volumetric BMD (vBMD), microarchitecture and estimated strength at the distal radius and tibia in 26 young adults with CF and 26 controls matched for age, gender, and race...
November 14, 2017: Bone
https://www.readbyqxmd.com/read/29150382/changes-in-fall-risk-and-functional-status-in-women-aged-50-years-and-older-after-distal-radius-fracture-a-prospective-1-year-follow-up-study
#2
Katie Crockett, Jonathan P Farthing, Jenny Basran, Vanina Dal Bello-Haas, Geoffrey Johnston, Charlene R A Haver, Catherine M Arnold
STUDY DESIGN: Prospective cohort study. INTRODUCTION: Few studies have evaluated the course of recovery after distal radius fracture (DRF) when functional decline and fracture risk may be affected. PURPOSE OF THE STUDY: The purpose of this study was to determine changes in overall functional status over the first year after a DRF in women aged 50 years and older. METHODS: Seventy-eight women were assessed for balance, balance confidence, lower extremity strength, gait speed, fall history, physical activity levels, and self-reported wrist pain and function (Patient-Rated Wrist Evaluation) at weeks 1, 3, 9, 12, 26, and 52 after DRF...
November 14, 2017: Journal of Hand Therapy: Official Journal of the American Society of Hand Therapists
https://www.readbyqxmd.com/read/29147749/correction-to-characterization-of-trabecular-bone-microstructure-in-premenopausal-women-with-distal-radius-fractures
#3
T D Rozental, F Johannesdottir, K C Walley, M L Bouxsein
Owing to an oversight by the corresponding author, the name of the third author of this article was rendered wrongly. His correct name is Kempland C. Walley.
November 16, 2017: Osteoporosis International
https://www.readbyqxmd.com/read/29141368/-long-term-efficacy-of-open-reduction-and-internal-fixation-versus-external-fixation-for-unstable-distal-radius-fractures-a-meta-analysis
#4
Z Yang, Z Z Yuan, J X Ma, X L Ma
Objective: To make a systematic assessment of the Long-term efficacy of open reduction and internal fixation versus external fixation for unstable distal radius fractures. Methods: A computer-based online search of PubMed, ScienceDirect, EMBASE, BIOSIS, Springer and Cochrane Library were performed. The randomized and controlled trials of open reduction and internal fixation versus external fixation for unstable distal radius fractures were collected. The included trials were screened out strictly based on the criterion of inclusion and exclusion...
November 7, 2017: Zhonghua Yi Xue za Zhi [Chinese medical journal]
https://www.readbyqxmd.com/read/29130881/distal-radius-skyline-view-how-to-prevent-dorsal-cortical-penetration
#5
Benjamin C Taylor, Andy R Malarkey, Ryan L Eschbaugh, John Gentile
Volar locked plating has become a standard treatment for operative stabilization of distal radius fractures. It is assumed that volar plating portends a low risk of extensor tendon irritation and rupture, especially when compared with dorsal plating constructs; however, extensor tendon tenosynovitis and rupture is a well-described complication after volar plating of the distal radius. Dorsal cortical penetration of screws may go unnoticed with traditional intraoperative fluoroscopic techniques and may contribute to extensor tendon irritation...
November 2017: Journal of Surgical Orthopaedic Advances
https://www.readbyqxmd.com/read/29130877/reduction-loss-after-distal-radius-fracture-fixation-with-locked-volar-plates
#6
Michael M Vosbikian, Constantinos Ketonis, Ronald Huang, James A Costanzo, Asif M Ilyas
Distal radius fractures are among the most common injuries in the upper extremity. While many studies have looked at the maintenance of reduction with volar locking plates, there is a paucity of literature comparing the ability of different plates to maintain reduction over time. This study reviews the ability of various plates to maintain radiographic reduction at union after distal radius fracture treatment. Loss of some aspect of fracture reduction was routinely observed following locked volar plating regardless of implant...
October 2017: Journal of Surgical Orthopaedic Advances
https://www.readbyqxmd.com/read/29127017/the-educational-opportunities-provided-by-a-pediatric-orthopedic-urgent-case-review-conference-keep-score-to-provide-a-better-experience
#7
Eric D Shirley, Radu Gheorghe, Kevin M Neal, Gary Kiebzak, Steven L Frick
OBJECTIVE: To evaluate the distribution of conditions presented at a case conference to assess resident educational exposure to acute pediatric orthopedic conditions. DESIGN: Retrospective review of emergency department and inpatient consultations presented at a daily pediatric orthopedic case conference over a 3-year period. Consultations were divided into 3-month resident rotation blocks for analysis. SETTING: Tertiary children's hospital in the southern United States which host residents from 2 orthopedic surgery residency programs...
November 7, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/29122370/effectiveness-of-the-graded-motor-imagery-to-improve-hand-function-in-patients-with-distal-radius-fracture-a-randomized-controlled-trial
#8
Burcu Dilek, Cigdem Ayhan, Gozde Yagci, Yavuz Yakut
STUDY DESIGN: Single-blinded randomized controlled trial. INTRODUCTION: Pain management is essential in the early stages of the rehabilitation of distal radius fractures (DRFx). Pain intensity at the acute stage is considered important for determining the individual recovery process, given that higher pain intensity and persistent pain duration negatively affect the function and cortical activity of pain response. Graded motor imagery (GMI) and its components are recent pain management strategies, established on a neuroscience basis...
November 6, 2017: Journal of Hand Therapy: Official Journal of the American Society of Hand Therapists
https://www.readbyqxmd.com/read/29122121/a-biomechanical-comparison-of-four-fixed-angle-dorsal-plates-in-a-finite-element-model-of-dorsally-unstable-radius-fracture
#9
Josip Knežević, Janoš Kodvanj, Fabijan Čukelj, Frane Pamuković, Arsen Pavić
PURPOSE: To compare the finite element models of two different composite radius fracture patterns, reduced and stabilised with four different fixed-angle dorsal plates during axial, dorsal and volar loading conditions. METHODS: Eight different plastic models representing four AO/ASIF type 23-A3 distal radius fractures and four AO/ASIF 23-C2 distal radius fractures were obtained and fixed each with 1 of 4 methods: a standard dorsal non-anatomical fixed angle T-plate (3...
November 2017: Injury
https://www.readbyqxmd.com/read/29119975/erratum-microstructure-of-the-distal-radius-and-its-relevance-to-distal-radius-fractures
#10
Gregory Ian Bain, Simon Bruce Murdoch MacLean, Tom McNaughton, Ruth Williams
[This corrects the article DOI: 10.1055/s-0037-1602849.].
November 2017: Journal of Wrist Surgery
https://www.readbyqxmd.com/read/29117828/dual-plating-technique-for-volar-rim-fracture-of-the-distal-radius-using-depuy-synthes-2-0-m-and-2-4-mm-locking-plates
#11
Yoshihiro Abe, Masahiro Suzuki, Hiromasa Wakita
BACKGROUND: To assess the surgical results of distal radius fractures with the involvement of a volar rim fragment using the DePuy-Synthes 2.0 mm and 2.4 mm locking plates. METHODS: Subjects were six women and one man of average age 57 years (range, 31-83 y) and a mean follow-up period of 9 months (range, 5-19 mo) with AO B3 (volar shearing) distal radius fractures. Time of the procedure, physical examination of wrist range of motion, grip strength compared with the contralateral healthy wrist, and radiographic evaluation (volar tilt, radial inclination, and ulnar variance) were evaluated...
December 2017: Journal of Hand Surgery Asian-Pacific Volume
https://www.readbyqxmd.com/read/29115684/bone-material-strength-index-as-measured-by-impact-microindentation-in-postmenopausal-women-with-distal-radius-and-hip-fractures
#12
Tamara D Rozental, Kempland C Walley, Serkalem Demissie, Signe Caksa, Adriana Martinez-Betancourt, Amber M Parker, Joy N Tsai, Elaine W Yu, Mary L Bouxsein
We tested whether cortical bone tissue properties assessed by in vivo impact microindentation would distinguish postmenopausal women with recent distal radius (DRF) or hip fracture (HF) from non-fracture controls (CONT). We enrolled postmenopausal women with recent DRF (n=57), HF (n=41) or CONT (n=93), and used impact microindentation to assess bone material strength index (BMSi) at the anterior surface of the mid-tibia diaphysis. Areal BMD (g/cm(2) ) of the femoral neck (FN), total hip (TH) and lumbar spine (LS) were measured by dual-energy X-ray absorptiometry (DXA)...
November 8, 2017: Journal of Bone and Mineral Research: the Official Journal of the American Society for Bone and Mineral Research
https://www.readbyqxmd.com/read/29101976/repair-of-pronator-quadratus-with-partial-muscle-split-and-distal-transfer-for-volar-plating-of-distal-radius-fractures
#13
REVIEW
Hui-Kuang Huang, Jung-Pan Wang, Ming-Chau Chang
Flexor tendon injury is a rare, but serious, complication after volar plate fixation for distal radius fractures. The plate position and prominence at the watershed line are contributing factors that cause flexor tendon injury. With the standard volar approach, the pronator quadratus (PQ) is typically elevated off the radial attachment. The distal part of the plate is often visible after repair of the PQ. We describe a "PQ-splitting" technique for covering the distal edge of the plate if primary PQ repair cannot completely cover the distal part of the plate...
November 2017: Journal of Hand Surgery
https://www.readbyqxmd.com/read/29101409/characterization-of-trabecular-bone-microstructure-in-premenopausal-women-with-distal-radius-fractures
#14
T D Rozental, F Johannesdottir, K C Kempland, M L Bouxsein
Individual trabecular segmentation was utilized to identify differences in trabecular bone structure in premenopausal women with wrist fractures and non-fracture controls. Fracture subjects had reduced trabecular plate volume, number, thickness, and connectivity. Identifying altered trabecular microarchitecture in young women offers opportunities for counseling and lifestyle modifications to reduce fracture risk. INTRODUCTION: Premenopausal women with distal radius fractures (DRF) have worse trabecular bone microarchitecture than non-fracture controls (CONT), yet the characteristics of their trabecular bone structure are unknown...
November 3, 2017: Osteoporosis International
https://www.readbyqxmd.com/read/29099892/treating-unstable-distal-radius-fractures-with-a-nonspanning-external-fixation-device-comparison-with-volar-locking-plates-in-historical-control-group
#15
C Liam Dwyer, Nicholas E Crosby, Timothy Cooney, William Seeds, John D Lubahn
We conducted a study to compare functional and radiographic outcomes of unstable comminuted intra-articular distal radius fractures (DRFs) treated with a nonspanning external fixation device and outcomes achieved with volar locking plates in a historical control group. Clinical and radiographic data from 25 patients with these fractures, treated with the external fixation device, were compared with outcomes data from historical control matched patients with fracture patterns treated with volar locking plates...
September 2017: American Journal of Orthopedics
https://www.readbyqxmd.com/read/29099883/distal-radius-fractures-reconstruction-approaches-planning-and-principles
#16
Richard S Yoon, Vineet Tyagi, Susanne M Roberts, John T Capo, Frank A Liporace
Distal radius fracture (DRF) is a common injury. Treatment options have evolved and now several can be used to address even the most complex fracture patterns. Complex fractures of the distal radius and ulna can be challenging, and specific goals must be kept in mind to achieve definitive anatomical and functional restoration. This article summarizes the concepts, principles, and surgical options regarding complex DRF reconstruction.
September 2017: American Journal of Orthopedics
https://www.readbyqxmd.com/read/29098069/reliability-of-the-pronator-quadratus-fat-pad-sign-to-predict-the-severity-of-distal-radius-fractures
#17
Julia Loesaus, Isabel Wobbe, Erik Stahlberg, Joerg Barkhausen, Jan Peter Goltz
AIM: To evaluate the reliability of pronator quadratus fat pad sign to detect distal radius fracture and to predict its severity. METHODS: Retrospectively we identified 89 consecutive patients (41 female, mean age 49 ± 18 years) who had X-ray (CR) and computed tomography (CT) within 24 h following distal forearm trauma. Thickness of pronator quadratus fat pad complex (PQC) was measured using lateral views (CR) and sagittal reconstructions (CT). Pearson's test was used to determine the correlation of the PQC thickness in CR and CT...
September 28, 2017: World Journal of Radiology
https://www.readbyqxmd.com/read/29096351/a-case-report-of-an-isolated-fracture-through-the-radial-bicipital-tuberosity
#18
Kanta Imao, Hitoshi Miwa, Kazutoshi Watanabe, Norio Imai, Naoto Endo
INTRODUCTION: Generally, anatomical reduction of shaft fractures through operative treatment is necessary to restore the anatomical relationship of the forearm bones. However, a number of nerves and vessels are located in the proximal radius, which complicates surgery. In this study, we aimed to reduce postoperative complications by using a posterior approach. PRESENTATION OF CASE: We describe an isolated fracture through the radial bicipital tuberosity in a 69-year-old man caused by direct blunt force and our management of the fracture...
October 27, 2017: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/29091491/management-of-intra-articular-distal-radius-fractures-volar-or-dorsal-locking-plate-which-has-fewer-complications
#19
Yoshihiro Abe, Susumu Tokunaga, Takuro Moriya
BACKGROUND: The aim of this study was to compare the functional outcomes and complications of volar and dorsal plating for the management of intra-articular distal radius fractures, with special regard to indications for dorsal plating. Furthermore, we examine the rationale for choosing dorsal plating and its frequency of use. METHODS: Clinical assessments included range of motion measurements at the wrist; grip strength; the Quick Disabilities of the Arm, Shoulder, and Hand score; and the Gartland and Werley score...
November 2017: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/29091487/adult-closed-distal-radius-fracture-reduction-does-fluoroscopy-improve-alignment-and-reduce-indications-for-surgery
#20
Efi Kazum, Assaf Kadar, Zachary T Sharfman, Hila Otremsky, Roy Gigi, Yishai Rosenblatt, Oleg Dolkart, Tamir Pritsch
BACKGROUND: This study compared the radiological outcomes of adult closed distal radius fractures (DRFs) reduction with and without fluoroscopy. We hypothesized that fluoroscopy-assisted reduction would not improve radiographic alignment or decrease the need for surgery. METHODS: Hospital medical records and radiographic images of all patients who presented with DRFs between April to June 2009 and April to June 2013 were reviewed. All patients underwent closed reduction and immobilization with or without fluoroscopic assistance...
November 2017: Hand: Official Journal of the American Association for Hand Surgery
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