keyword
https://read.qxmd.com/read/38544581/epidemiology-and-incidence-of-upper-limb-fractures-a-uk-level-1-trauma-center-perspective
#1
JOURNAL ARTICLE
James Zhang, Florence Bradshaw, Michal Duchniewicz, Ioannis Karamatzanis, Fernanda W Fernandes, Matjia Krkovic
Introduction Understanding the incidence and epidemiology can inform clinicians and policymakers about the population's needs. Our study reports on upper limb fractures treated at a major trauma center over 7.5 years. Methods  We collected data on fracture locations, age, gender, Charlson Comorbidity index (CCI), and treatment options of all upper limb fractures treated at a Level I Trauma Centre from January 1, 2015 to June 30, 2022. Humerus, radius, and ulna fractures were each classified as proximal, diaphyseal, and distal...
February 2024: Curēus
https://read.qxmd.com/read/38533814/comparison-of-exposure-of-the-radius-afforded-by-the-craniomedial-and-craniolateral-open-surgical-approaches-in-dog-cadavers
#2
JOURNAL ARTICLE
S K Crowdis, D D Lewis
Management of antebrachial fractures in dogs typically involves open reduction and bone plate stabilisation of the radius performed using either a craniomedial approach (CMA) or craniolateral approach (CLA). The aim of this cadaveric study was to compare radial exposure afforded via the craniomedial and craniolateral approaches, without and with releasing the abductor digiti I longus (ADIL) muscle. The CMA and CLA were performed on alternate paired cadaver forelimbs with the subsequent release (CMA) or elevation (CLA) of the ADIL muscle ( n = 12)...
March 26, 2024: Journal of the South African Veterinary Association
https://read.qxmd.com/read/38533157/distal-radius-fracture-therapy-utilization-following-traditional-open-reduction-and-internal-fixation-and-dorsal-bridge-plate-fixation
#3
JOURNAL ARTICLE
Lilah Fones, Lauren C O'Mara, Gregory Gallant, Moody Kwok, Jack Abboudi, Pedro Beredjiklian
Background Many distal radius fractures are treated with a volar locking plate, but a minority undergo dorsal bridge plate fixation. This study's primary purpose was to compare therapy utilization following distal radius fractures treated with traditional open reduction and internal fixation (ORIF) versus dorsal bridge plate fixation. Secondary outcomes were time to first and last therapy visits and therapy costs. Methods Patients over 18 years old who underwent distal radius ORIF between January 2021 and August 2022 at a single regional orthopedic practice were identified...
February 2024: Curēus
https://read.qxmd.com/read/38530958/epidemiology-and-treatment-of-distal-radius-fractures-at-four-public-hospitals-in-malawi
#4
JOURNAL ARTICLE
Myles Dworkin, William James Harrison, Paul Chidothi, Foster Mbowuwa, Claude Martin, Kiran Agarwal-Harding, Linda Chokotho
BACKGROUND: Little is known about the burden or management of distal radius fractures (DRFs) in low- and middle-income countries. The purpose of this study was to describe the care of DRFs in Malawi. METHODS: We retrospectively reviewed a registry of all patients with fractures who presented to the orthopaedic departments at four public hospitals in Malawi. RESULTS: Totally, 1,440 patients (14.5%) were with a DRF. Average age was 40, and 888 (62...
April 1, 2024: Journal of the American Academy of Orthopaedic Surgeons. Global Research & Reviews
https://read.qxmd.com/read/38529418/matrix-rhythm-therapy-as-a-novel-clinical-approach-in-the-rehabilitation-of-surgically-treated-distal-radius-fracture-a-single-case-study
#5
Pallavi R Bhakaney, Om C Wadhokar, Sakshi Upase
Distal radius fractures (DRFs) are prevalent among all hand injuries, commonly due to a fall on an outstretched hand. Not being treated properly can cause many complications such as malunion, non-union, reduced range of motion, and muscle strength. This case report presents a multidisciplinary approach to the physiotherapeutic management of a DRF treated with closed reduction internal fixation using K-wires. The rehabilitation protocol incorporated matrix rhythm therapy (MRT), a novel therapeutic technique, in combination with targeted therapeutic exercises...
February 2024: Curēus
https://read.qxmd.com/read/38526810/post-traumatic-cortical-cystic-lesions-in-children-three-case-reports-and-a-systematic-review-of-the-literature
#6
JOURNAL ARTICLE
María Galán-Olleros, Paloma Manzarbeitia-Arroba, Carlos Miranda-Gorozarri, Sara I Sirvent Cerdà, Beltran Torres-Izquierdo, Ana Ramírez-Barragán, Javier Alonso-Hernández
Post-traumatic cortical cystic lesions are rare radiolucent lesions that appear as a complication of low-severity fractures in children. Their relevance lies in the fact that few cases of these lesions have been described to date, so they are little known among clinicians caring for children. Three case reports of well-circumscribed cortical lytic lesions detected at 2-4 months during the follow-up of non-displaced distal radius fractures in children aged 9, 7, and 2 years are presented. The consistent clinical history and typical radiological features allowed the accurate diagnosis of post-traumatic cortical cystic lesion, without the need for advanced imaging tests or biopsy...
March 25, 2024: Skeletal Radiology
https://read.qxmd.com/read/38524724/comparison-of-sociodemographic-and-radiographic-features-in-distal-radio-fracture-treatment-hand-surgeons-versus-non-specialists
#7
JOURNAL ARTICLE
Rafael Bulyk Veiga, Renê Hobi, Ricardo Pereira Marot, Gustavo Zeni Schuroff, Roberto Luiz Sobania, Ivan Killing Kuhn, Ana Lucia Campos Faccioni
Objective:  This study evaluated sociodemographic and radiographic features of patients with distal radial fractures treated at a trauma hospital in southern Brazil, comparing those treated by hand surgery specialists (group 1) and non-specialists (group 2). Methods:  This study consists of a retrospective cohort of 200 patients treated in 2020. After reviewing medical records and radiographs, the following parameters were analyzed: age, gender, trauma mechanism, laterality, associated comorbidities and fractures, fracture classification (AO), radial height, radial inclination, and volar inclination...
February 2024: Revista Brasileira de Ortopedia
https://read.qxmd.com/read/38516925/flexor-pollicis-longus-reconstruction-after-rupture-following-distal-radius-fixation-with-volar-locking-plate-a-technique-guide
#8
JOURNAL ARTICLE
Arakua Welbeck, Charles A Goldfarb, Ryan P Calfee, Christopher J Dy
Flexor pollicis longus rupture is an uncommon but potentially debilitating complication after volar locking plate fixation of distal radius fractures, occurring secondary to tendon attrition against the implant. This nature of tendon injury typically precludes primary repair. This paper will illustrate 2 reconstruction techniques, an interpositional tendon graft and a tendon transfer, that have been utilized successfully by the authors.
March 22, 2024: Techniques in Hand & Upper Extremity Surgery
https://read.qxmd.com/read/38516390/adjunctive-dorsal-spanning-plate-fixation-for-challenging-distal-radius-injuries
#9
JOURNAL ARTICLE
Clarke Cady-McCrea, James D Brodell, Thomas J Carroll, Urvi Patel, Akhil Dondapati, Sandeep Soin, John Ketz
BACKGROUND: Distal radius fractures with severely osteoporotic bone or articular comminution can provide challenges to fixation with traditional volar locked plating alone. The purpose of this study was to evaluate the clinical, radiographic, and patient reported outcomes of patients undergoing distal radius fixation with volar locked plating and adjunctive dorsal bridge plating. METHODS: We retrospectively identified 16 patients with distal radius fractures who underwent our preferred surgical technique for fixation...
August 2024: Journal of Orthopaedics
https://read.qxmd.com/read/38509566/stable-elastic-nail-application-with-poller-k-wire-for-irreducible-distal-radius-metaphyseal-diaphyseal-junction-fractures-in-preadolescents-a-new-operative-technique
#10
JOURNAL ARTICLE
Levent Horoz, Mehmet Fevzi Cakmak, Cihan Kircil
BACKGROUND: Surgical treatment of irreducible distal radius diaphyseal- metaphyseal junction fractures involves difficulties as the fracture remains too proximal for K-wire fixation and too distal for the elastic stable intramedullary nail. Our study aims to present the clinical results of applying an elastic stable intramedullary nail with a poller K-wire to achieve both reduction and stable fixation. PATIENTS AND METHODS: A retrospective analysis was performed on 26 patients who underwent ESIN with a poller K-wire for distal radius diaphyseal-metaphyseal region fracture...
March 21, 2024: BMC Musculoskeletal Disorders
https://read.qxmd.com/read/38507086/cast-immobilization-duration-for-distal-radius-fractures-a-systematic-review
#11
JOURNAL ARTICLE
Marcel A N de Bruijn, Laura A van Ginkel, Emily Z Boersma, Lysanne van Silfhout, Tjarda N Tromp, Erik van de Krol, Michael J R Edwards, Vincent M A Stirler, Erik Hermans
PURPOSE: The optimal duration of immobilization for the conservative treatment of non- or minimally displaced and displaced distal radius fractures remains under debate. This research aims to review studies of these treatments to add evidence regarding the optimal immobilization period. METHODS: A comprehensive database search was conducted. Studies investigating and comparing short (< 3 weeks) versus long (> 3 weeks) immobilizations for the conservative treatment of distal radius fractures were included...
March 20, 2024: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://read.qxmd.com/read/38506913/using-in-shoe-inertial-measurement-unit-sensors-to-understand-daily-life-gait-characteristics-in-patients-with-distal-radius-fractures-during-6-months-of-recovery-cross-sectional-study
#12
JOURNAL ARTICLE
Akiko Yamamoto, Eriku Yamada, Takuya Ibara, Fumiyuki Nihey, Takuma Inai, Kazuya Tsukamoto, Tomohiko Waki, Toshitaka Yoshii, Yoshiyuki Kobayashi, Kentaro Nakahara, Koji Fujita
BACKGROUND: A distal radius fracture (DRF) is a common initial fragility fracture among women in their early postmenopausal period, which is associated with an increased risk of subsequent fractures. Gait assessments are valuable for evaluating fracture risk; inertial measurement units (IMUs) have been widely used to assess gait under free-living conditions. However, little is known about long-term changes in patients with DRF, especially concerning daily-life gait. We hypothesized that, in the long term, the daily-life gait parameters in patients with DRF could enable us to reveal future risk factors for falls and fractures...
March 20, 2024: JMIR MHealth and UHealth
https://read.qxmd.com/read/38505820/development-of-an-opportunistic-diagnostic-prediction-algorithm-for-osteoporosis-and-fragility-fracture-risk-estimates-from-forearm-radiographs-the-offer1-study
#13
JOURNAL ARTICLE
Robert Meertens, Ben Lopez, Ben Crone, Mike Gundry, Emma Metcalfe-Smith, Warren Gibbard, Thomas Jubb, Fay Manning, Paul Scott, Richard McWilliam
Osteoporosis and associated fractures are an increasingly prevalent concern with an ageing population. This study reports testing of IBEX Bone Health (IBEX BH) software, applied following acquisition of forearm radiographs. IBEX Bone Health analyses the radiograph to measure areal bone mineral density (aBMD) at the examination site. A non-randomized cross-sectional study design was performed involving 261 (254 after exclusions) participants (112/142 m/f; mean age 70.8 years (SD+/-9.0); 53 with osteoporosis)...
April 2024: JBMR Plus
https://read.qxmd.com/read/38505209/effective-risk-assessment-for-distal-radius-fractures-a-rigorous-multivariable-regression-analysis-using-a-novel-8-item-modified-frailty-index
#14
JOURNAL ARTICLE
David Momtaz, Abdullah Ghali, Farhan Ahmad, Rishi Gonuguntla, Travis Kotzur, Rebecca J Wang, Umar Ghilzai, Adam Abbas, Chia Wu
Introduction  Distal radius fractures (DRFs) are among the most common orthopaedic injuries. The prevalence of DRFs is increasing across all age groups but remains the second most common fracture in the elderly. The modified frailty index (MFI) often predicts morbidity and mortality in orthopaedic injuries. This study aims to determine the predictive value of MFI on complication rates following DRF and the patient length of stay and discharge outcomes. Methods  We utilized our MFI to perform a retrospective analysis of the American College of Surgeons National Surgical Quality Improvement Program database...
April 2024: Journal of Wrist Surgery
https://read.qxmd.com/read/38505205/arthroscopic-volar-capsuloligamentous-reattachment-and-reinforcement-to-bone
#15
JOURNAL ARTICLE
Fernando Corella, Montserrat Ocampos, Rafeal Laredo, José Tabuenca, Ricardo Larrainzar-Garijo
Background:  Injuries of the volar ligaments of the wrist are not uncommon, but their arthroscopic treatment presents a significant challenge. The objective of this paper is to introduce a technique for reattaching (in acute injuries) or reinforcing (in chronic injuries) various volar wrist ligaments to the bone, using standard wrist arthroscopic dorsal and volar portals. Methods:  There are three common steps for all the arthroscopic volar capsuloligamentous reattachments or reinforcements Step 1 - Volar Portal Establishment: volar radial, volar ulnar and volar central portals are used depending on which structure needs to be reattached or reinforced...
April 2024: Journal of Wrist Surgery
https://read.qxmd.com/read/38505202/volar-locking-plating-of-extra-articular-distal-radius-fracture-a-retrospective-clinical-study-comparing-locking-screws-versus-smooth-locking-pegs
#16
JOURNAL ARTICLE
Daniel Tordjman, Mohammad Younis, Shai Factor, Gilad Eisenberg, Franck Atlan, Jessica McBeth, Tamir Pritsch, Yishai Rosenblatt
Background  Open reduction and internal fixation of distal radius fractures is one of the most common procedures performed in wrist surgery. The use of volar locking plate has gained increasing interest in the past decade. Epiphyseal fixation can be done either with locking screws or smooth locking pegs, with no evidence supporting the use of one rather than the other. Purpose  The aim of this study is to compare the stability of distal radius fixation by volar locking plate using locking screws or smooth locking pegs...
April 2024: Journal of Wrist Surgery
https://read.qxmd.com/read/38500902/reconstructive-surgical-intervention-for-malunited-distal-end-radius-and-ulna-fracture-a-case-report-demonstrating-improved-patient-outcomes
#17
Hardik Patel, Aditya Pundkar, Sandeep Shrivastava, Ankit M Jaiswal, Rohan Chandanwale
This case report explores the efficacy of reconstructive surgical intervention in addressing malunited fractures of the distal end of the radius and ulna. The study presents a detailed analysis of a specific case, highlighting the surgical techniques employed and their impact on patient outcomes. The report emphasizes the importance of precision in addressing malunited fractures and showcases how the intervention led to improved patient outcomes. By documenting this case, the study contributes valuable insights into the field of orthopedic surgery, providing a basis for further research and enhancing the understanding of optimal approaches to managing such complex fractures...
February 2024: Curēus
https://read.qxmd.com/read/38494566/comparison-of-time-efficiency-of-individually-wrapped-screws-and-sterile-screw-racks-in-distal-radius-fracture-treatment
#18
JOURNAL ARTICLE
Tim Philips, Ben Molenaers, Pieter Caekebeke, Mike Flies, Olivier Vanderhaeghen, Joris Duerinckx
INTRODUCTION: Time-efficiency of individually wrapped screws versus screws in a screw rack is not well established. MATERIALS AND METHODS: We performed a prospective single-center clinical study timing the interval between the surgeon asking and receiving a screw during plate and screw osteosynthesis of distal radius fractures. Patients were randomized for individually wrapped screws or screws in a screw rack. The study was conducted in a Level 1 Trauma Center and surgeries were performed between March and June 2023...
March 17, 2024: Archives of Orthopaedic and Trauma Surgery
https://read.qxmd.com/read/38494166/measurement-of-radiological-parameters-of-distal-radius-fracture-using-the-ulnar-axis-compared-with-the-radial-axis
#19
JOURNAL ARTICLE
Pravit Kitidumrongsook, Pobe Luangjarmekorn, Vanasiri Kuptniratsaikul, Theephop Teeragananan, Sirisak Chaitantipongse
Background: The long axis of the radius is a standard reference for measuring radiological parameters in distal radius fractures. However, in patients with severe comminution and anatomical variation with distal radius bowing, it is challenging to assess using the long axis of the radius. The long axis of the ulna can be used as an alternative reference. The aim of this study is to assess the reliability and level of agreement using the long axis of the ulna as an alternative reference in comparison to the long axis of the radius...
March 15, 2024: Journal of Hand Surgery Asian-Pacific Volume
https://read.qxmd.com/read/38494162/the-effect-of-age-and-sex-on-early-postoperative-outcomes-after-surgical-treatment-of-distal-radius-fractures
#20
JOURNAL ARTICLE
Tyler Roberts, Varun Sambhariya, Colin Ly, Alison Ho, William F Pientka Ii
Background: We aim to evaluate the impact of advanced age and sex on postoperative complications and radiographic outcomes after open reduction with internal fixation of distal radius fractures (DRF). Methods: We conducted a retrospective chart review, including all patients who underwent open reduction with internal fixation of a DRF between 2012 and 2018 at a single level 1 trauma centre. We recorded patient age, sex, fracture classification (Arbeitsgemeinschaft für Osteosynthesefragen/Orthopaedic Trauma Association [AO/OTA]), time from injury to surgical date, surgical duration, diabetes status, tobacco use, illicit drug use, history of osteoporosis, use of adjuvants, fixation type, postoperative radiographic restoration of normal parameters and early complications including loss of reduction within 30 days postoperatively...
March 15, 2024: Journal of Hand Surgery Asian-Pacific Volume
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