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Distal radius fracture

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https://www.readbyqxmd.com/read/28637143/validity-and-reliability-of-an-activity-monitor-to-quantify-arm-movements-and-activity-in-adults-following-distal-radius-fracture
#1
Andrea M Bruder, Jodie A McClelland, Nora Shields, Karen J Dodd, Raphael Hau, Alexander T M van de Water, Nicholas F Taylor
PURPOSE: To examine the validity and reliability of an activity monitor to estimate upper limb activity. METHODS: Thirty-two adults after distal radial fracture were recruited. 15 adults performed five upper limb activities during two testing sessions, one week apart to investigate criterion validity against the criterion reference of three-dimensional motion analysis, convergent validity, and test-retest reliability. 17 adults in two therapy groups wore monitors for three consecutive days at baseline and six weeks post-intervention...
February 23, 2017: Disability and Rehabilitation
https://www.readbyqxmd.com/read/28616789/core-curriculum-illustration-colles-dorsally-angulated-fracture-of-the-distal-radius
#2
Jake W Sharp, Rachael M Edwards
This is the 41st installment of a series that will highlight one case per publication issue from the bank of cases available online as part of the American Society of Emergency Radiology (ASER) educational resources. Our goal is to generate more interest in and use of our online materials. To view more cases online, please visit the ASER Core Curriculum and Recommendations for Study online at: http://www.erad.org/page/CCIP_TOC .
June 14, 2017: Emergency Radiology
https://www.readbyqxmd.com/read/28612669/classification-systems-for-distal-radius-fractures
#3
Ydo V Kleinlugtenbelt, Sylvester R Groen, S John Ham, Peter Kloen, Robert Haverlag, Maarten P Simons, Vanessa A B Scholtes, Mohit Bhandari, J Carel Goslings, Rudolf W Poolman
Background and purpose - The reliability of conventional radiography when classifying distal radius fractures (DRF) is fair to moderate. We investigated whether reliability increases when additional computed tomography scans (CT) are used. Patients and methods - In this prospective study, we performed pre- and postreduction posterior-anterior and lateral radiographs of 51 patients presenting with a displaced DRF. The case was included when there was a (questionable) indication for surgical treatment and an additional CT was conducted within 5 days...
June 14, 2017: Acta Orthopaedica
https://www.readbyqxmd.com/read/28606437/the-effect-of-price-on-surgeons-choice-of-implants-a%C3%A2-randomized-controlled-survey
#4
Amy S Wasterlain, Eitan Melamed, Ricardo Bello, Raj Karia, John T Capo
PURPOSE: Surgical costs are under scrutiny and surgeons are being held increasingly responsible for cost containment. In some instances, implants are the largest component of total procedure cost, yet previous studies reveal that surgeons' knowledge of implant prices is poor. Our study aims to (1) understand drivers behind implant selection and (2) assess whether educating surgeons about implant costs affects implant selection. METHODS: We surveyed 226 orthopedic surgeons across 6 continents...
June 9, 2017: Journal of Hand Surgery
https://www.readbyqxmd.com/read/28601513/a-biomechanical-comparison-of-distal-fixation-for-bridge-plating-in-a-distal-radius-fracture-model
#5
Ram K Alluri, Sofia Bougioukli, Milan Stevanovic, Alidad Ghiassi
PURPOSE: To compare the biomechanical properties of second versus third metacarpal distal fixation when using a radiocarpal spanning distraction plate in an unstable distal radius fracture model. METHODS: Biomechanical evaluation of the radiocarpal spanning distraction plate comparing second versus third metacarpal distal fixation was performed using a standardized model of an unstable wrist fracture in 10 matched-pair cadaveric specimens. Each fixation construct underwent a controlled cyclic loading protocol in flexion and extension...
June 7, 2017: Journal of Hand Surgery
https://www.readbyqxmd.com/read/28598494/decreased-radiation-exposure-among-orthopedic-residents-is-maintained-when-using-the-mini-c-arm-after-undergoing-radiation-safety-training
#6
David Gendelberg, William L Hennrikus, Carissa Sawyer, Douglas Armstrong, Steven King
The resident curriculum of the American Board of Orthopaedic Surgery emphasizes radiation safety. Gendelberg showed that, immediately after a program on fluoroscopic safety, residents used less radiation when using the mini C-arm to reduce pediatric fractures. The current study evaluated whether this effect lasted. Residents underwent a new annual 3-hour session on mini C-arm use and radiation. Group A included 53 reductions performed before training. Group B included 45 reductions performed immediately after training...
June 9, 2017: Orthopedics
https://www.readbyqxmd.com/read/28594885/effect-of-a-new-formulation-of-micronized-and-ultramicronized-n-palmitoylethanolamine-in-a-tibia-fracture-mouse-model-of-complex-regional-pain-syndrome
#7
Roberta Fusco, Enrico Gugliandolo, Michela Campolo, Maurizio Evangelista, Rosanna Di Paola, Salvatore Cuzzocrea
Complex regional pain syndrome type 1 (CRPS-I) is a disabling and frequently chronic condition. It involves the extremities and is a frequent consequence of distal tibia and radius fractures. The inflamed appearance of the affected CRPS-I limb suggests that local production of inflammatory mediators may be implicated in the ensuing etiology. A rodent tibia fracture model, characterized by inflammation, chronic unilateral hindlimb warmth, edema, protein extravasation, allodynia and hyperalgesia resembles the clinical features of patients with acute CRPS-I...
2017: PloS One
https://www.readbyqxmd.com/read/28594586/differences-in-function-and-fracture-risk-in-postmenopausal-women-with-and-without-a-recent-distal-radius-fracture
#8
Katie L Crockett, Saija Kontulainen, Jon Farthing, Phil Chilibeck, Brenna Bath, Adam Baxter-Jones, Cathy Arnold
A distal radius fracture (DRF) is commonly the first fracture to occur in early postmenopausal women. The reasons for sustaining a DRF may be related to fall risk, bone fragility or both. The objective of this study was to compare functional and fracture risk status in postmenopausal women with and without a recent DRF and explore the relationships between function, grip strength and fracture risk status. METHODS: Seventy-seven women age 50-78 with (n=32) and without (n=45) a history of DRF in the past 2 years participated...
May 22, 2017: Journal of Aging and Physical Activity
https://www.readbyqxmd.com/read/28594521/pediatric-distal-radius-fractures
#9
Karan Dua, Joshua M Abzug, Andrea Sesko Bauer, Roger Cornwall, Theresa O Wyrick
Distal radius fractures are the most common orthopaedic injury that occur in the pediatric population. The annual incidence of distal radius fractures has increased as a result of earlier participation in sporting activities, increased body mass index, and decreased bone mineral density. Most distal radius fractures are sustained after a fall onto an outstretched arm that results in axial compression on the extremity or from direct trauma to the extremity. Physeal fractures of the distal radius are described based on the Salter-Harris classification system...
February 15, 2017: Instructional Course Lectures
https://www.readbyqxmd.com/read/28593329/core-curriculum-illustration-pediatric-buckle-fracture-of-the-distal-radius
#10
Jake W Sharp, Rachael M Edwards
This is the 38th installment of a series that will highlight one case per publication issue from the bank of cases available online as part of the American Society of Emergency Radiology (ASER) educational resources. Our goal is to generate more interest in and use of our online materials. To view more cases online, please visit the ASER Core Curriculum and Recommendations for Study online at: http://www.erad.org/page/CCIP_TOC.
June 7, 2017: Emergency Radiology
https://www.readbyqxmd.com/read/28583055/fracture-of-the-distal-ulna-metaphysis-in-the-setting-of-distal-radius-fractures
#11
Nader Paksima, Sonya Khurana, Michael Soojian, Vipul Patel, Kenneth Egol
BACKGROUND: Fracture of the metaphyseal region of the distal ulna is an uncommon injury that has been reported to occur concomitantly with distal radius fracture. We aimed to report the incidence and types of distal ulnar head and neck fractures associated with distal radius fractures and compare outcomes in operatively versus non-operatively treated patients. METHODS: Over a 5-year period a distal radius fracture registry was maintained at our institution. Eleven of 512 consecutive patients had metaphyseal distal ulna fractures in association with distal radius fractures and at least 1-year follow-up...
April 2017: Bulletin of the Hospital for Joint Diseases
https://www.readbyqxmd.com/read/28581340/conservative-treatment-of-distal-radius-fractures-a-prospective-descriptive-study
#12
Pilar Aparicio, Óscar Izquierdo, Juan Castellanos
BACKGROUND: Disability of the upper limb is one of the consequences of distal radius fracture (DRF). The outcome of DRF treatment is based on objective clinical variables, as strength or range of movement (ROM); sometimes these variables do not correlate with the functional level of the patient. The principal objective of our study was to assess the repercussion of conservative treatment of DRF on upper limb disability. METHODS: This is a retrospective review of prospectively collected data...
June 1, 2017: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/28581277/national-surgical-trends-for-distal-radius-fractures-in-korea
#13
Young Hoon Jo, Bong Gun Lee, Joo Hak Kim, Chang Hun Lee, Sung Jae Kim, Wan Sun Choi, Ja Wook Koo, Kwang Hyun Lee
The objective of this study was to investigate national surgical trends for distal radius fractures (DRFs) in Korea and analyze healthcare institution type-specific surgical trends. We analyzed a nationwide database acquired from the Korean Health Insurance Review and Assessment Service (HIRA) from 2011 to 2015. International Classification of Diseases, 10th revision (ICD-10) codes and procedure codes were used to identify patients aged ≥ 20 years with newly diagnosed DRFs. A total of 459,388 DRFs occurred from 2011 to 2015...
July 2017: Journal of Korean Medical Science
https://www.readbyqxmd.com/read/28580394/intraskeletal-variation-in-human-cortical-osteocyte-lacunar-density-implications-for-bone-quality-assessment
#14
Randee L Hunter, Amanda M Agnew
Osteocytes and their lacunocanalicular network have been identified as the regulator of bone quality and function by exerting extensive influence over metabolic processes, mechanical adaptation, and mineral homeostasis. Recent research has shown that osteocyte apoptosis leads to a decrease in bone quality and increase in bone fragility mediated through its effects on remodeling. The purpose of this study is to investigate variation in cortical bone osteocyte lacunar density with respect to major factors including sex, age, and intracortical porosity to establish both regional and systemic trends...
December 2016: Bone Reports
https://www.readbyqxmd.com/read/28580225/fracture-heuristics-surgical-decision-for-approaches-to-distal-radius-fractures-a-surgeon-s-perspective
#15
Florian Wichlas, Serafim Tsitsilonis, Sebastian Kopf, Björn Dirk Krapohl, Sebastian Manegold
Introduction: The aim of the present study is to develop a heuristic that could replace the surgeon's analysis for the decision on the operative approach of distal radius fractures based on simple fracture characteristics. Patients and methods: Five hundred distal radius fractures operated between 2011 and 2014 were analyzed for the surgeon's decision on the approach used. The 500 distal radius fractures were treated with open reduction and internal fixation through palmar, dorsal, and dorsopalmar approaches with 2...
2017: GMS Interdisciplinary Plastic and Reconstructive Surgery DGPW
https://www.readbyqxmd.com/read/28578470/which-immobilization-is-better-for-distal-radius-fracture-a-prospective-randomized-trial
#16
Carlo Gamba, Felipe Andrés Mingo Fernandez, Marta Cuenca Llavall, Xavier Lizano Diez, Fernando Santana Perez
INTRODUCTION: The aim of this study was to determine whether an above-elbow cast (AEC) is better than a below-elbow cast (BEC) at maintaining the initial reduction in the orthopaedic management of a distal radius fracture (DRF). METHODS: It is a prospective randomized study carried out in a single emergency trauma department. There were 72 patients older than 55 years of age (55-96) with a distal radius fracture treated orthopaedically. They were randomized into two groups: group B (AEC 32 patients) and group A (BEC 40 patients)...
June 3, 2017: International Orthopaedics
https://www.readbyqxmd.com/read/28569634/open-reduction-and-cranial-bone-plate-fixation-of-fractures-involving-the-distal-aspect-of-the-radius-and-ulna-in-miniature-and-toy-breed-dogs-102-cases-2008-2015
#17
Rebecca De Arburn Parent, Jérôme Benamou, Matthieu Gatineau, Pierre Clerfond, Jérôme Planté
OBJECTIVE To determine outcomes and complication rates of open reduction and cranial bone plate fixation of fractures involving the distal aspect of the radius and ulna in miniature- and toy-breed dogs. DESIGN Retrospective case series. ANIMALS 102 miniature- and toy-breed dogs (105 fractures) weighing ≤ 7 kg (15.4 lb) that had undergone open reduction and cranial bone plate fixation of a fracture involving the distal aspect of the radius and ulna from 2008 through 2015. PROCEDURES Medical records were reviewed and information extracted regarding dog and fracture characteristics, surgical variables, and follow-up examination data (including postoperative complications)...
June 15, 2017: Journal of the American Veterinary Medical Association
https://www.readbyqxmd.com/read/28567152/a-complicated-course-of-a-coronal-shear-fracture-type-iv-of-the-distal-part-of-humerus-resulting-in-resurfacing-radiocapitellar-joint-replacement
#18
Ingo Schmidt
BACKGROUND: Coronal shear fracture type IV of the distal part of humerus is a very rare injury with articular complexity potentially leading to posttraumatic osteoarthritis. One option for surgical treatment of advanced unicompartmental radiocapitellar osteoarthritis is resurfacing radiocapitellar joint replacement. METHOD: A 62-year- old female sustained a coronal shear fracture type IV of the distal part of left humerus that was primarily treated with open reduction and internal fixation using headless compression screws...
2017: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/28560033/comparison-of-outcome-of-vlcp-versus-pkef-in-the-treatment-of-ao-type-c2-3-distal-radial-fractures
#19
Zhibing Tang, Jinlian Liu, Huilin Yang
PURPOSES: Fractures of the distal radius are extremely common in adults. However, the optimal management remains controversial, especially in AO type C2-3 (Type23 C2 or C3 of distal radial fracture, according to AO classifications). The purpose of this study was to compare the results of the volar locking compression plate (VLCP) and percutaneous Kirschner-wires combined with external fixation (PKEF) in the treatment of the AO type C2-3 fractures. METHODS: From July 2012 to June 2015, 62 patients with AO type C2-3 fractures, treated by VLCP or PKEF, were included in this retrospective study...
June 2017: Annals of Medicine and Surgery
https://www.readbyqxmd.com/read/28558915/distal-skeletal-tibia-assessed-by-hr-pqct-is-highly-correlated-with-femoral-and-lumbar-vertebra-failure-loads
#20
Andres Kroker, Ryan Plett, Kyle K Nishiyama, David D McErlain, Clara Sandino, Steven K Boyd
Dual energy X-ray absorptiometry (DXA) is the standard for assessing fragility fracture risk using areal bone mineral density (aBMD), but only explains 60-70% of the variation in bone strength. High-resolution peripheral quantitative computed tomography (HR-pQCT) provides 3D-measures of bone microarchitecture and volumetric bone mineral density (vBMD), but only at the wrist and ankle. Finite element (FE) models can estimate bone strength with 86-95% precision. The purpose of this study is to determine how well vBMD and FE bone strength at the wrist and ankle relate to fracture strength at the hip and spine, and to compare these relationships with DXA measured directly at those axial sites...
May 18, 2017: Journal of Biomechanics
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