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"Distal radius fracture"

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https://www.readbyqxmd.com/read/28942705/clinical-outcome-after-plaster-cast-fixation-for-10%C3%A2-days-versus-1%C3%A2-month-in-reduced-distal-radius-fractures-a-prospective-randomized-study
#1
A Christersson, S Larsson, B Sandén
INTRODUCTION: This study aimed to evaluate clinical results after plaster cast fixation for 10 days versus 1 month of moderately displaced and reduced distal radius fractures. MATERIAL AND METHODS: In a prospective randomized study, 109 patients with moderately displaced and conservatively treated distal radius fractures (age ≥50 years) were randomized 10 days after reduction to either removal of the plaster cast and immediate mobilization (active group) or to continued plaster cast fixation for another 3 weeks (control group)...
September 1, 2017: Scandinavian Journal of Surgery: SJS
https://www.readbyqxmd.com/read/28941967/prescribed-exercise-programs-may-not-be-effective-in-reducing-impairments-and-improving-activity-during-upper-limb-fracture-rehabilitation-a-systematic-review
#2
Andrea M Bruder, Nora Shields, Karen J Dodd, Nicholas F Taylor
QUESTION: What is the effect of exercise on increasing participation and activity levels and reducing impairment in the rehabilitation of people with upper limb fractures? DESIGN: Systematic review of controlled trials. PARTICIPANTS: Adults following an upper limb fracture. INTERVENTION: Any exercise therapy program, including trials where exercise was delivered to both groups provided that the groups received different amounts of exercise...
September 20, 2017: Journal of Physiotherapy
https://www.readbyqxmd.com/read/28931338/functional-outcomes-of-distal-radius-fractures-with-and-without-ulnar-styloid-fractures-a-meta-analysis
#3
Marjolein A M Mulders, Lili J Fuhri Snethlage, Robert-Jan O de Muinck Keizer, J Carel Goslings, Niels W L Schep
The aim of this meta-analysis was to compare the functional outcomes of patients with a distal radius fracture with and without a concomitant fracture of the ulnar styloid process. A systematic literature search was performed to identify all studies comparing patients with a distal radius fracture with and without an ulnar styloid process fracture. The initial search revealed 511 articles, of which 12 articles with a total of 2243 patients were included; 1196 patients with and 1047 patients without an ulnar styloid process fracture...
January 1, 2017: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/28928049/role-for-cementoplasty-in-intra-articular-distal-radius-fractures-cadaver-study-and-application-to-arthroscopy
#4
V Fontaine, M Grunberg, J Soret, K El-Youssef, L E Gayet, R Taberne
BACKGROUND: Die-punch intra-articular fractures of the distal radius raise surgical challenges. The residual articular step-off must be less than 1mm to prevent the development of radio-carpal osteoarthritis. The objectives of this cadaver study were to evaluate whether cementoplasty was effective in reducing die-punch fractures and to determine whether this technique was feasible as an arthroscopic procedure. HYPOTHESIS: Cementoplasty performed as an arthroscopic procedure is effective in treating die-punch fractures...
September 16, 2017: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/28923035/comparison-of-volar-flexion-ulnar-deviation-and-functional-position-cast-immobilization-in-the-non-operative-treatment-of-distal-radius-fracture-in-elderly-patients-a-pragmatic-randomized-controlled-trial-study-protocol
#5
Lauri Raittio, Antti Launonen, Teemu Hevonkorpi, Toni Luokkala, Juha Kukkonen, Aleksi Reito, Bakir Sumrein, Minna Laitinen, Ville M Mattila
BACKGROUND: Distal radius fractures (DRFs) are the second most common fractures, after hip fractures, seen in clinical practice. The high incidence of low-energy trauma DRFs in elderly patients raises questions about the best treatment method in terms of function, pain, and quality of life. Although the majority of these fractures are treated non-operatively with cast immobilization, valid scientific evidence of the optimal cast immobilization is lacking. In addition, several publications, including Cochrane review have outlined the need for more evidence to determine the most appropriate method of cast immobilization...
September 18, 2017: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/28920036/hematoma-block-versus-general-anesthesia-in-distal-radius-fractures-in-patients-over-60-years-in-trauma-emergency
#6
Ali Tabrizi, Fardin Mirza Tolouei, Ebrahim Hassani, Hassan Taleb, Asghar Elmi
BACKGROUND: Distal radius fractures are among common fractures in the elderly. Regarding the age, background diseases, and possible risks, analgesia method is of great importance in this group. OBJECTIVES: The aim of this study was to compare two analgesia methods including hematoma block and general anesthesia in people over 60 years in the orthopedic emergency department. METHODS: 68 elderly patients referring to the emergency department of a medical teaching center were selected based on the inclusion criteria for a non-randomized clinical trial...
February 2017: Anesthesiology and Pain Medicine
https://www.readbyqxmd.com/read/28917548/volar-capsular-release-after-distal-radius%C3%A2-fractures
#7
Robin N Kamal, David S Ruch
PURPOSE: Loss of full wrist range of motion is common after treatment of distal radius fractures. Loss of wrist extension limiting functional activities, although uncommon, can occur after volar plating of distal radius fractures. Unlike other joints in which capsular release is a common form of treatment for stiffness, this has been approached with caution in the wrist owing to concerns for carpal instability. We tested the null hypothesis that hardware removal and open volar capsular release would not lead to improved upper extremity-specific patient-reported outcome (Disabilities of the Arm, Shoulder, and Hand [DASH] questionnaire)...
September 14, 2017: Journal of Hand Surgery
https://www.readbyqxmd.com/read/28913382/psychometric-properties-of-the-persian-version-of-the-patient-rated-wris-t-evaluation
#8
Golnaz Ghayyem Hassankhani, Ali Moradi, Ehsan Vahedi, Sayyed Hadi Sayyed Hoseinian, Zohreh Jahani, Maedeh Rahmani, Mohammad H Ebrahimzadeh
BACKGROUND: The patient-rated wrist evaluation (PRWE) score is one of the most common clinical instruments used as an outcome measurement tool for distal radius fractures and other upper extremity conditions. The purpose of this study was to translate the PRWE into its Persian version and to evaluate its validity and reliability in patients with upper extremity conditions. METHODS: One hundred and fourthly one adult patients with upper extremity conditions participated in this ethical board approved study from August 2015 to May 2016...
July 2017: Archives of Bone and Joint Surgery
https://www.readbyqxmd.com/read/28906304/comparison-of-expert-opinion-majority-rule-and-a-clinical-prediction-rule-to-estimate-distal-radius-malalignment
#9
Toni Luokkala, Tapio Flinkkilä, Juha Paloneva, Teemu V Karjalaine
OBJECTIVES: To investigate the ability of individual surgeons (expert opinion [EO]) to predict distal radius fracture healing above a threshold malalignment compared with the majority prediction of the group of surgeons ("majority rule," [MR]) and a statistically derived clinical prediction formula (Edinburgh wrist calculator [EWC]). DESIGN: Comparative diagnostic study from prospectively collected data of consecutive patients. SETTING: Two academic level 1 and one academic level 2 trauma centers...
September 11, 2017: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/28899588/costs-associated-with-single-use-and-conventional-sets-for-distal-radius-plating
#10
Bryce Fugarino, Mary Patricia Fox, Cristina Terhoeve, Nicholas Pappas
PURPOSE: Volar plating of distal radius fractures is an increasingly common procedure. Presterilized, single-use volar plate fixation sets have been purported to increase operating room efficiency and decrease cost. The purpose of this study was to compare the actual cost of using a conventional set compared with the projected cost of using its single-use counterpart. METHODS: We retrospectively analyzed 30 consecutive cases of volar plate fixation in which conventional instrument sets were used...
September 9, 2017: Journal of Hand Surgery
https://www.readbyqxmd.com/read/28893496/the-short-term-effects-of-hot-packs-vs-therapeutic-whirlpool-on-active-wrist-range-of-motion-for-patients-with-distal-radius-fracture-a-randomized-controlled-trial
#11
Mike Szekeres, Joy C MacDermid, Ruby Grewal, Trevor Birmingham
STUDY DESIGN: Blinded randomized controlled trial. INTRODUCTION: It is generally accepted that heat is beneficial for improving range of motion (ROM). However, the mechanism of action is not clearly understood, and the optimal method of heat application has not been established. PURPOSE OF THE STUDY: To investigate the immediate effects of using a moist hot pack (MHP) vs therapeutic whirlpool bath (WB) for improving wrist ROM during a therapy session for patients with distal radius fracture...
September 8, 2017: Journal of Hand Therapy: Official Journal of the American Society of Hand Therapists
https://www.readbyqxmd.com/read/28885132/no-long-term-risk-of-wrist-osteoarthritis-due-to-subchondral-haematomas-in-distal-radial-fractures
#12
Ante Mrkonjic, Mats Geijer, Tommy Lindau, Magnus Tägil
OBJECTIVE: The objective of this study of distal radius fractures was to determine if a subchondral haematoma in an unfractured compartment predicts secondary osteoarthritis. METHODS: In 1995-1997, 41 patients, 22 women, a median age of 41 years (20-57 years) with a displaced distal radius fracture underwent diagnostic wrist arthroscopy in addition to the fracture treatment. In 12 patients (7/12 women), subchondral haematomas were identified in a joint compartment not involved in the fracture...
September 8, 2017: Journal of Plastic Surgery and Hand Surgery
https://www.readbyqxmd.com/read/28882374/does-concomitant-ulnar-styloid-fracture-and-distal-radius-fracture-portend-poorer-outcomes-a-meta-analysis-of-comparative-studies
#13
Chaoqun Yuan, Hanyu Zhang, Hongjun Liu, Jiaxiang Gu
PURPOSE: An ulnar styloid fracture often occur in association with a distal radial fracture. Whether an ulnar styloid fracture interfere with the results of a distal radial fracture still remains controversial. The aim of this study was to analyse the effects of an accompanying ulnar styloid fracture on clinical outcomes in patients with distal radial fractures. METHODS: A meta-analysis of published studies comparing outcomes of distal radial fractures with an ulnar styloid fracture versus isolated distal radial fractures was performed...
August 31, 2017: Injury
https://www.readbyqxmd.com/read/28878447/anterior-interosseous-nerve-palsy-mimicking-rupture-of-the-index-flexor-digitorum-profundus-after-volar-locking-plate-fixation-of-a-distal-radius-fracture
#14
Takaaki Shinohara, Sayako Takahashi, Hitoshi Hirata
We describe the case of a patient with distal radius fracture who became unable to flex the distal interphalangeal joint of the index finger after internal fixation using a volar locking plate. There was palpable crepitus with active thumb motion, and wrist radiographs showed prominence of the volar plate at the watershed line. Therefore, our initial diagnosis was plate-induced closed rupture of the flexor digitorum profundus tendon of the index finger. However, upon surgical removal of the plate, no tendon rupture was found...
August 2017: Nagoya Journal of Medical Science
https://www.readbyqxmd.com/read/28877600/technique-for-intramedullary-stabilization-of-ulnar-neck-fractures
#15
Jack Abboudi, Scott M Sandilands, C Edward Hoffler, William Kirkpatrick, William Emper
BACKGROUND: Distal ulna fractures at the ulnar neck can be seen in association with distal radius fractures, and multiple techniques have been described to address the ulnar neck component of these injuries. We have found that treatment of ulnar neck fractures can be challenging in terms of anatomy and fracture fixation. We present a new percutaneous fixation technique for ulnar neck fractures commonly seen with distal radius fractures. TECHNIQUE: Fixation of the ulnar neck fracture is performed after fixation of the distal radius fracture...
September 1, 2017: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/28874502/is-external-fixation-a-better-way-than-plaster-to-supplement-k-wires-in-non-comminuted-distal-radius-fractures
#16
Sajjad M Athar, Neil Ashwood, George Aerealis, Gregory I Bain
BACKGROUND: Distal radius fractures represent about one-sixth of all fractures. There is still no consensus on the treatment of this fracture. We have several issues to assess and address; one of them is the fixation method. We tried to compare the effectiveness of two methods of stabilisation of distal radial fracture. Comparison between the techniques of Kirschner wire (K-wire) fixation with plaster and K-wire fixation with external fixation (Ex-Fix) was undertaken to assess which treatment modality gives better results in patients with distal radius fracture Frykman VII and VIII with no metaphyseal comminution...
September 5, 2017: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/28870625/comparison-of-the-moulding-ability-of-plaster-of-paris-and-polyester-cast-material-in-the-healthy-adult-forearm
#17
Michael Bullen, John Kinealy, Romane Blanchard, Christine Rodda, Peter Pivonka
OBJECTIVES: To quantify the moulding ability of Plaster of Paris and polyester cast materials as assessed by the novel use of peripheral quantitative computed tomography. METHODS: A prospective crossover study was performed in 25 healthy volunteers aged 18-65 years. Participants' non-dominant wrist was immobilized using a synthetic polyester cast followed by a Plaster of Paris cast with three point moulding to simulate reduction of a dorsally angulated distal radius fracture...
August 16, 2017: Injury
https://www.readbyqxmd.com/read/28870129/intra-articular-distal-radius-fractures-in-elderly-a-randomized-prospective-study-of-casting-versus-volar-plating
#18
Daniel Martinez-Mendez, Alejandro Lizaur-Utrilla, Joaquin de-Juan-Herrero
We compared outcomes in elderly patients with intra-articular distal radius fractures treated by closed reduction and plaster immobilization or open reduction and internal fixation with a volar plate. Ninety-seven patients older than 60 years were randomly allocated to conservative (47 patients) or surgical (50 patients) treatment. Over a 2-year period, we assessed patient-rated wrist evaluation score, DASH (disability arm, shoulder and hand) questionnaire, pain, wrist range of motion, grip strength, and radiological parameters...
January 1, 2017: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/28843290/safe-return-to-driving-after-volar-plating-of-distal-radius-fractures
#19
Christopher M Jones, Randle W Ramsey, Asif Ilyas, Jack Abboudi, William Kirkpatrick, Thomas Kalina, Charles Leinberry
PURPOSE: A major concern for patients following distal radius fracture fixation is when they can resume driving. This decision has medical, legal, and safety considerations, but there are no evidence-based guidelines to assist the surgeon. The goal of this study was to observe when patients are capable of safely resuming driving following surgical fixation of the distal radius. METHODS: Patients undergoing volar plating of a distal radius fracture were prospectively enrolled...
September 2017: Journal of Hand Surgery
https://www.readbyqxmd.com/read/28838705/comparison-of-outcomes-between-partially-healed-and-acute-metaphyseally-malaligned-distal-radial-fracture-treated-by-palmar-locking-plate-fixation
#20
Joo-Yul Bae, Jun O Yoon, Shin Woo Choi, Jae Kwang Kim
BACKGROUND: The purpose of this study was to determine whether a partially healed (surgical delay of 2-6 weeks) metaphyseally malaligned distal radius fracture (DRF) treated using the extended palmar approach with palmar locking plate fixation has poorer clinical or radiological outcomes than those of acute (surgical delay of ≤2 weeks) metaphyseally unstable DRF treated by palmar locking plate fixation. METHODS: We identified 24 patients (Group A) who were treated with palmar locking plate for a partially healed (surgical delay of 2-6 weeks) metaphyseally malaligned DRF...
August 21, 2017: Journal of Orthopaedic Science: Official Journal of the Japanese Orthopaedic Association
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