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"Distal radius fracture"

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https://www.readbyqxmd.com/read/28512698/repair-of-the-pronator-quadratus-after-volar-plate-fixation-in-distal-radius-fractures-a-systematic-review
#1
REVIEW
Marjolein A M Mulders, Monique M J Walenkamp, Fernande J M E Bos, Niels W L Schep, J Carel Goslings
To position the volar plate on the distal radius fracture site, the pronator quadratus muscle needs to be detached from its distal and radial side and lifted for optimal exposure to the fracture site. Although the conventional approach involves repair of the pronator quadratus, controversy surrounds the merits of this repair. The purpose of this study was to compare the functional outcomes of patients with distal radius fractures treated with pronator quadratus repair after volar plate fixation versus no pronator quadratus repair...
May 17, 2017: Strategies in Trauma and Limb Reconstruction
https://www.readbyqxmd.com/read/28511594/fixation-strength-in-full-and-limited-fixation-of-osteoporotic-distal-radius-fractures
#2
P Kaveh Mansuripur, Joseph A Gil, Dale Cassidy, Patrick Kane, Augusta Kluk, Joseph J Crisco, Edward Akelman
BACKGROUND: The purpose of this investigation is to determine whether osteoporotic intra-articular distal radius fractures surgically treated by filling all 7 distal screws of a volar plate will have a higher load to failure than those treated by filling only 4 distal screws. METHODS: Ten matched pairs of fresh frozen cadaveric forearms were randomized within each pair to be treated by using either all 7 of the distal holes of a volar plate or only 4 distal screws...
May 1, 2017: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/28511570/carpal-tunnel-syndrome-following-corrective-osteotomy-for-distal-radius-malunion-a-rare-case-report-and-review-of-the-literature
#3
Cyril Gary, Ajul Shah, Jack Kanouzi, Alyssa R Golas, Jordan D Frey, Brian Le, Jacques Hacquebord, Vishal Thanik
BACKGROUND: Although median nerve neuropathy and carpal tunnel syndrome (CTS) are known complications of both untreated and acutely treated distal radius fracture, median neuropathy after correction of distal radius malunion is not commonly reported in hand surgery literature. We describe a patient with severe CTS after corrective osteotomy, open reduction internal fixation (ORIF) with a volar locking plate (VLP), and bone grafting for distal radius malunion. METHODS: We report a case of severe acute CTS as a complication of corrective osteotomy with bone grafting for distal radius malunion...
May 1, 2017: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/28506180/midterm-follow-up-of-treating-volar-marginal-rim-fractures-with-variable-angle-lcp-volar-rim-distal-radius-plates
#4
Chul Ki Goorens, Stijn Geeurickx, Pascal Wernaers, Barbara Staelens, Thierry Scheerlinck, Jean Goubau
BACKGROUND: Specific treatment of the volar marginal rim fragment of distal radius fractures avoids occurance of volar radiocarpal dislocation. Although several fixation systems are available to capture this fragment, adequately maintaining internal fixation is difficult. We present our experience of the first 10 cases using the 2.4 mm variable angle LCP volar rim distal radius plate (Depuy Synthes®, West Chester, US), a low-profile volar rim-contouring plate designed for distal plate positioning and stable buttressing of the volar marginal fragment...
June 2017: Journal of Hand Surgery Asian-Pacific Volume
https://www.readbyqxmd.com/read/28506171/a-protocol-for-evaluation-and-rehabilitation-of-distal-radius-fractures-using-sensorimotor-input-a-case-series
#5
Ronit Wollstein, Dafna Michael, Hani Harel
BACKGROUND: Proprioception and sensorimotor input are used to treat neurological and joint injuries. Following distal radius fractures (DRF) there is a temporary loss of proprioception that should be addressed. We created a protocol for evaluation, and a treatment plan following wrist surgery that is based on proprioceptive and sensorimotor input. We describe a series of patients undergoing surgery for DRF that were evaluated and treated with these protocols. METHODS: Both evaluation and treatment protocols included comprehensive sensorimotor procedures performed with eyes open and closed...
June 2017: Journal of Hand Surgery Asian-Pacific Volume
https://www.readbyqxmd.com/read/28506167/two-dimensional-morphological-characteristics-of-the-distal-radius-on-axial-magnetic-resonance-image-and-the-effects-on-distal-screw-length
#6
Ho Youn Park, Youn Tae Roh, Dong Uk Min, Seok Whan Song, Yoo Joon Sur
BACKGROUND: Detection of dorsal cortical penetration of distal locking screws is difficult owing to the irregular shape of the dorsal surface of the distal radius. This study was designed to analyze two-dimensional morphological characteristics of the distal radius on axial magnetic resonance image, and to suggest a guideline for evaluation of screw length in distal radius fractures on the fluoroscopic or plain X-ray true lateral image. METHODS: Anteroposterior length and lateral width of the distal radius, distance between the highest and the lowest point of the dorsal cortex (deceptive length), and widths of the first to second (hazard zone) and the third to fifth extensor compartments (safe zone) at the Lister tubercle level were measured on 104 axial magnetic resonance images by two hand surgeons...
June 2017: Journal of Hand Surgery Asian-Pacific Volume
https://www.readbyqxmd.com/read/28506164/screw-fixation-and-autogenous-bone-graft-for-an-irreducible-distal-ulna-fracture-associated-with-distal-radius-fracture
#7
Kiyohito Naito, Yoichi Sugiyama, Hiroyuki Obata, Atsuhiko Mogami, Osamu Obayashi, Kazuo Kaneko
Distal ulna fractures often occur with distal radius fractures, and their treatment method is still controversial. We considered reduction of the distal radio-ulnar joint (DRUJ) surface the most important factor when treating distal ulna fractures accompanied by residual dislocation. We herein presented a patient with a distal ulna fracture accompanied by dislocation of the DRUJ surface in whom an autogenous bone fragment collected from the radius was grafted onto the ulnar bone defect after open reduction and Herbert screw fixation...
June 2017: Journal of Hand Surgery Asian-Pacific Volume
https://www.readbyqxmd.com/read/28506158/incidence-of-carpal-coalition-in-an-asian-population-preliminary-findings-of-a-study-on-patients-from-a-distal-radius-fracture-database
#8
Sean Ong, Sreedharan Sechachalam
BACKGROUND: Congenital carpal coalition is usually seen as an incidental finding. The incidence of carpal coalition has been reported from 0.1 to 9.5 %; highest incidence has been reported in people of African descent. The purpose of our study is to evaluate the incidence and subtypes of carpal coalition in an Asian population. METHODS: Review of the radiographs of the patients in our distal radius fracture database from 2009 to 2014 was conducted to determine the incidence and type of carpal coalition...
June 2017: Journal of Hand Surgery Asian-Pacific Volume
https://www.readbyqxmd.com/read/28503753/distal-forearm-fracture-open-reduction-internal-fixation-sonographic-detection-of-hardware-malalignment-and-associated-tendon-injuries-missed-by-radiography
#9
Tara A Morgan, Samantha L Piper, Lisa L Lattanza, Ruth B Goldstein, Thomas Link, Daria Motamedi
Tendon injury is a known complication of distal radius fracture plate and screw fixation. Targeted musculoskeletal sonography is uniquely capable of assessing both tendon integrity and hardware abnormalities not recognized on radiographs. Each of the 3 patients described presented with pain after an open reduction-internal fixation following a distal forearm fracture. In each patient, radiographic findings, specifically the hardware position, were interpreted as normal. Important radiographically occult observations were subsequently made with sonography, including 3 proud screws and tendon injuries, all of which required surgical treatment...
May 15, 2017: Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine
https://www.readbyqxmd.com/read/28502885/contra-lateral-bone-loss-at-the-distal-radius-in-postmenopausal-women-after-a-distal-radius-fracture-a-two-year-follow-up-hrpqct-study
#10
Joost J A de Jong, Jacobus J C Arts, Paul C Willems, Sandrine P G Bours, Judith P A Bons, Paul P C A Menheere, Bert van Rietbergen, Piet P Geusens, Joop P W van den Bergh
Opposite to the fracture side, bone mineral density (BMD) measured by DXA at the contra-lateral side does not change after a distal radius fracture. However, it is unknown if also bone micro-architecture and strength at the contralateral side are unaffected. Therefore, the aim of this study was to assess BMD, micro-architecture and bone mechanical properties at the contra-lateral side during two years follow-up after a distal radius fracture using high resolution peripheral quantitative computed tomography (HRpQCT)...
May 11, 2017: Bone
https://www.readbyqxmd.com/read/28490225/is-a-short-arm-cast-appropriate-for-stable-distal-radius-fractures-in-patients-older-than-55-years-a-randomized-prospective-multicentre-study-short-arm-cast-versus-long-arm-cast
#11
M J Park, J P Kim, H I Lee, T K Lim, H S Jung, J S Lee
We conducted a prospective randomized, multicentre study to compare short arm and long arm plaster casts for the treatment of stable distal radius fracture in patients older than 55 years. We randomly assigned patients over the age of 55 years who had stable distal radius fracture to either a short arm or long arm plaster cast at the first review 1 week after their injury. Radiographic and clinical follow-up was conducted at 1, 3, 5, 12 and 24 weeks following their injury. Also, degree of disability caused by each cast immobilization was evaluated at the patient's visit to remove the cast...
March 1, 2017: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/28484942/minimal-training-sufficient-to-diagnose-pediatric-wrist-fractures-with-ultrasound
#12
Henrik Hedelin, Christian Tingström, Hanna Hebelka, Jon Karlsson
BACKGROUND: In children, non-fractured wrists generally need no treatment and those that are fractured may only require a 3-week cast without any clinical follow-up. The ability to perform a point-of-care triage decision if radiographs are needed could improve patient flow and decrease unnecessary radiographs. The aim of this study was to evaluate the role of ultrasound (US) as a point-of-care triage tool for pediatric wrist injuries with limited training. METHODS: Physicians with no previous US experience attended a 1...
December 2017: Critical Ultrasound Journal
https://www.readbyqxmd.com/read/28475403/developing-an-instrument-for-the-measurement-of-grip-ability-after-distal-radius-fracture
#13
Marianne Bemgård, Birgitha Archenholtz
BACKGROUND: Distal radius fracture (DRF) often causes reduced ability to perform activities of daily living (ADLs). There is a need for recurrent evaluation of the ability to perform ADL in the early stage of rehabilitation as a complement to traditional functional measures. AIM: Develop a short and simple performance test for use in clinical practice through modification of the Sollerman Grip Function Test (GFT). METHOD: DRF patients and controls performed the GFT...
May 5, 2017: Scandinavian Journal of Occupational Therapy
https://www.readbyqxmd.com/read/28465202/design-and-evaluation-of-a-new-synthetic-wrist-procedural-simulator-wristsim-%C3%A2-for-training-of-distal-radius-fracture-fixation-by-volar-plating
#14
P Lazarus, E Pire, C Sapa, L Ruffenach, M Saur, P Liverneaux, J J Hidalgo Diaz
Legislation concerning workload of surgical trainees and pressure to reduce learning curves have forced us reconsider surgical training. Our goal was to evaluate a synthetic procedural simulator for teaching open reduction and internal fixation (ORIF) of distal radius fractures (DRF). Twenty surgeons used a synthetic procedural simulator (Wristsim(®)) made by 3D printing for ORIF of DRF with a volar plate (Newclip Technics(®)). The evaluation consisted of grading the simulator's realism compared to the surgeons' own experience with surgery on cadavers...
April 11, 2017: Hand Surgery and Rehabilitation
https://www.readbyqxmd.com/read/28465199/contribution-of-arthroscopy-to-the-treatment-of-intraarticular-fracture-of-the-distal-radius-retrospective-study-of-40-cases
#15
N Christiaens, G Nedellec, E Guerre, J Guillou, X Demondion, C Fontaine, C Chantelot
Our study aimed to compare the anatomical result after treatment of intraarticular distal radius fracture with locking volar plates with and without arthroscopy. This was a retrospective, single-center study of intraarticular fractures. A volar locked plate was used for fracture fixation in all patients. Twenty patients were operated on with fluoroscopy only ("plate" group) and 20 operated using arthroscopy assistance ("arthroscopy" group). All patients underwent a CT scan before surgery and at 3 months postoperative...
April 25, 2017: Hand Surgery and Rehabilitation
https://www.readbyqxmd.com/read/28465016/incidence-of-treatment-for-infection-of-buried-versus-exposed-kirschner-wires-in-phalangeal-metacarpal-and-distal-radial-fractures
#16
Taylor J Ridley, Will Freking, Lauren O Erickson, Christina Marie Ward
PURPOSE: To determine whether there is a difference in the incidence of infection between exposed and buried K-wires when used to treat phalangeal, metacarpal, and distal radius fractures. METHODS: We conducted a retrospective review identifying all patients aged greater than 16 years who underwent fixation of phalangeal, metacarpal, or distal radius fractures with K-wires between 2007 and 2015. We recorded patient demographic data, fracture location, number of K-wires used, whether K-wires were buried or left exposed, and duration of K-wire placement...
April 29, 2017: Journal of Hand Surgery
https://www.readbyqxmd.com/read/28460717/the-validity-and-reliability-of-a-pocket-sized-ultrasound-to-diagnose-distal-radius-fracture-and-assess-quality-of-closed-reduction
#17
Brian C Lau, Aaron Robertson, Daria Motamedi, Nicolas Lee
PURPOSE: Handheld ultrasound technology is increasingly used in health care. Its use for fracture care has not been adequately evaluated. The purpose of this study was to evaluate handheld, pocket-sized ultrasound in the diagnosis and assessment of reductions in distal radius fractures. METHODS: A total of 23 patients with distal radius fractures (average age, 53 years; 13 women) and 20 control patients (average age, 53 years; 10 women) were prospectively enrolled...
April 28, 2017: Journal of Hand Surgery
https://www.readbyqxmd.com/read/28459418/outcomes-after-distal-radius-fracture-treatment-with-percutaneous-wire-versus-plate-fixation-meta-analysis-of-randomized-controlled-trials
#18
Mark S Anderson, Mark Ghamsary, Phillip T Guillen, Montri D Wongworawat
Multiple methods for surgical fixation of distal radius fractures exist, including percutaneous pinning with Kirschner wires and open reduction volar plating. Despite increased costs, the hypothesis of this study was that open reduction and volar plating does not provide improved outcomes over wire fixation. Following Transparent Reporting of Systematic Reviews and Meta-Analyses (PRISMA) guidelines, a meta-analysis of randomized controlled trials was conducted comparing these two methods with regard to clinical outcomes, radiographic parameters, and complications...
2017: Journal of Surgical Orthopaedic Advances
https://www.readbyqxmd.com/read/28453348/the-effect-of-therapeutic-whirlpool-and-hot-packs-on-hand-volume-during-rehabilitation-after-distal-radius-fracture-a-blinded-randomized-controlled-trial
#19
Mike Szekeres, Joy C MacDermid, Trevor Birmingham, Ruby Grewal, Emily Lalone
BACKGROUND: Edema is a possibility with all heating modalities due to the increase in local blood flow caused by vasodilation. Despite the frequent application of superficial heat modalities, their relative effect on hand volume has not been determined for the upper extremity. The objective of this study was to compare the immediate effects of hot packs and whirlpool on hand volume for patients with distal radius fracture (DRF) and to determine whether any changes in volume between these modalities were still present 30 minutes after heat application...
May 2017: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/28453343/acute-isolated-flexor-tendon-laceration-associated-with-a-distal-radius-fracture
#20
J Ryan Hill, Ram K Alluri, Alidad Ghiassi
BACKGROUND: Subacute rupture of the flexor tendons secondary to distal radius fractures is well documented. Recently, accounts of flexor tendon rupture following open reduction internal fixation have been associated with volar plate fixation. However, discovery of an occult traumatic flexor tendon laceration during fixation of an acute distal radius fracture is not well described. This case indicates the importance of careful preoperative and intraoperative examination of the flexor tendons in the setting of comminuted distal radius fractures...
May 2017: Hand: Official Journal of the American Association for Hand Surgery
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