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"Distal radius fracture"

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https://www.readbyqxmd.com/read/28644428/early-results-of-the-conservative-treatment-of-distal-radius-fractures-immobilization-of-the-wrist-in-dorsal-versus-palmar-flexion
#1
Maki Grle, Miro Miljko, Ivana Grle, Faruk Hodžić, Tarik Kapidžić
Aim To evaluate immobilization with dorsal forearm plaster splint with the wrist in dorsal flexion vs palmar flexion in patients with distal radius fracture. Methods In the prospective study (2012-2014) 122 patients (of which 22 patients lost) with fractures of the distal radius type A2, A3 and C according to the AO classification were investigated. At the end there were 50 patients in each of the two groups: the dorsiflexion (DF) group had a total of 37 women and 13 men, mean age was 63.48 ± 14.70, and in the palmar flexion (PF) group there were respectively 38/12, and the mean age was 64...
August 1, 2017: Medicinski Glasnik
https://www.readbyqxmd.com/read/28643518/mini-c-arm-fluoroscopy-does-its-configuration-matter-for-radiation-exposure-to-the-surgeon
#2
Talia Chapman, Dennis P Martin, Christopher Williamson, Brian Tinsley, Mark L Wang, Asif M Ilyas
BACKGROUND: The risk of occupational radiation exposure to the surgeon associated with the use of a mini C-arm has yet to reach a wide consensus. Using a distal radius fracture surgery model, we tested the hypothesis that radiation exposure to the surgeon's critical body parts is independent of mini C-arm configuration. METHODS: An anthropomorphic mannequin (representing the upper body of a 60" male surgeon) was seated at a hand table as if operating on a volar-plated wrist Sawbone model...
June 1, 2017: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/28642857/healthcare-costs-of-osteoporotic-fracture-in-korea-information-from-the-national-health-insurance-claims-database-2008-2011
#3
Ha Young Kim, Yong-Chan Ha, Tae-Young Kim, Hyemin Cho, Young-Kyun Lee, Ji-Yeon Baek, Sunmee Jang
BACKGROUND: The present study estimated healthcare costs of osteoporotic fractures including spine, hip, distal radius and humerus in Koreans over 50 years of age using national claims data. METHODS: Korea National Health Insurance data between 2008 and 2011 was searched for all claims records of outpatient visits or hospital admissions of patients ≥50-year-of-age. Osteoporosis-related fractures were identified using certain the International Classification of Diseases, Tenth Revision codes and site-specific physician claims for procedures in a patient age cut-off value of 50 years...
May 2017: Journal of Bone Metabolism
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
#4
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/28612669/classification-systems-for-distal-radius-fractures
#5
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/28601513/a-biomechanical-comparison-of-distal-fixation-for-bridge-plating-in-a-distal-radius-fracture-model
#6
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
#7
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/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/28583055/fracture-of-the-distal-ulna-metaphysis-in-the-setting-of-distal-radius-fractures
#10
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
#11
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
#12
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/28580225/fracture-heuristics-surgical-decision-for-approaches-to-distal-radius-fractures-a-surgeon-s-perspective
#13
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
#14
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/28554053/radiographic-evaluation-of-acute-distal-radius-fracture-stability-a-comparative-cadaveric-study-between-a-thermo-formable-bracing-system-and-traditional-fiberglass-casting
#15
Brandon G Santoni, Jazmine R Aira, Miguel A Diaz, T Kyle Stoops, Peter Simon
BACKGROUND: Distal radius fractures are common musculoskeletal injuries and many can be treated non-operatively with cast immobilization. A thermo-formable brace has been developed for management of such fractures, but no data exist regarding its comparative stabilizing efficacy to fiberglass casting. METHODS: A worst-case distal radius fracture was created in 6 cadaveric forearms. A radiolucent loading fixture was created to apply cantilever bending/compression loads ranging from 4...
May 19, 2017: Clinical Biomechanics
https://www.readbyqxmd.com/read/28552760/denervation-of-the-wrist%C3%A2-with-two-surgical-incisions-is-it-effective-a-review-of-33-patients-with-an-average-of-41months-follow-up
#16
S Delclaux, F Elia, C Bouvet, C Aprédoaei, M Rongières, P Mansat
The goal of wrist denervation is to decrease pain at the wrist, whether caused by an intra- or extra-articular problem or even when the reason for the pain is unknown. It is an alternative to partial or total arthrodesis and proximal row carpectomy. Our hypothesis was that wrist denervation with a two-incision technique was a reliable and efficient way to treat painful degenerative wrists. Thirty-three patients, 48years old on average, were included in this study. Indications were scapholunate advanced collapse (SLAC) in 18 cases, scaphoid nonunion advanced collapse (SNAC) in 10, distal radius fracture sequelae with advanced radiocarpal osteoarthritis in 4, and post-traumatic ulnocarpal impingement in 1 case...
May 25, 2017: Hand Surgery and Rehabilitation
https://www.readbyqxmd.com/read/28512698/repair-of-the-pronator-quadratus-after-volar-plate-fixation-in-distal-radius-fractures-a-systematic-review
#17
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
#18
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
#19
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
#20
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
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