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"Distal radius fracture"

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https://www.readbyqxmd.com/read/29141368/-long-term-efficacy-of-open-reduction-and-internal-fixation-versus-external-fixation-for-unstable-distal-radius-fractures-a-meta-analysis
#1
Z Yang, Z Z Yuan, J X Ma, X L Ma
Objective: To make a systematic assessment of the Long-term efficacy of open reduction and internal fixation versus external fixation for unstable distal radius fractures. Methods: A computer-based online search of PubMed, ScienceDirect, EMBASE, BIOSIS, Springer and Cochrane Library were performed. The randomized and controlled trials of open reduction and internal fixation versus external fixation for unstable distal radius fractures were collected. The included trials were screened out strictly based on the criterion of inclusion and exclusion...
November 7, 2017: Zhonghua Yi Xue za Zhi [Chinese medical journal]
https://www.readbyqxmd.com/read/29130881/distal-radius-skyline-view-how-to-prevent-dorsal-cortical-penetration
#2
Benjamin C Taylor, Andy R Malarkey, Ryan L Eschbaugh, John Gentile
Volar locked plating has become a standard treatment for operative stabilization of distal radius fractures. It is assumed that volar plating portends a low risk of extensor tendon irritation and rupture, especially when compared with dorsal plating constructs; however, extensor tendon tenosynovitis and rupture is a well-described complication after volar plating of the distal radius. Dorsal cortical penetration of screws may go unnoticed with traditional intraoperative fluoroscopic techniques and may contribute to extensor tendon irritation...
November 2017: Journal of Surgical Orthopaedic Advances
https://www.readbyqxmd.com/read/29130877/reduction-loss-after-distal-radius-fracture-fixation-with-locked-volar-plates
#3
Michael M Vosbikian, Constantinos Ketonis, Ronald Huang, James A Costanzo, Asif M Ilyas
Distal radius fractures are among the most common injuries in the upper extremity. While many studies have looked at the maintenance of reduction with volar locking plates, there is a paucity of literature comparing the ability of different plates to maintain reduction over time. This study reviews the ability of various plates to maintain radiographic reduction at union after distal radius fracture treatment. Loss of some aspect of fracture reduction was routinely observed following locked volar plating regardless of implant...
October 2017: Journal of Surgical Orthopaedic Advances
https://www.readbyqxmd.com/read/29122370/effectiveness-of-the-graded-motor-imagery-to-improve-hand-function-in-patients-with-distal-radius-fracture-a-randomized-controlled-trial
#4
Burcu Dilek, Cigdem Ayhan, Gozde Yagci, Yavuz Yakut
STUDY DESIGN: Single-blinded randomized controlled trial. INTRODUCTION: Pain management is essential in the early stages of the rehabilitation of distal radius fractures (DRFx). Pain intensity at the acute stage is considered important for determining the individual recovery process, given that higher pain intensity and persistent pain duration negatively affect the function and cortical activity of pain response. Graded motor imagery (GMI) and its components are recent pain management strategies, established on a neuroscience basis...
November 6, 2017: Journal of Hand Therapy: Official Journal of the American Society of Hand Therapists
https://www.readbyqxmd.com/read/29122121/a-biomechanical-comparison-of-four-fixed-angle-dorsal-plates-in-a-finite-element-model-of-dorsally-unstable-radius-fracture
#5
Josip Knežević, Janoš Kodvanj, Fabijan Čukelj, Frane Pamuković, Arsen Pavić
PURPOSE: To compare the finite element models of two different composite radius fracture patterns, reduced and stabilised with four different fixed-angle dorsal plates during axial, dorsal and volar loading conditions. METHODS: Eight different plastic models representing four AO/ASIF type 23-A3 distal radius fractures and four AO/ASIF 23-C2 distal radius fractures were obtained and fixed each with 1 of 4 methods: a standard dorsal non-anatomical fixed angle T-plate (3...
November 2017: Injury
https://www.readbyqxmd.com/read/29119975/erratum-microstructure-of-the-distal-radius-and-its-relevance-to-distal-radius-fractures
#6
Gregory Ian Bain, Simon Bruce Murdoch MacLean, Tom McNaughton, Ruth Williams
[This corrects the article DOI: 10.1055/s-0037-1602849.].
November 2017: Journal of Wrist Surgery
https://www.readbyqxmd.com/read/29117828/dual-plating-technique-for-volar-rim-fracture-of-the-distal-radius-using-depuy-synthes-2-0-m-and-2-4-mm-locking-plates
#7
Yoshihiro Abe, Masahiro Suzuki, Hiromasa Wakita
BACKGROUND: To assess the surgical results of distal radius fractures with the involvement of a volar rim fragment using the DePuy-Synthes 2.0 mm and 2.4 mm locking plates. METHODS: Subjects were six women and one man of average age 57 years (range, 31-83 y) and a mean follow-up period of 9 months (range, 5-19 mo) with AO B3 (volar shearing) distal radius fractures. Time of the procedure, physical examination of wrist range of motion, grip strength compared with the contralateral healthy wrist, and radiographic evaluation (volar tilt, radial inclination, and ulnar variance) were evaluated...
December 2017: Journal of Hand Surgery Asian-Pacific Volume
https://www.readbyqxmd.com/read/29101976/repair-of-pronator-quadratus-with-partial-muscle-split-and-distal-transfer-for-volar-plating-of-distal-radius-fractures
#8
REVIEW
Hui-Kuang Huang, Jung-Pan Wang, Ming-Chau Chang
Flexor tendon injury is a rare, but serious, complication after volar plate fixation for distal radius fractures. The plate position and prominence at the watershed line are contributing factors that cause flexor tendon injury. With the standard volar approach, the pronator quadratus (PQ) is typically elevated off the radial attachment. The distal part of the plate is often visible after repair of the PQ. We describe a "PQ-splitting" technique for covering the distal edge of the plate if primary PQ repair cannot completely cover the distal part of the plate...
November 2017: Journal of Hand Surgery
https://www.readbyqxmd.com/read/29101409/characterization-of-trabecular-bone-microstructure-in-premenopausal-women-with-distal-radius-fractures
#9
T D Rozental, F Johannesdottir, K C Kempland, M L Bouxsein
Individual trabecular segmentation was utilized to identify differences in trabecular bone structure in premenopausal women with wrist fractures and non-fracture controls. Fracture subjects had reduced trabecular plate volume, number, thickness, and connectivity. Identifying altered trabecular microarchitecture in young women offers opportunities for counseling and lifestyle modifications to reduce fracture risk. INTRODUCTION: Premenopausal women with distal radius fractures (DRF) have worse trabecular bone microarchitecture than non-fracture controls (CONT), yet the characteristics of their trabecular bone structure are unknown...
November 3, 2017: Osteoporosis International
https://www.readbyqxmd.com/read/29099892/treating-unstable-distal-radius-fractures-with-a-nonspanning-external-fixation-device-comparison-with-volar-locking-plates-in-historical-control-group
#10
C Liam Dwyer, Nicholas E Crosby, Timothy Cooney, William Seeds, John D Lubahn
We conducted a study to compare functional and radiographic outcomes of unstable comminuted intra-articular distal radius fractures (DRFs) treated with a nonspanning external fixation device and outcomes achieved with volar locking plates in a historical control group. Clinical and radiographic data from 25 patients with these fractures, treated with the external fixation device, were compared with outcomes data from historical control matched patients with fracture patterns treated with volar locking plates...
September 2017: American Journal of Orthopedics
https://www.readbyqxmd.com/read/29099883/distal-radius-fractures-reconstruction-approaches-planning-and-principles
#11
Richard S Yoon, Vineet Tyagi, Susanne M Roberts, John T Capo, Frank A Liporace
Distal radius fracture (DRF) is a common injury. Treatment options have evolved and now several can be used to address even the most complex fracture patterns. Complex fractures of the distal radius and ulna can be challenging, and specific goals must be kept in mind to achieve definitive anatomical and functional restoration. This article summarizes the concepts, principles, and surgical options regarding complex DRF reconstruction.
September 2017: American Journal of Orthopedics
https://www.readbyqxmd.com/read/29098069/reliability-of-the-pronator-quadratus-fat-pad-sign-to-predict-the-severity-of-distal-radius-fractures
#12
Julia Loesaus, Isabel Wobbe, Erik Stahlberg, Joerg Barkhausen, Jan Peter Goltz
AIM: To evaluate the reliability of pronator quadratus fat pad sign to detect distal radius fracture and to predict its severity. METHODS: Retrospectively we identified 89 consecutive patients (41 female, mean age 49 ± 18 years) who had X-ray (CR) and computed tomography (CT) within 24 h following distal forearm trauma. Thickness of pronator quadratus fat pad complex (PQC) was measured using lateral views (CR) and sagittal reconstructions (CT). Pearson's test was used to determine the correlation of the PQC thickness in CR and CT...
September 28, 2017: World Journal of Radiology
https://www.readbyqxmd.com/read/29091491/management-of-intra-articular-distal-radius-fractures-volar-or-dorsal-locking-plate-which-has-fewer-complications
#13
Yoshihiro Abe, Susumu Tokunaga, Takuro Moriya
BACKGROUND: The aim of this study was to compare the functional outcomes and complications of volar and dorsal plating for the management of intra-articular distal radius fractures, with special regard to indications for dorsal plating. Furthermore, we examine the rationale for choosing dorsal plating and its frequency of use. METHODS: Clinical assessments included range of motion measurements at the wrist; grip strength; the Quick Disabilities of the Arm, Shoulder, and Hand score; and the Gartland and Werley score...
November 2017: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/29091487/adult-closed-distal-radius-fracture-reduction-does-fluoroscopy-improve-alignment-and-reduce-indications-for-surgery
#14
Efi Kazum, Assaf Kadar, Zachary T Sharfman, Hila Otremsky, Roy Gigi, Yishai Rosenblatt, Oleg Dolkart, Tamir Pritsch
BACKGROUND: This study compared the radiological outcomes of adult closed distal radius fractures (DRFs) reduction with and without fluoroscopy. We hypothesized that fluoroscopy-assisted reduction would not improve radiographic alignment or decrease the need for surgery. METHODS: Hospital medical records and radiographic images of all patients who presented with DRFs between April to June 2009 and April to June 2013 were reviewed. All patients underwent closed reduction and immobilization with or without fluoroscopic assistance...
November 2017: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/29091485/sensitivity-and-specificity-of-skyline-and-carpal-shoot-through-fluoroscopic-views-of-volar-plate-fixation-of-the-distal-radius-a-cadaveric-investigation-of-dorsal-cortex-screw-penetration
#15
T Kyle Stoops, Brandon G Santoni, Nicolette M Clark, Amy A Bauer, Christopher Shoji, Francisco Schwartz-Fernandes
BACKGROUND: Volar plate fixation of distal radius fractures can result in soft tissue injuries. Abnormal contour of the dorsal cortex of the distal radius provides difficulties in discerning screw penetration on standard radiographs. The skyline and carpal shoot-through views are additional views to improve dorsal cortex visibility. We report on the sensitivity and specificity of determining screw protrusion with these views. METHODS: Seven fresh frozen cadavers were instrumented with a distal radius volar locking plate...
November 2017: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/29081703/factors-associated-with-complex-regional-pain-syndrome-in-surgically-treated-distal-radius-fracture
#16
Joel Ortiz-Romero, Ignacio Bermudez-Soto, Rubén Torres-González, Fernando Espinoza-Choque, Jesús Abraham Zazueta-Hernandez, José Manuel Perez-Atanasio
OBJECTIVE: The aim of this study was to identify factors associated with developing complex regional pain syndrome (CRPS) after surgical treatment for distal radius fracture (DRF). METHODS: This case-control study analyzed patients seen from January 2014 to January 2016. Results: In our sample of 249 patients, 4% developed CRPS. Associated factors were economic compensation via work disability (odds ratio [OR] 14.3), age (OR 9.38), associated fracture (OR 12.94), and level of impact (OR 6...
September 2017: Acta Ortopedica Brasileira
https://www.readbyqxmd.com/read/29064312/percutaneous-pinning-versus-volar-locking-plate-internal-fixation-for-unstable-distal-radius-fractures-a-meta-analysis
#17
Fei Peng, Yuan-Xiang Liu, Zhen-Yu Wan
This meta-analysis compared outcomes between percutaneous pinning/wiring and open reduction internal fixation (ORIF) with locking plates for treatment of unstable distal radius fractures. Medline, Cochrane, EMBASE, and Google Scholar were searched through December 30, 2015. Twenty randomised controlled trials (RCTs) and non-randomised two-arm studies were included. Outcomes included scores of Disabilities of the Arms, Shoulders and Hands (DASH), visual analogue scale (VAS) pain, and patient rated wrist evaluation (PRWE) score, as well as range of motion (ROM) and complication incidence...
January 1, 2017: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/29054543/outcomes-of-surgically-treated-distal-radial-fractures-with-associated-triangular-fibrocartilage-complex-injury
#18
Katerina Kasapinova, Viktor Kamiloski
STUDY DESIGN: Prospective cohort. INTRODUCTION: Clinical studies that evaluate the correlation between associated lesions of the triangular fibrocartilage complex (TFCC) and outcome of distal radial fractures expressed with the patient-rated disability are missing. PURPOSE OF THE STUDY: To evaluate the outcomes of distal radius fractures associated with or without an injury of the TFCC. METHODS: Patients undergoing operative treatment for distal radial fracture were prospectively enrolled (n = 70)...
October 17, 2017: Journal of Hand Therapy: Official Journal of the American Society of Hand Therapists
https://www.readbyqxmd.com/read/29054355/the-effect-of-bisphosphonates-on-the-clinical-and-radiographic-outcomes-of-distal-radius-fractures-in-women
#19
Kristin E Shoji, Brandon E Earp, Tamara D Rozental
PURPOSE: To compare clinical and radiographic outcomes of distal radius fractures (DRF) treated with nonsurgical management in female postmenopausal patients receiving bisphosphonate (BP) therapy at the time of injury with those not receiving BP therapy. METHODS: We prospectively enrolled 33 female postmenopausal patients with 35 DRF between December 2010 and January 2014 at 2 Level I tertiary care centers. Eleven patients with 12 DRF were currently receiving BP at the time of injury (BP group) and were compared with 22 controls with 23 DRF (CONT group) who were not receiving BP at the time of injury...
October 18, 2017: Journal of Hand Surgery
https://www.readbyqxmd.com/read/29042160/recovery-age-and-gender-effects-on-hand-dexterity-after-a-distal-radius-fracture-a-1-year-prospective-cohort-study
#20
Pavlos Bobos, Emily A Lalone, Ruby Grewal, Joy C MacDermid
STUDY DESIGN: A prospective cohort study. INTRODUCTION: Physical factors that predict hand dexterity and the recovery of hand dexterity after a distal radius fracture (DRF) have not yet been examined. PURPOSE OF THE STUDY: The first objective was to evaluate the recovery of hand dexterity comparing the injured and uninjured hands during the year after a DRF. The second objective was to determine the effect of age and sex on hand dexterity of the injured hand...
October 14, 2017: Journal of Hand Therapy: Official Journal of the American Society of Hand Therapists
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