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(Radius OR ulna OR Olecranon OR forearm) AND fracture

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https://www.readbyqxmd.com/read/29036004/the-utility-of-clinical-ultrasonography-in-identifying-distal-forearm-fractures-in-the-pediatric-emergency-department
#1
Iratxe Galletebeitia Laka, Frederic Samson, Inigo Gorostiza, Andrés Gonzalez, Carlos Gonzalez
OBJECTIVE: The aim of this study is to evaluate the utility of Point-Of-Care Ultrasound (POCUS) for diagnosing distal forearm fractures in pediatric emergency departments (ED). PATIENTS AND METHODS: A prospective observational study was carried out in children aged younger than 15 years attended in an ED with an indication of radiography because of a suspected distal forearm fracture. The POCUS was performed considering cortical irregularity or disruption compatible with fracture...
October 13, 2017: European Journal of Emergency Medicine: Official Journal of the European Society for Emergency Medicine
https://www.readbyqxmd.com/read/29032874/rotational-corrective-osteotomy-for-malunited-distal-diaphyseal-radius-fractures-in-children-and-adolescents
#2
Toshiyuki Kataoka, Kunihiro Oka, Tsuyoshi Murase
PURPOSE: To report our method of computer-planned rotational corrective osteotomy for malunited distal diaphyseal radius fractures in children and adolescents using a custom jig and to review the results of 4 cases. METHODS: Four patients (mean age, 13 years; range, 11-16 years) underwent computer-planned rotational corrective osteotomy for malunited distal diaphyseal radius fracture using a custom jig. We retrospectively evaluated their radiographic and clinical data...
October 9, 2017: Journal of Hand Surgery
https://www.readbyqxmd.com/read/29032873/intrarater-reliability-of-range-of-motion-measurements-of-the-uninjured-wrist-in-women-after-distal-radius-fracture
#3
Geoffrey H F Johnston, Samuel A Stewart
PURPOSE: To determine the intrarater reliability of serial wrist and forearm range of motion (ROM) measurements of the uninjured limb, by 1 evaluator using a standardized technique of measurement, in women who have sustained a distal radius fracture. METHODS: From December 2007 to December 2014, skeletally mature women who had sustained an isolated distal radius fracture routinely had sequential measurements of wrist extension and flexion as well as forearm supination and pronation in both their injured and their uninjured limbs, at a minimum of 3-week intervals...
October 10, 2017: Journal of Hand Surgery
https://www.readbyqxmd.com/read/29031822/a-systematic-review-of-volar-locking-plate-removal-after-distal-radius-fracture
#4
REVIEW
Michiro Yamamoto, Yuki Fujihara, Nasa Fujihara, Hitoshi Hirata
BACKGROUND: Indication of volar locking plate (VLP) removal after bony healing of distal radius fracture (DRF) is controversial. Studies with various range of removal rate were reported. The purpose of this systematic review was to investigate the frequency and the reasons of hardware removal over the world. We hypothesized that more frequent VLP removal contribute to better clinical outcomes. METHODS: The authors searched all available literature in the PubMed and EMBASE databases for articles reporting on outcomes of treatment using VLP for DRF...
October 9, 2017: Injury
https://www.readbyqxmd.com/read/29031702/complications-following-open-reduction-and-internal-fixation-versus-external-fixation-in-treating-unstable-distal-radius-fractures-grading-the-evidence-through-a-meta-analysis
#5
Z Yuan, Z Yang, Q Liu, Y M Liu
BACKGROUND: The common fixation techniques for unstable distal radius fractures include open reduction and internal fixation (ORIF) with plates and closed reduction and external fixation (EF). There is controversy over the choice of surgical approach in treating unstable distal radius fractures. HYPOTHESIS: This meta-analysis was performed to compare complication rates in patients treated with ORIF or EF for unstable distal radius fractures and to develop GRADE (Grading of Recommendations, Assessment, Development, and Evaluation)-based recommendations for using the procedures to treat unstable distal radius fractures...
October 11, 2017: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/29030782/does-radiography-still-have-a-significant-diagnostic-role-in-evaluation-of-acute-traumatic-wrist-injuries-a-prospective-comparative-study
#6
Mohammad Abd Alkhalik Basha, Ahmad Abdel Azim Ismail, Ahmed Hatem F Imam
AIM: The aim of this study was to evaluate and compare the diagnostic role of radiography and multi-detector computed tomography (MDCT) in acute traumatic wrist injuries. PATIENTS AND METHODS: One hundred sixty-eight patients with acute wrist trauma were enrolled in our study. All patients had submitted to radiography and MDCT within 24 h after wrist trauma. The diagnostic role of radiography and MDCT was evaluated and compared. The effective radiation dose of the two techniques was calculated...
October 13, 2017: Emergency Radiology
https://www.readbyqxmd.com/read/29030714/cyclic-fatigue-resistance-of-xp-endo-shaper-compared-with-different-nickel-titanium-alloy-instruments
#7
Amr Elnaghy, Shaymaa Elsaka
OBJECTIVE: The aims of this study were to assess and compare the resistance to cyclic fatigue of XP-endo Shaper (XPS; FKG Dentaire, La Chaux-de-Fonds, Switzerland) instruments with TRUShape (TRS; Dentsply Tulsa Dental Specialties, Tulsa, OK, USA), HyFlex CM (HCM; Coltene, Cuyahoga Falls, OH, USA), Vortex Blue (VB; Dentsply Tulsa Dental Specialties), and iRace (iR; FKG Dentaire) nickel-titanium rotary instruments at body temperature. MATERIALS AND METHODS: Size 30, 0...
October 13, 2017: Clinical Oral Investigations
https://www.readbyqxmd.com/read/29025607/peek-radiolucent-plate-for-distal-radius-fractures-multicentre-clinical-results-at-12-months-follow-up
#8
Bruno Di Maggio, Pasquale Sessa, Patrizia Mantelli, Pietro Maniscalco, Fabrizio Rivera, Giorgio Maria Calori, Luigi Bisogno, Gabriele Scaravilli, Marco Caforio
INTRODUCTION: Open reduction and internal fixation (ORIF) with plate and screws represents the recommended treatment for unstable intra-articular distal radius fractures. Although significant progresses in surgical technique have been made, anatomical reconstruction of radio-carpal articular surface still represent a difficult task, especially in multifragmentary fractures. Available PEEK reinforced-carbon fiber composite radiolucent devices allow both an easier and more careful assessment of intra-operative reduction of the articular surface of distal radius and prompt correction of any residual step deformity...
October 2017: Injury
https://www.readbyqxmd.com/read/29025606/does-routine-carpal-tunnel-release-during-fixation-of-distal-radius-fractures-improve-outcomes
#9
Antonio Medici, Luigi Meccariello, Giuseppe Rollo, Giancarlo De Nigris, Steven James Mccabe, Pedrag Grubor, Gabriele Falzarano
OBJECTIVE: This case-control study was designed to test the hypothesis whether carpal tunnel release (CTR) during fixation of distal radius 23-C2 AO fractures improves outcomes. METHODS: Thirty-five consecutive patients who sustained distal radius fractures of the dominant hand participated in this study. Patients were allocated into two groups: (a) The ORIF + CTR (16 patients (11 males and 5 females)); (b) the ORIF and NOT CTR 19 patients (12 males and 7 females)...
October 2017: Injury
https://www.readbyqxmd.com/read/29025605/comparison-between-carbon-peek-volar-locking-plates-and-titanium-volar-locking-plates-in-the-treatment-of-distal-radius-fractures
#10
Dario Perugia, Matteo Guzzini, Daniele Mazza, Carlo Iorio, Carolina Civitenga, Andrea Ferretti
INTRODUCTION: Unstable intra articular fractures of distal radius are frequently being managed with open reduction and internal fixation. Volar locking plate based on polyetheretherketon (PEEK) polymer has developed lately as an alternative to conventional metallic devices. The advantage of this kind of plates include the lack of metal allergies, radiolucency, low artefacts on MRI or imaging scans and the high resistance associated to loading forces. The aim of this study was to evaluate the clinical and radiological results using a new Carbon-PEEK volar locking plate compared with titanium volar locking plates for the treatment of distal radius fractures...
October 2017: Injury
https://www.readbyqxmd.com/read/29025604/double-plating-for-bicolumnar-distal-humerus-fractures-in-the-elderly
#11
Andrea Pantalone, Daniele Vanni, Matteo Guelfi, Alberto Belluati, Vincenzo Salini
Distal humerus fractures are uncommon injuries requiring specific clinical and radiographic analysis in order to plan the optimal therapeutic strategy. In particular, bicolumnar distal humerus fractures (Type A2, A3 and C) are complex fractures. In the last years, double plating fixation became the standard treatment: this procedure helped surgeons to obtain a stable and anatomical fixation and an early mobilization, which is the main outcome for obtaining valuable functional results. In this retrospective study, we evaluated the use of open bicolumnar 90-90 plating for fixation of acute fragility fractures of the distal humerus in elderly patients, using the olecranon osteotomy as surgical approach...
October 2017: Injury
https://www.readbyqxmd.com/read/29024249/bone-strength-in-girls-and-boys-following-a-distal-radius-fracture-a-2-year-hr-pqct-double-cohort-study
#12
Heather M Macdonald, Mikko Määttä, Leigh Gabel, Kishore Mulpuri, Heather A McKay
PURPOSE: We recently reported impaired bone strength in girls with low- to moderate-energy distal radius fractures (Fx) compared with girls with no history of forearm fractures (Non-Fx). We aimed to determine whether bone strength deficits observed at baseline were still present after two years. METHODS: We assessed bone strength, microarchitecture and BMD of the non-fractured (Fx) and non-dominant (Non-Fx) distal radius (7% site) at baseline, 12- and 24-months using high-resolution pQCT (Scanco Medical) in 104 girls (11...
October 12, 2017: Journal of Bone and Mineral Research: the Official Journal of the American Society for Bone and Mineral Research
https://www.readbyqxmd.com/read/29023287/effects-of-illusory-kinesthesia-by-tendon-vibratory-stimulation-on-the-postoperative-neural-activities-of-distal-radius-fracture-patients
#13
Ryota Imai, Michihiro Osumi, Tomoya Ishigaki, Takayuki Kodama, Sotaro Shimada, Shu Morioka
Activation of motor-related regions with illusory kinesthesia had been suspected to contribute toward pain alleviation. We used electroencephalography (EEG) to assess the sensorimotor cortex activation during illusory kinesthesia by vibratory tendon stimulation in patients who were in pain. We investigated the relationship between the sensorimotor cortex and postoperative pain to clarify the analgesia mechanism. Patients who had undergone distal radius fracture surgery were studied. A hand massager provided the vibration stimulus for the illusory kinesthesia on the extensor digitorum muscle at the nonaffected hand's wrist joint on 7 consecutive days starting 1 day after surgery...
October 11, 2017: Neuroreport
https://www.readbyqxmd.com/read/29020814/the-effect-of-socioeconomic-factors-on-outcomes-of-distal-radius-fractures-a-systematic-review
#14
Jessica L Truong, Chris Doherty, Nina Suh
BACKGROUND: Socioeconomic factors are known to affect outcomes for both medical and surgical conditions. The purpose of this systematic review was to assess the current evidence regarding the effect of socioeconomic factors such as income, geographic location, educational level, and occupation on clinical outcomes after distal radius fractures. METHODS: A systematic search strategy was performed to identify studies commenting on the effect of socioeconomic factors on clinical outcomes following open or closed distal radius fracture repair...
October 1, 2017: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/29020809/fibromyalgia-as-a-predictor-of-complex-regional-pain-syndrome-after-distal-radius-fracture
#15
Marc D Lipman, Daniel E Hess, Brian C Werner, D Nicole Deal
BACKGROUND: Complex regional pain syndrome (CRPS) can be a devastating complication following extremity injury, but risk factors are not well understood. The purpose of this study was to investigate the association between fibromyalgia and the development of CRPS after distal radius fracture. METHODS: The PearlDiver Medicare database was queried using International Classification of Diseases, 9th Revision (ICD-9) and Current Procedural Terminology (CPT) codes for diagnoses and treatments of distal radius fractures...
October 1, 2017: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/29018920/pro-inflammatory-dietary-pattern-is-associated-with-fractures-in-women-an-eight-year-longitudinal-cohort-study
#16
N Veronese, B Stubbs, A Koyanagi, J R Hébert, C Cooper, M G Caruso, G Guglielmi, J Y Reginster, R Rizzoli, S Maggi, N Shivappa
In this study, during 8 years of follow-up, we reported that higher dietary inflammatory index values were associated with a higher risk of incident fractures in women, but not in men, after adjusting for potential confounders. INTRODUCTION: Inflammation is a key risk factor for many adverse outcomes in older people. While diet is a potential source of inflammation, little is known about the impact of inflammatory diet on fractures. Thus, we investigated whether higher Dietary Inflammatory Index (DII)™ ® scores are associated with fractures in a cohort of North American people...
October 10, 2017: Osteoporosis International
https://www.readbyqxmd.com/read/28993002/recovery-patterns-over-4-years-after-distal-radius-fracture-descriptive-changes-in-fracture-specific-pain-disability-fall-risk-factors-bone-mineral-density-and-general-health-status
#17
Neha Dewan, Joy C MacDermid, Ruby Grewal, Karen Beattie
STUDY DESIGN: Descriptive/Longitudinal cohort. INTRODUCTION: Distal radius fracture (DRF) is a common fall related fragility fracture that is known to be an early and independent predictor of secondary osteoporotic (OP) fractures. Changes in falls risk status, bone status and general health has not been evaluated prospectively in a population that has sustained a DRF. PURPOSE OF THE STUDY: The purpose of our study was to describe the status of fracture-specific pain/disability, fall risk factors such as physical activity (PA) and fear of falling (FOF), bone mineral density (BMD) and general health status (HS) in people with a DRF and how these variables change over four years with respect to sex, age, incidence of secondary falls and secondary OP fractures...
October 6, 2017: Journal of Hand Therapy: Official Journal of the American Society of Hand Therapists
https://www.readbyqxmd.com/read/28991579/arthroscopic-management-of-intra-articular-malunion-in-fractures-of-the-distal-radius
#18
REVIEW
Francisco Del Piñal, James Clune
Treatment of intra-articular malunion of the distal radius has evolved over the past 20 years, from open treatment to wet then dry arthroscopic techniques that provide excellent results with less morbidity than open approaches. Dry wrist arthroscopy provides a well-visualized surgical space in treating intra-articular malunion and results in less edema than wet techniques. The best results are attained in the first 3 months after injury. Alternative methods for avoiding total wrist arthrodesis in those who present later have been developed...
November 2017: Hand Clinics
https://www.readbyqxmd.com/read/28991578/arthroscopic-assisted-reduction-of-intra-articular-distal-radius-fracture
#19
REVIEW
Yukio Abe, Kenzo Fujii
Wrist arthroscopy is an efficient adjunct for intra-articular distal radius fracture fixation. However, performing wrist arthroscopy during the plate fixation is troublesome with the vertical traction applied and released. To facilitate the procedure, the authors developed a surgical technique, plate presetting arthroscopic reduction technique (PART), using a palmar locking plate. Since July 2005, they have performed PART for 248 intra-articular distal radius fractures with good and excellent results. Arthroscopic-assisted reduction of intra-articular fragments is superior to fluoroscopic assisted...
November 2017: Hand Clinics
https://www.readbyqxmd.com/read/28991577/arthroscopic-evaluation-of-associated-soft-tissue-injuries-in-distal-radius-fractures
#20
REVIEW
Tommy Lindau
The best outcome in distal radius fractures is achieved if anatomy is restored, in particular the intra-articular congruity. This is achieved partly with improved fixation, such as using volar locking plates, and partly by using an arthroscopy-assisted reduction and fixation technique. In addition to improving the intra-articular congruity, associated ligament and chondral injuries can be detected and treated. This article outlines various associated injuries with suggested management in a stepwise fashion...
November 2017: Hand Clinics
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