6,961 results match your criteria Radius Distal Fractures


The single visit treatment of pediatric distal radius buckle fractures-A center's experience with the treatment algorithm.

Injury 2020 Jun 23. Epub 2020 Jun 23.

Department of Orthopedic Surgery, KK Women's and Children's Hospital, 100 Bukit Timah Road, 229899, Singapore.

Introduction: This descriptive study aims to review and evaluate the implementation of a single visit treatment protocol for pediatric distal radius buckle fractures at our center - its success, learning points and limitations. It hopes to raise awareness of the efficacy of the protocol and its benefits to promote its utilization.

Methods: Following a pilot study, the protocol was implemented from 1 March 2017. Read More

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http://dx.doi.org/10.1016/j.injury.2020.06.033DOI Listing

Colles' type distal radial fractures undergoing manipulation in the ED: a multicentre observational cohort study.

Emerg Med J 2020 Jul 3. Epub 2020 Jul 3.

Medical Statistics, RDS SW, University of Exeter Medical School, St Luke's Campus, Exeter, UK.

Background: Colles' type fractures of the distal radius are one of the most commonly manipulated fractures in the ED. Local audit data suggest that a high proportion of these injuries undergo subsequent surgical fixation. If widespread, this could represent a potential burden on patients and the NHS worthy of further research. Read More

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http://dx.doi.org/10.1136/emermed-2020-209478DOI Listing

Rotational Anatomy of the Radius and Ulna: Surgical Implications.

J Hand Surg Am 2020 Jun 29. Epub 2020 Jun 29.

Hand and Upper Limb Centre, St. Joseph's Health Centre, London, Ontario.

Purpose: The rotational anatomy of the forearm bones is not well defined. This study aims to further the understanding of the torsion of the radius and ulna to better guide treatment.

Methods: Computed tomography images of 98 cadaveric forearms were obtained and 3-dimensional models of the radius and ulna were generated and analyzed. Read More

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http://dx.doi.org/10.1016/j.jhsa.2020.04.018DOI Listing

Surgical fixation of fractures of the distal radius within 2 weeks reduces postoperative finger stiffness.

J Hand Surg Eur Vol 2020 Jul 2:1753193420936591. Epub 2020 Jul 2.

The Hand and Wrist Service, St Mary's Hospital Imperial College Healthcare NHS Trust, London, UK.

Locked anterior plating remains the most common form of surgical fixation for displaced fractures of the distal radius. We hypothesized that delayed surgical fixation later than 2 weeks after injury contributes to poorer patient outcomes for patients with displaced or intra-articular fractures of the distal radius. We conducted a retrospective cohort study of 158 patients who underwent locked anterior plating for an intra-articular or displaced fracture of the distal radius using multiple regression analysis to identify any relationship between patient, injury or treatment factors with the patient-rated wrist and hand evaluation score or finger and wrist stiffness. Read More

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http://dx.doi.org/10.1177/1753193420936591DOI Listing

Infection after buried or exposed K-wire fixation of distal radial fractures: a randomized clinical trial.

J Hand Surg Eur Vol 2020 Jul 1:1753193420936543. Epub 2020 Jul 1.

Hospital Maradei, Clínica dos Acidentados, Belém, PA, Brazil.

We treated 220 extra-articular distal radial fractures with closed reduction and percutaneous K-wire fixation and randomized K-wire placement to buried or exposed. We analysed the incidence and severity of infection and the mobility of the metacarpophalangeal joints. At 6 weeks postoperatively, 12 patients in the exposed group had infections versus two in the buried group, which was a statistically significant difference. Read More

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http://dx.doi.org/10.1177/1753193420936543DOI Listing

The Treatment Method and Results of Percutaneous Pinning and Dynamic External Fixator Application for Unstable Distal Radius Fractures.

Sisli Etfal Hastan Tip Bul 2018 27;52(3):173-178. Epub 2018 Sep 27.

Department of Orthopedics and Traumatology, Istanbul University Faculty of Medicine, Istanbul, Turkey.

Objective: The aim of the present study was to present the results of patients with unstable distal radius fracture treated with closed reduction and percutaneous fixation followed by application of the Pennig dynamic wrist fixator to allow early wrist motion.

Methods: Twenty-five patients diagnosed with distal radius fracture and treated with closed reduction and percutaneous fixation followed by application of a dynamic wrist fixator were included in the study. There were 15 (60%) male and 10 (40%) female patients. Read More

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http://dx.doi.org/10.14744/SEMB.2018.07078DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7315085PMC
September 2018

Growth Disturbance Following Intra-articular Distal Radius Fractures in the Skeletally Immature Patient.

J Pediatr Orthop 2020 Jun 26. Epub 2020 Jun 26.

Department of Orthopaedic Surgery, Boston Children's Hospital, Boston, MA.

Introduction: The purpose of this study was to characterize the incidence of growth disturbance following intra-articular distal radius fractures in skeletally immature patients and to assess early radiographic and functional outcomes.

Methods: A retrospective investigation of pediatric patients with intra-articular distal radius fractures between 1997 and 2012 at a single institution was performed. Pathologic fractures and fractures in patients with closed physes were excluded. Read More

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http://dx.doi.org/10.1097/BPO.0000000000001626DOI Listing

Treatment Modality of Distal Ulnar Head and Neck Fractures Associated With Operatively Treated Distal Radius Fractures Does Not Affect Outcomes.

Hand (N Y) 2020 Jun 29:1558944720922923. Epub 2020 Jun 29.

University of Cincinnati, OH, USA.

This study compares the functional outcomes and complications between operatively and nonoperatively treated distal ulnar head and neck fractures associated with internal fixation of concomitant distal radius fractures. A 7-year retrospective chart review was performed to identify patients with operatively treated distal radius fractures associated with distal ulnar head and neck fractures. Ulnar styloid fractures were excluded. Read More

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http://dx.doi.org/10.1177/1558944720922923DOI Listing

Extensor pollicis longus tendon rupture from Dorsal Nail Plate distal radius fixation with concomitant myostatic atrophy.

BMJ Case Rep 2020 Jun 28;13(6). Epub 2020 Jun 28.

Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, USA

Distal radius fractures are one of the most common upper extremity injuries seen by hand surgeons each year. Many of these fractures require reduction and surgical fixation because of displacement, comminution or inherent fracture instability. New hardware is designed and introduced each year to help surgeons manage these injuries. Read More

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http://dx.doi.org/10.1136/bcr-2019-232659DOI Listing

Litigation in Hand Surgery: A 30-Year Review.

Plast Reconstr Surg 2020 Jun 22. Epub 2020 Jun 22.

University of Michigan, Section of Plastic Surgery, Ann Arbor, MI.

Background: Although hand surgery is generally safe and effective, some patients experience complications or poor outcomes prompting them to seek compensation. This study reviews malpractice claims in hand surgery using a national dataset to assess reasons for litigation and identify predictors of outcome.

Methods: The Westlaw database was queried for cases related to hand surgery and medical malpractice between 1989 and 2018. Read More

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http://dx.doi.org/10.1097/PRS.0000000000007157DOI Listing

Distal radius fractures: an evidence-based approach to assessment and management.

Br J Hosp Med (Lond) 2020 Jun 12;81(6):1-8. Epub 2020 Jun 12.

Department of Trauma and Orthopaedics, University College Hospital, London, UK.

Distal radius fractures account for one in five bony injuries in both primary and secondary care. These are commonly the result of a fall on outstretched hands or high-energy trauma. On assessment, clinicians should determine the mechanism of injury, associated bony or soft tissue injuries, and neurovascular symptoms. Read More

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http://dx.doi.org/10.12968/hmed.2020.0006DOI Listing

Complications associated with volar locking plate fixation for distal radius fractures in 1955 cases: A multicentre retrospective study.

Int Orthop 2020 Jun 26. Epub 2020 Jun 26.

Department of Orthopaedic Surgery, CHA Bundang Medical Center, CHA University School of Medicine, 351 Yatap-dong, Bundang-gu, Seongnam-si, Gyeonggi-do, Republic of Korea.

Purpose: Since volar locking plates (VLPs) have the benefits of more stable fixation and fewer complications, VLP osteosynthesis is now the preferred osteosynthesis method in the operative management of distal radius fractures (DRF). Along with the increases in operative management of VLP, the character and frequency of complications have changed. Thus, this multicentre study aimed to identify the characteristics of patients with DRFs who were treated with VLP fixation, describe the complication types and rates related to the procedure, and compare the results with those found in the literature. Read More

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http://dx.doi.org/10.1007/s00264-020-04673-zDOI Listing

Bedside ultrasound in the emergency department for reduction and radial manipulation of distal radial fractures.

Emerg Med Australas 2020 Jun 25. Epub 2020 Jun 25.

Emergency Department, Maitland Hospital, Maitland, New South Wales, Australia.

Objective: Distal radial fracture reduction is a common procedure in the ED. Previous studies have suggested that ultrasound (US)-guided reduction improves outcomes for patients who undergo manipulation and reduction of distal radial fractures in the ED. We aimed to investigate this with the first randomised controlled trial looking at US-guided distal radial fracture reduction. Read More

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http://dx.doi.org/10.1111/1742-6723.13554DOI Listing

Longitudinal Analysis of Pediatric Distal Radius Alignment Parameters in a Cohort of Serial Radiographs.

Clin Anat 2020 Jun 25. Epub 2020 Jun 25.

Rainbow and Babies Hospitals at Case Western Reserve University, Cleveland, Ohio.

Growth in pediatric patients necessitates changes to bony structures throughout the entire body to suit development. Changes in the distal radius during growth are of interest in the pediatric population due to the high incidence of fractures. The purpose of this study was to assess for trends in three radiographic measurements (height of the radial styloid process, radial inclination, ulnar variance) off the distal radius using serial radiographs in subjects aged between 6 and 14 years of age. Read More

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http://dx.doi.org/10.1002/ca.23642DOI Listing

Does the location of short-arm cast univalve effect pressure of the three-point mould?

J Child Orthop 2020 Jun;14(3):236-240

Department of Orthopaedic Surgery, Stanford University, Redwood City, California, USA.

Purpose: Forearm and distal radius fractures are among the most common fractures in children. Many fractures are definitively treated with closed reduction and casting, however, the risk for re-displacement is high (7% to 39%). Proper cast application and the three-point moulding technique are modifiable factors that improve the ability of a cast to maintain the fracture reduction. Read More

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http://dx.doi.org/10.1302/1863-2548.14.200034DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7302413PMC

Variable-Angle Locking Compression Plate Fixation of Distal Radius Volar Rim Fractures.

Iowa Orthop J 2019 ;39(2):55-61

Department of Orthopaedics Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.

Background: To compare functional and radiographic outcomes of radius fractures distal to the watershed line treated with variable-angle volar rim locking compression plates (VA-LCP) with traditional fixed-angle volar rim locking compression plates (FA-LCP).

Methods: A retrospective review of patients who underwent open reduction and internal fixation (ORIF) using either VA-LCP (19 wrists) or traditional fixation with FA-LCP (28 wrists). The average follow-up period was 14. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7047294PMC
January 2019

Home exercise in the dart-throwing motion plane after distal radius fractures: A pilot randomized controlled trial.

J Hand Ther 2020 Jun 18. Epub 2020 Jun 18.

Department of Occupational Therapy, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel. Electronic address:

Study Design: This is an intrasubject cross-sectional study.

Introduction: Upper limb injuries often require wearing an orthosis. Today, orthoses are custom-made by the clinician or purchased as an off-shelf product. Read More

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http://dx.doi.org/10.1016/j.jht.2020.03.027DOI Listing

A 2-free-end flexor carpi radialis tendon graft for treating a complex index finger extensor tendon injury.

Acta Biomed 2020 May 30;91(4-S):276-279. Epub 2020 May 30.

Orthopaedic and Trauma Department - Hospital Santa Maria delle Croci - Ravenna.

Background: Volar plating has increasingly become the most used technique for the treatment of unstable distal radius fractures due to the low soft-tissue disturbance and its biomechanical reliability, which allows the early mobilization of the wrist. One of the main goals of the volar locking compression plates design is to avoid those soft tissue complications historically associated to the dorsal plating. However, extensor tendon complications can not be completely excluded. Read More

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http://dx.doi.org/10.23750/abm.v91i4-S.9475DOI Listing

Management of an Open Distal Radius Epiphysiolysis in a 14-year-old Male: A Case Report.

J Orthop Case Rep 2020 ;9(6):70-73

Department of Orthopaedic Surgery, General Hospital of Rethymnon, 17 Trandalidou Street, Rethymnon P.C. 74100, Greece.

Introduction: Open fractures in children are uncommon and usually the result of a high-energy trauma. Open distal radius fractures are even more uncommon. In our clinic, we managed a pediatric open fracture separation of the distal radius due to hyper extension and axial load, with low-energy movement of the wrist. Read More

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http://dx.doi.org/10.13107/jocr.2019.v09.i06.1594DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7276589PMC
January 2020

Melone's concept revisited in comminuted distal radius fractures: the three-dimensional CT mapping.

J Orthop Surg Res 2020 Jun 16;15(1):222. Epub 2020 Jun 16.

Department of Orthopaedic Surgery, Pudong New Area Peoples' Hospital affiliated to Shanghai University of Medicine and Health Sciences, No. 490 Chuanhuan South Road, Pudong New Area, Shanghai, 201299, People's Republic of China.

Background: There is no consensus in the literature about the ideal classification of the distal radius fracture for the clinical practice. The traditional Melone classification system divides the distal radius into four basic components, the shaft, radial styloid, dorsal medial fragment, and volar medial fragment. The aim of this study was to identify fracture lines in comminuted distal radius fractures using three-dimensional mapping of computed tomography (CT) images to test the hypothesis that fracture fragments can be divided according to the Melone classification. Read More

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http://dx.doi.org/10.1186/s13018-020-01739-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7298813PMC

[Effects of ulnar styloid and sigmoid notch fractures on postoperative wrist function of patients with distal radius fracture].

Beijing Da Xue Xue Bao Yi Xue Ban 2020 Jun;52(3):578-581

Department of Trauma Center, Peking University People's Hospital, Beijing 100044, China.

Objective: To study the effects of ulnar styloid and sigmoid notch fractures on postoperative wrist function in patients with distal radius fracture.

Methods: In total, 139 patients treated for distal radius fracture in the Department of Orthopedic Trauma at Peking University People's Hospital from Jan. 2006 to June 2016 were selected for outpatient follow-ups. Read More

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http://dx.doi.org/10.19723/j.issn.1671-167X.2020.03.027DOI Listing

Gait analysis of patients with distal radius fracture by using a novel laser Timed Up-and-Go system.

Gait Posture 2020 Jun 6;80:223-227. Epub 2020 Jun 6.

Department of System Design and Engineering, Faculty of Science and Technology, Keio University, Kanagawa, Japan.

Background: Postmenopausal women are at risk of fall and fracture with the physical decline. Distal radius fracture (DRF) is considered as the primary fragility fracture, and women with this fracture showed poor results in the usual Timed Up-and-Go (TUG) test, indicating a decline in balance and physical ability. The detailed physical characteristics of female DRF patients have not been extensively examined. Read More

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http://dx.doi.org/10.1016/j.gaitpost.2020.06.005DOI Listing

Fixation of distal radius fracture with volar locking palmar plates while preserving pronator quadratus through the minimally invasive approach.

Technol Health Care 2020 Jun 5. Epub 2020 Jun 5.

Department of Orthopedics, Tongji Hospital, Tongji University, Shanghai, China.

Background: The volar locking plate technique with an L-shaped incision of the PQ muscle through the classic volar Henry approach is a popular method for treating distal radius fractures. Recently we revised and improved this traditional technique by performing mini-invasive surgery.

Objective: The purpose of this study was to evaluate the clinical effects after fixation of distal radius fracture with volar locking palmar plates while preserving the pronator quadratus through minimally invasive approach. Read More

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http://dx.doi.org/10.3233/THC-192113DOI Listing

Challenges and strategies in management of osteoporosis and fragility fracture care during COVID-19 pandemic.

J Orthop 2020 Sep-Oct;21:287-290. Epub 2020 Jun 2.

Department of Orthopaedics, Indraprastha Apollo Hospital, Sarita Vihar, Mathura Road, 110076, New Delhi, India.

Background: COVID-19 has resulted in restriction of face to face consultations and mechanisms to access health care. Osteoporosis and fragility fractures forms a significant proportion of adult trauma and orthopaedic workload even during the pandemic.

Aims: We assess the challenges and strategies used in the management of osteoporosis and fragility fracture care during the COVID-19 pandemic. Read More

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http://dx.doi.org/10.1016/j.jor.2020.06.001DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7265833PMC

Transitional fracture of the distal radius: a rare injury in adolescent athletes. Case series and literature review.

Eur J Med Res 2020 Jun 9;25(1):21. Epub 2020 Jun 9.

Division of Trauma Surgery, UniversityHospital Zurich, Rämistrasse 100, 8091, Zurich, Switzerland.

Background: Transitional fractures are fractures in adolescents where partial closure of the epiphyseal growth plate has occurred. These fractures are most commonly reported in the distal tibia. With respect to the distal radius, only a few case reports describing transitional fractures exist. Read More

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http://dx.doi.org/10.1186/s40001-020-00419-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7285726PMC

Fixation of delayed distal radial fracture involving metaphyseal diaphyseal junction in adolescents: a comparative study of crossed Kirschner-wiring and non-bridging external fixator.

BMC Musculoskelet Disord 2020 Jun 9;21(1):365. Epub 2020 Jun 9.

Department of Orthopaedic Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China.

Background: Conservative treatment remains the preferred choice for distal radius fracture in children. However, loss of reduction is problematic, especially in an older child. Crossed Kirschner-wires is widely used to treat distal radius fracture in adolescents. Read More

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http://dx.doi.org/10.1186/s12891-020-03404-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7285434PMC
June 2020
1.898 Impact Factor

Volar Scaphoid Plating for Nonunion: A Multicenter Case Series Study.

J Wrist Surg 2020 Jun 6;9(3):225-229. Epub 2020 Mar 6.

Department of Orthopaedic Surgery, Barwon Health, Geelong, Australia.

 The volar scaphoid plate from Medartis (Medartis AG, Austrasse, Basel, Switzerland) is a variable angle titanium locking plate, preformed for the volar aspect of the scaphoid. It does not have compressive capability, and may act as a bridging device. It may provide an advantage over a compression screw where the pathoanatomy is less favorable to such a device with increased rotational stability. Read More

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http://dx.doi.org/10.1055/s-0040-1702199DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7263855PMC

Evaluation of Flexor Pollicis Longus Tendon Rupture after Treatment of Distal Radius Fracture with the Volar Plate.

J Wrist Surg 2020 Jun 18;9(3):219-224. Epub 2020 Mar 18.

Department of Orthopaedics and Traumatology, University of Health Sciences Izmir Bozyaka Education and Research Hospital, Izmir, Turkey.

 The aim of this study is to evaluate the frequency of flexor pollicis longus (FPL) tendon rupture and factors leading to this rupture during the follow-up of patients who underwent volar plate fixation because of distal radius fracture.  A total of 109 distal radius fractures of 102 patients treated with volar plate fixation and periodically followed up for at least 1 year between January 2013 and May 2018 were evaluated. Fractures were categorized according to the AO Foundation/Orthopaedic Trauma Association (AO/OTA) Fracture-Dislocation Classification and Soong's grading was used for classifying volar plate position. Read More

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http://dx.doi.org/10.1055/s-0040-1702931DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7263862PMC

Diaphyseal Screw Prominence in Distal Radius Volar Plating.

J Wrist Surg 2020 Jun 18;9(3):214-218. Epub 2020 Mar 18.

Barwon Health, Deakin University Geelong, Geelong, Australia.

 Volar plating for distal radius fractures has become common. Screw prominence on the dorsal side from long screws can lead to tendon injury. Methods for detecting screws that penetrate the far cortex involve X-ray or ultrasound. Read More

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http://dx.doi.org/10.1055/s-0040-1702930DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7263867PMC

Outcomes of Local Bone Graft and Fixation of Proximal Pole Scaphoid Nascent Nonunions and Nonunions.

J Wrist Surg 2020 Jun 10;9(3):203-208. Epub 2020 Feb 10.

Department of Orthopaedic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts.

 Fractures of the proximal pole of the scaphoid have an increased risk of nonunion due to its tenuous blood supply. The optimal treatment of proximal pole scaphoid nonunions remains controversial.  To review a single surgeon's experience with proximal pole scaphoid nascent nonunions (delayed unions) and nonunions that underwent surgical fixation with a cannulated headless compression screw and local autologous bone graft from the distal radius. Read More

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http://dx.doi.org/10.1055/s-0040-1701512DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7263866PMC

Trends in the Incidence and Treatment of Distal Radius Fractures in the United States in Privately Insured and Medicare Advantage Enrollees.

Hand (N Y) 2020 Jun 7:1558944720928475. Epub 2020 Jun 7.

Mayo Clinic, Rochester, MN, USA.

This study aims to determine the trends in the treatment of distal radius fractures (DRFs) in patients aged 18 years and older. An administrative claims database of more than 100 million patients was used to identify patients aged 18 years and older with a DRF between 2005 and 2014. A total of 137 130 DRFs were identified in 135 128 patients. Read More

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http://dx.doi.org/10.1177/1558944720928475DOI Listing

The presence and the location of an ulnar styloid fracture associated with distal radius fracture predict the presence of triangular fibrocartilage complex 1B injury.

Arthroscopy 2020 Jun 2. Epub 2020 Jun 2.

Department of Orthopaedic Surgery, Nippon Medical School Hospital.

Purpose: To elucidate whether the presence or location of ulnar styloid fractures (USFs) in adults with distal radius fracture (DRF) can predict the presence of traumatic triangular fibrocartilage complex (TFCC) injuries.

Methods: From 2005 to 2018, an arthroscopic evaluation was performed to detect TFCC injuries associated with DRF. The presence and location of USFs were evaluated using computed tomography. Read More

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http://dx.doi.org/10.1016/j.arthro.2020.05.025DOI Listing

Effect of Global Fracture Care Billing on Distal Radius Fractures.

Orthopedics 2020 Jun 4:1-5. Epub 2020 Jun 4.

Nonoperative distal radius fracture treatment without manipulation can be coded and billed in a global fee or itemized structure. Little is known regarding the association between these coding/billing structures and subsequent clinical care. The MarketScan Research Database (IBM, Armonk, New York) was retrospectively queried for patients with a distal radius fracture diagnosis code from 2003 to 2014. Read More

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http://dx.doi.org/10.3928/01477447-20200521-10DOI Listing

A randomized controlled trial on Aspirin and complex regional pain syndrome after radius fractures.

Eur J Transl Myol 2020 Apr 1;30(1):8643. Epub 2020 Apr 1.

Department of Orthopaedics Surgery, Rasoul Akram Hospital, Iran University of Medical Sciences, Tehran, Iran.

Complex regional pain syndrome (CRPS) is often diagnosed in patients who are recovered with surgery or injury. CRPS is usually diagnosed in patients recovering from distal radius fractures. The aim of study was the effects of aspirin in prevention of the complex regional pain syndrome (CRPS) following a fracture of distal radius. Read More

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http://dx.doi.org/10.4081/ejtm.2019.8643DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7254428PMC

Plating of clavicle fracture using the wide-awake technique.

J Shoulder Elbow Surg 2020 Jun 1. Epub 2020 Jun 1.

Department of Orthopaedic, Hospital Tuanku Ja'afar Seremban, Seremban, Negeri Sembilan, Malaysia.

Background: Fixation of clavicle fractures has now become a more popular option as it provides better outcome compared with conservative management. Wide-awake local anesthesia no tourniquet (WALANT) has been effectively used in plating of distal radius and olecranon fractures. This paper expands the usage of WALANT into the shoulder girdle, namely plating of the clavicle that has not been described. Read More

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http://dx.doi.org/10.1016/j.jse.2020.03.003DOI Listing

Can the Workplace Limitations Questionnaire Capture Short-term Productivity Losses in Acute Distal Radius Fractures Treated With Operative Fixation Versus Cast Immobilization in the Working Population?

Hand (N Y) 2020 Jun 2:1558944720918356. Epub 2020 Jun 2.

Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Department of Orthopaedic Surgery, Hempstead, NY, USA.

Distal radius fractures (DRFs) contribute substantially to overall morbidity in the elderly population. We believe that accurately capturing total productivity losses is vital to understanding the true economic impact of these injuries in working patients. We conducted a prospective nonrandomized cohort study and enrolled working patients with DRF treated with either casting or operative fixation. Read More

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http://dx.doi.org/10.1177/1558944720918356DOI Listing

Correlation between patient-reported outcome measures and Single Assessment Numerical Evaluation score in patients treated with a volar locking plate for a distal radial fracture.

Bone Joint J 2020 Jun;102-B(6):744-748

Department of Orthopaedic Surgery, Hanyang University College of Medicine, Seoul, South Korea.

Aims: The aim of this study was to compare patient-reported outcome measures (PROMs) and the Single Assessment Numerical Evaluation (SANE) score in patients treated with a volar locking plate for a distal radial fracture.

Methods: This study was a retrospective review of a prospective database of 155 patients who underwent internal fixation with a volar locking plate for a distal radial fracture between August 2014 and April 2017. Data which were collected included postoperative PROMs (Disabilities of the Arm, Shoulder, and Hand questionnaire (DASH) and Patient-Rated Wrist Evaluation (PRWE)), and SANE scores at one month (n = 153), two months (n = 155), three months (n = 144), six months (n = 128), and one year (n = 73) after operation. Read More

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http://dx.doi.org/10.1302/0301-620X.102B6.BJJ-2019-0859.R2DOI Listing

Analgesic effect of intravenous dexamethasone after volar plate surgery for distal radius fracture with brachial plexus block anaesthesia: a prospective, double-blind randomised clinical trial.

Anaesthesia 2020 May 30. Epub 2020 May 30.

Department of Anaesthesiology, Oslo University Hospital, Oslo, Norway.

Rebound pain after brachial plexus block resolution and development of long-lasting pain are problems associated with volar plate fixation for distal radius fractures. The aim of this double-blind study was to evaluate the effect of a single prophylactic intravenous dose of dexamethasone in this setting. The primary endpoint was highest pain score during the first 24 hours after surgery. Read More

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http://dx.doi.org/10.1111/anae.15111DOI Listing

Functional outcome after corrective osteotomy for malunion of the distal radius: a randomised, controlled, double-blind trial.

Int Orthop 2020 Jul 29;44(7):1353-1365. Epub 2020 May 29.

Department of Orthopaedics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.

Purpose: The purpose of this randomised, controlled, double-blind trial was to evaluate functional outcome during the first year after corrective osteotomy for malunited distal radius fractures, with or without filling the osteotomy void.

Method: Patients were randomised to receive a HydroSet bone substitute or no graft. Cortical contact was maintained and stabilisation of the osteotomy was carried out with a DiPhos R- or RM Plate. Read More

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http://dx.doi.org/10.1007/s00264-020-04605-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7306028PMC

Two casting methods compared in patients with Colles' fracture: A pragmatic, randomized controlled trial.

PLoS One 2020 29;15(5):e0232153. Epub 2020 May 29.

Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland.

Background: Distal radius fractures are common fractures and the cornerstone of treatment remains immobilization of the wrist in a cast. At present, there is a scarcity of studies that compare different cast immobilization methods. The objective of the study was therefore to compare volar-flexion and ulnar deviation cast to functional cast position in the treatment of dorsally displaced distal radius fracture among elderly patients. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0232153PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7259650PMC

Comparison of outcomes between nonsurgical and surgical treatment of distal radius fracture: a systematic review update and meta-analysis.

Arch Orthop Trauma Surg 2020 May 28. Epub 2020 May 28.

The Central Hospital of Wuhan, Achao Han, 26 Shengli Road, Wuhan, 430014, Hubei, China.

Introduction: This study was a systematic review comparing the clinical outcomes of nonsurgical and surgical management for distal radius fractures.

Materials And Methods: A comprehensive literature search was conducted using multiple databases, including Medline, Embase, and Cochrane. All databases were searched from the earliest records through June 2019 using the following Boolean operators: distal radius fracture, conservative treatment, nonoperative treatment, nonsurgical treatment, surgical treatment, and operative. Read More

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http://dx.doi.org/10.1007/s00402-020-03487-3DOI Listing

Radiographic Incidence and Functional Outcomes of Distal Radius Fractures Undergoing Volar Plate Fixation With Concomitant Scapholunate Widening: A Prospective Analysis.

Hand (N Y) 2020 May 28:1558944720918342. Epub 2020 May 28.

Thomas Jefferson University, Philadelphia, PA, USA.

Scapholunate (SL) ligament injuries can occur concomitantly with distal radius fractures (DRFs), and the management of acute SL injury in the setting of DRFs remains controversial. The purpose of the study is to identify the radiographic incidence of SL widening in DRF treated with volar plate fixation and to determine the functional outcomes of DRF with concomitant radiographic SL-widening. One hundred and seventeen patients with DRFs, with and without radiographic SL-widening, and treated with volar locked plating, were prospectively enrolled. Read More

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http://dx.doi.org/10.1177/1558944720918342DOI Listing

Volar, Splitting, and Collapsed Type of Die-Punch Fracture Treated by Volar Locking Plate (VLP): A Retrospective Study.

Orthop Surg 2020 Jun 28;12(3):869-877. Epub 2020 May 28.

Department of Orthopedics, the Third Hospital of Hebei Medical University, Shijiazhuang, China.

Objective: To compare the results of different types of die-punch fractures treated by volar locking plate (VLP).

Methods: Between January 2013 and February 2018, a total of 71 patients with die-punch fracture of distal radius were treated by VLP and their medical records were retrospectively reviewed. Of them, 18 were classified as volar type, 24 as splitting type, and 28 as collapsed type of fracture, based on the preoperative radiographs and CT scans. Read More

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http://dx.doi.org/10.1111/os.12695DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7307222PMC

Movement Analysis with Inertial Measurement Unit Sensor After Surgical Treatment for Distal Radius Fractures.

Biores Open Access 2020 21;9(1):151-161. Epub 2020 May 21.

Department of Anatomy, Histology, Forensic Medicine and Orthopedics, Sapienza University, Rome, Italy.

Inertial measurement unit (IMU) has recently been used to evaluate a movement of a body segment to provide accurate information of movement's characteristics. IMU systems have been validated to successfully measure joint angle during upper limb range of motion (ROM). The study aimed to retrospectively evaluate, using an IMU, the ROM recovery of the wrist after surgical treatment for distal-radius fractures with Kirschner wire fixation (KWF) or with volar plate fixation (VPF) and screws. Read More

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http://dx.doi.org/10.1089/biores.2019.0035DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7247043PMC

The Relationship of Volar Plate Position and Flexor Tendon Rupture: Should We Question the Validity of the Soong Classification.

Plast Reconstr Surg 2020 May 25. Epub 2020 May 25.

Background: We sought to determine the reliability of the Soong classification, which relates the position of the implant to the watershed line of the distal radius, for predicting flexor tendinopathy in distal radius fractures treated with volar plate fixation.

Methods: Medical records were reviewed, including: demographics, fracture and operative characteristics, tendon-related complications, and radiographic outcomes. 659 distal radius fractures were reviewed with a mean duration of clinical follow-up of 12. Read More

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http://dx.doi.org/10.1097/PRS.0000000000007080DOI Listing

Long-term follow-up of distal radius fractures, an evaluation of the current guideline: the relation between malunion, osteoarthritis and functional outcome.

Eur J Orthop Surg Traumatol 2020 May 26. Epub 2020 May 26.

Reinier de Graaf Hospital, Delft, The Netherlands.

Background: Last decades there is an increased tendency of performing surgery on displaced distal radius fractures. However, it is unclear whether this affects the development of osteoarthritis. This study aims to determine the relation between anatomical position, radiological osteoarthritis and functional outcome of the elderly wrist, 10-15 years after a distal radius fracture. Read More

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http://dx.doi.org/10.1007/s00590-020-02700-8DOI Listing

Is Deep Learning On Par with Human Observers for Detection of Radiographically Visible and Occult Fractures of the Scaphoid?

Clin Orthop Relat Res 2020 May 19. Epub 2020 May 19.

D. W. G. Langerhuizen, S. J. Janssen, G. M. M. J. Kerkhoffs, Department of Orthopaedic Surgery, Amsterdam Movement Sciences (AMS), Amsterdam University Medical Centre, Amsterdam, The Netherlands A. E. J. Bulstra, R. L. Jaarsma, J. N. Doornberg, Flinders University, Department of Orthopaedic & Trauma Surgery, Flinders Medical Centre, Adelaide, Australia D. Ring, Department of Surgery and Perioperative Care, Dell Medical School, The University of Texas at Austin, Austin, TX, USA.

Background: Preliminary experience suggests that deep learning algorithms are nearly as good as humans in detecting common, displaced, and relatively obvious fractures (such as, distal radius or hip fractures). However, it is not known whether this also is true for subtle or relatively nondisplaced fractures that are often difficult to see on radiographs, such as scaphoid fractures.

Questions/purposes: (1) What is the diagnostic accuracy, sensitivity, and specificity of a deep learning algorithm in detecting radiographically visible and occult scaphoid fractures using four radiographic imaging views? (2) Does adding patient demographic (age and sex) information improve the diagnostic performance of the deep learning algorithm? (3) Are orthopaedic surgeons better at diagnostic accuracy, sensitivity, and specificity compared with deep learning? (4) What is the interobserver reliability among five human observers and between human consensus and deep learning algorithm?

Methods: We retrospectively searched the picture archiving and communication system (PACS) to identify 300 patients with a radiographic scaphoid series, until we had 150 fractures (127 visible on radiographs and 23 only visible on MRI) and 150 non-fractures with a corresponding CT or MRI as the reference standard for fracture diagnosis. Read More

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http://dx.doi.org/10.1097/CORR.0000000000001318DOI Listing