6,359 results match your criteria Radius Distal Fractures


Hand and Wrist Injuries Related to Motocross Injuries: 5 Year Series.

J Hand Surg Asian Pac Vol 2019 Mar;24(1):60-64

* Royal Shrewsbury Hospital and Robert Jones Agnes Hunt Orthopaedic Hospital, Shropshire, UK.

Background: The increasingly fashionable sport of motocross is practiced worldwide by millions of people, but there is very little in the literature regarding its associated injuries and their prevention. We therefore present the first comprehensive, prospective study looking at hand and wrist injuries resulting from motocross injuries in the UK.

Methods: Data was prospectively collected over a 5-year period (from 2010 to 2015) at our regional trauma unit. Read More

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http://dx.doi.org/10.1142/S2424835519500115DOI Listing

Comparison of Five Years Clinical and Radiological Outcomes between Progressive and Non-Progressive Wrist Osteoarthritis after Volar Locking Plate Fixation of Distal Radius Fractures.

J Hand Surg Asian Pac Vol 2019 Mar;24(1):30-35

‡ Department of Hand Surgery, Nara Medical University, Kashihara, Nara, Japan.

Background: This study aimed to identify the effect of the progression of postoperative wrist osteoarthritis on 5 years clinical and radiological outcomes after volar locking plate fixation of distal radius fractures.

Methods: Altogether, 56 patients with distal radius fractures were followed up 5 years after surgery. Clinical assessment was performed using the Mayo modified wrist score, a visual analogue scale of pain, the Japanese version of the Disabilities of the Arm, Shoulder, and Hand score, and Patient-related wrist evaluation. Read More

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http://dx.doi.org/10.1142/S2424835519500061DOI Listing

Ipsilateral proximal and distal radius fractures with unstable elbow joint: Which should we address first?

Chin J Traumatol 2018 Dec 30. Epub 2018 Dec 30.

Department of Orthopaedics & Traumatology, Universiti Kebangsaan Malaysia, Cheras, Kuala Lumpur, Malaysia.

Simultaneous ipsilateral fractures involving radial head and distal end of radius are uncommon. We present our thoughts on which fracture should be addressed first. A 68-year-old lady sustained an ipsilateral fracture of the right radial head and distal end of radius following a fall. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10081275183009
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http://dx.doi.org/10.1016/j.cjtee.2018.04.007DOI Listing
December 2018
3 Reads

Death of an Extensor Pollicis Longus due to a Funeral.

J Orthop Case Rep 2018 Sep-Oct;8(5):89-91

Department of Orthopaedics, Aristotle University of Thessaloniki, Thessaloniki, Greece.

Introduction: Traumatic and atraumatic rupture of the extensor pollicis longus (EPL) tendon has been described as a result of mechanical or biological stresses. Common mechanisms include fractures of the distal radius, rheumatoid arthritis, local injection of steroids, and repetitive motion activities at the wrist.

Case Report: We report a case involving the spontaneous rupture of the EPL tendon in a relative of a deceased person who carried her coffin in a wrong way with no other predisposing factors. Read More

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http://dx.doi.org/10.13107/jocr.2250-0685.1228DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6367279PMC
February 2019
1 Read

[Preliminary effectiveness of carpal arthroscopic adjuvant treatment of intra-articular fractures of distal radius].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2019 Feb;33(2):138-143

Department of Orthopedics, Second Affiliated Hospital of Fujian Medical University, Quanzhou Fujian, 362000,

Objective: To investigate the early-term effectiveness of carpal arthroscopy in the treatment of intra-articular fractures of distal radius.

Methods: The clinical data of 50 cases of intra-articular fractures of distal radius between January 2015 and December 2017 were retrospectively analyzed. According to the different methods of intraoperative assisted treatment, the patients were divided into the trial group (11 cases with carpal arthroscopy assisted treatment) and the control group (39 cases with traditional open reduction). Read More

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http://dx.doi.org/10.7507/1002-1892.201807038DOI Listing
February 2019
1 Read

The efficacy of using 3D printing models in the treatment of fractures: a randomised clinical trial.

BMC Musculoskelet Disord 2019 Feb 8;20(1):65. Epub 2019 Feb 8.

Department of Orthopaedics, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, 109 Xue Yuan Xi Road, Wenzhou, 325000, Zhejiang, China.

Background: The aim of this study was to evaluate the efficacy of the use of three-dimensional (3D) printing models for preoperative planning in cases of complex fracture.

Methods: In total, 48 patients with AO type C fractures of the distal radius were enrolled in the study between January 2014 and January 2015. They were divided randomly into 3D model (n = 23) and routine treatment (n = 25) groups. Read More

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http://dx.doi.org/10.1186/s12891-019-2448-9DOI Listing
February 2019

An Evidence-Based Approach to Casting and Orthosis Management of the Pediatric, Adolescent, and Young Adult Population for Injuries of the Upper Extremity: A Review Article.

Clin J Sport Med 2019 Feb 4. Epub 2019 Feb 4.

Department of Physical Medicine and Rehabilitation, Mayo Clinic, Jacksonville, Florida.

Objective: Review the use of upper-extremity orthoses and casts after injuries to the wrist and hand in the pediatric, adolescent, and young adult population. The common injuries reviewed include pediatric distal radius fractures, scaphoid fractures, metacarpal fractures, mallet fingers, volar plate injuries of the proximal interphalangeal (PIP) joint, and ulnar collateral ligament (UCL) tears of the thumb metacarpophalangeal (MCP) joint.

Data Sources: We conducted a literature review from 1985 to 2016 of upper-extremity orthotic interventions. Read More

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http://dx.doi.org/10.1097/JSM.0000000000000718DOI Listing
February 2019
1 Read

Association of scapholunate dissociation and two-part articular fractures of the distal radius.

J Hand Surg Eur Vol 2019 Feb 6:1753193419826490. Epub 2019 Feb 6.

1 Department of Orthopedics, Flinders University, Bedford Park, SA, Australia.

Scapholunate dissociation may occur in association with distal radial fractures and is easily missed at initial presentation. The aim of this study was to examine variances in the scapholunate distance with respect to subtypes of two-part partial articular distal radial fractures. Axial computed tomography (CT) scans of acute two-part intra-articular radial fractures were assessed retrospectively from 80 patients and compared to 20 controls. Read More

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http://dx.doi.org/10.1177/1753193419826490DOI Listing
February 2019

[Forearm diaphyseal fractures in pediatric patients. Review of treatment results].

Acta Ortop Mex 2018 Sep-Oct;32(5):279-282

Centenario Hospital «Miguel Hidalgo». Aguascalientes, Ags. México.

Objective: To describe the most common types of fractures in patients under 16 years of age at the forearm level, and to evaluate depending on the level of the fracture, the treatment with better results.

Material And Methods: We perform a retrospective analysis to determine the frequency of forearm fractures in patients under 16 years, in the period from January 2013-July 2017. The following diagnoses were entered into the system: forearm fracture, radius fracture, ulnar fracture and bilateral fracture. Read More

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February 2019

A Long-Term Study of Application of Joshi's External Stabilizing System in Displaced Intra-articular Distal End Radius Fractures.

J Wrist Surg 2019 Feb 19;8(1):49-54. Epub 2018 Aug 19.

Department of Orthopedics, Sri Aurobindo Medical College and PG Institute, Indore, Madhya Pradesh, India.

 Fractures of the distal end radius are a common upper extremity fracture. Intra-articular distal end radius fractures are recognized as very complex injuries with a variable prognosis. The aim of the study was to assess the long-term functional outcome of patients treated with Joshi's external stabilizing system (JESS) for displaced intra-articular distal end radius fractures. Read More

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http://dx.doi.org/10.1055/s-0038-1668560DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6358451PMC
February 2019
1 Read

Minimally Invasive Plate Osteosynthesis for Extra-articular Distal Radius Fracture in Postmenopausal Women: Longitudinal versus Transverse Incision.

J Wrist Surg 2019 Feb 7;8(1):18-23. Epub 2018 Aug 7.

Department of Hand Surgery, University Hospital of Strasbourg, Fédération de Médecine Translationnelle de Strasbourg, University of Strasbourg, Illkirch, France.

 This work aimed to compare two mini-invasive palmar approaches (longitudinal and transverse) to osteosynthesize fractures of the distal radius. The main hypothesis was that the longitudinal technique gave smaller incisions. The secondary hypothesis was that the longitudinal technique would be better for the recovery of pain, functional scores, strength, and mobility. Read More

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http://dx.doi.org/10.1055/s-0038-1667305DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6358455PMC
February 2019
1 Read

Postoperative Treatment of Distal Radius Fractures Using Sensorimotor Rehabilitation.

J Wrist Surg 2019 Feb 27;8(1):2-9. Epub 2018 Sep 27.

Carmel Lady Davis Medical Center Occupational Therapy, Haifa, Israel.

 Sensorimotor and specifically proprioception sense has been used in rehabilitation to treat neurological and joint injuries. These feedback loops are not well understood or implemented in wrist treatment. We observed a temporary sensorimotor loss, following distal radius fractures (DRF) that should be addressed postsurgery. Read More

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http://dx.doi.org/10.1055/s-0038-1672151DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6358444PMC
February 2019

A technical note on the reduction of distal radius fractures with angular stable plates.

J Orthop 2019 Mar-Apr;16(2):113-117. Epub 2019 Jan 18.

Department of Trauma Surgery, University Medical Center of Schleswig-Holstein, Campus Kiel, Germany.

Plating of distal radius fractures is a common procedure. Especially in busy practices the procedure is mostly performed by a single surgeon. By the use of a distance holder screw in the most proximal hole of the shaft of an angular stable distale radius plate a Lever arm can be created that allows indirect reduction of a dorsal ly displaced distal radius fracture. Read More

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http://dx.doi.org/10.1016/j.jor.2019.01.001DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6352743PMC
January 2019

Sokrat II - An International, Prospective, Multicenter, Phase IV Diagnostic Trial to Evaluate the Efficacy of the Wrist SAFE Algorithm in Fracture Sonography of Distal Forearm Fractures in Children.

Ultraschall Med 2019 Feb 5. Epub 2019 Feb 5.

Pediatric surgery, Heinrich-Heine-Universität Düsseldorf Medizinische Fakultät, Düsseldorf, Germany.

Background:  Distal forearm fractures are the most common fractures in childhood and can be diagnosed with ultrasound. The aim of this study was to demonstrate the eligibility of Wrist SAFE for clinical use and the avoidance of X-ray application in children.

Methods:  We enrolled patients from 0 - 12 years with suspected distal forearm fractures. Read More

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http://dx.doi.org/10.1055/a-0825-6284DOI Listing
February 2019

Distal radius nonunion after epiphyseal plate fracture in a 15 years old young rider.

Acta Biomed 2018 Dec 18;90(1-S):169-174. Epub 2018 Dec 18.

SSD Ortopedia e Traumatologia , Ospedale Oglio Po, Casalmaggiore (CR).

Background And Aim Of The Work: Radius and ulna fractures are the most common long bone fractures in children and adolescents. The majority of these injuries involve the distal metaphyseal portion of the radius associated or not to physeal plate injuries. Because of the high remodelling potential of the distal radius in growing children most injuries heal without complication after closed reduction and immobilization in a long arm cast. Read More

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http://dx.doi.org/10.23750/abm.v90i1-S.7999DOI Listing
December 2018

Preliminary experience with triangular CarboFix "Piccolo" Distal Radius Plate in wrist fractures. Clinical and radiological results.

Acta Biomed 2018 Oct 23;90(1-S):61-66. Epub 2018 Oct 23.

.

Background and aim o the work In the recent last years there was a diffusion of new radiolucent plates for the treatment of distal radius fractures. The aim of our study is to evaluate the clinical and radiological outcomes at 12-month-follow-up for the treatment of distal radius fracture with the new triangular CarboFix "Piccolo" Distal Radius Plate. Methods All consecutive patients aged from 18 or over, who were treated for unstable distal radius fracture with a volar CarboFix "Piccolo" Distal Radius Plate with triangular design between September 2015 and May 2016, have been included in the study. Read More

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http://dx.doi.org/10.23750/abm.v90i1-S.7697DOI Listing
October 2018

SLA-VER: study protocol description and preliminar results of the first italian RCT on conservative treatment of distal radial fractures.

Acta Biomed 2019 Jan 10;90(1-S):54-60. Epub 2019 Jan 10.

.

Introduction: There is no consensus on which is the best way to maintain initial reduction of a distal radius fractures (DRFs). The aim of this study is to test the hypothesis that below elbow cast (BEC) is equivalent to above elbow cast (AEC) in maintaining initial reduction of DRFs. This paper will report on midterm results. Read More

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http://dx.doi.org/10.23750/abm.v90i1-S.8083DOI Listing
January 2019

The Role of Additional K-Wires on AO Type C Distal Radius Fracture Treatment with External Fixator in Young Population.

Adv Orthop 2019 1;2019:8273018. Epub 2019 Jan 1.

Department of Orthopedic Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea.

Objectives: Several methods have been proposed to treat AO type C distal radius fracture. External fixator has gained popularity for its simple procedure and rapid recovery. Some surgeons suggested that additional K-wires may play a critical role in the outcome. Read More

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http://dx.doi.org/10.1155/2019/8273018DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6332986PMC
January 2019
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Results of wrist hemiarthroplasty for comminuted distal radius fractures in independent elderly people: a retrospective study on eleven patients.

Hand Surg Rehabil 2019 Jan 31. Epub 2019 Jan 31.

Hôpital d'Instruction des Armées Sainte-Anne, Service de Chirurgie Orthopédique et Traumatologie, 2, boulevard Sainte-Anne, 83200 Toulon, France.

The comminuted distal radius fractures among elderly people are usually linked to osteoporosis, and repairing them in this context is a therapeutical challenge. Several teams have reported good results of radius resurfacing. The goal of our study was to evaluate the usability of the wrist in a new series of patients after surgery. Read More

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http://dx.doi.org/10.1016/j.hansur.2018.11.004DOI Listing
January 2019

Minimally invasive internal fixation for extra-articular distal radius fracture: Comparison between volar plate and intramedullary nail.

Orthop Traumatol Surg Res 2019 Jan 30. Epub 2019 Jan 30.

Department of Hand Surgery, SOS Main, CCOM, University of Strasbourg, University Hospital of Strasbourg, FMTS, Icube CNRS 7357, 10, avenue Baumann, 67400 Illkirch, France. Electronic address:

Introduction: There are numerous internal fixation techniques for distal radius fracture, using pins, plates or nails. Some authors have developed minimally invasive procedures. The aim of the present study was to compare two minimally invasive internal fixation techniques for unstable extra-articular distal radius fracture in women over 50 years of age: volar plate (minimally invasive plate osteosynthesis: MIPO), and intramedullary nail. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S18770568183035
Publisher Site
http://dx.doi.org/10.1016/j.otsr.2018.10.013DOI Listing
January 2019
2 Reads

Distal radial torus fracture in an adult. A new type of occult wrist fracture?

An Sist Sanit Navar 2019 Feb 1;0(0):67689. Epub 2019 Feb 1.

Servicio de Traumatología. Hospital Virgen del Camino..

Torus or buckle fractures typically affect children who have suffered indirect minor wrist injuries. They are axial compression-type metaphyseal fractures of cortical and cancellous bone, which are stable and their treatment therefore consists in immobilisation of the joint for three to four weeks. We present an atypical case of distal radius torus fracture in a 19-year-old adult male, which has not been previously reported in adults and can be considered a new type of occult fracture. Read More

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http://dx.doi.org/10.23938/ASSN.0386DOI Listing
February 2019

Considerations in the Treatment of Osteoporotic Distal Radius Fractures in Elderly Patients.

Curr Rev Musculoskelet Med 2019 Jan 31. Epub 2019 Jan 31.

Division of Hand and Upper Extremity Surgery, Department of Orthopedics, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.

Purpose Of Review: With the incidence of distal radius fractures increasing in the elderly population, we sought to summarize the current orthopedic and medical management of these fractures in the elderly osteoporotic population.

Recent Findings: The number of osteoporotic patients undergoing surgical fixation for distal radius fractures has increased in recent years. This is likely due to the improved outcomes seen with volar locking plates, as well as an increase in the number of fellowship-trained hand surgeons. Read More

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http://dx.doi.org/10.1007/s12178-019-09531-zDOI Listing
January 2019
2 Reads

Managements of giant cell tumor within the distal radius: A retrospective study of 58 cases from a single center.

J Bone Oncol 2019 Feb 14;14:100211. Epub 2018 Dec 14.

Department of Musculoskeletal Oncology, The First Affiliated Hospital of Sun Yat-Sen University, 58#, Zhongshan 2 Road, Guangzhou, 510080, China.

Background: Giant cell tumor of bone (GCTB) in distal radius is a benign but invasive bone tumor characterized by strong aggressive behavior and frequent recurrence.

Methods: To identify recurrence related risk factors and decide suitable surgical strategy, the potential tumor- and treatment-specific factors, post-operative oncologic and functional outcomes were collected and analyzed from 58 patients with GCTB of the distal radius at our center.

Results: With the numbers available, our analysis strongly indicated soft tissue extension (with vs. Read More

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http://dx.doi.org/10.1016/j.jbo.2018.100211DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6348933PMC
February 2019
1 Read

Success Rates for Reduction of Pediatric Distal Radius and Ulna Fractures by Emergency Physicians.

Pediatr Emerg Care 2019 Jan 29. Epub 2019 Jan 29.

Phoenix Children's Hospital, Phoenix, AZ.

Background: Emergency physicians are trained in urgent fracture reduction. Many hospitals lack readily available in-house orthopedic coverage.

Objectives: The aim of this study was to determine success rates for reduction of pediatric distal radius or ulna fractures by emergency department (ED) physicians. Read More

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http://dx.doi.org/10.1097/PEC.0000000000001691DOI Listing
January 2019

Anomalous Courses of the Palmar Cutaneous Branch of the Median Nerve in Relation to the Flexor Carpi Radialis Tendon for ORIF of Distal Radius Fractures.

Hand (N Y) 2019 Jan 31:1558944718825137. Epub 2019 Jan 31.

1 New York University, New York, NY, USA.

Background: The purpose of this study was to prospectively document the incidence of variations in the course of palmar cutaneous branch of the median nerve (PCBMN) that may increase the risk of injury to the nerve during the flexor carpi radialis (FCR) approach. We hypothesize that the incidence of anomalous branching of the PCBMN around the FCR sheath will be approximately 5%.

Methods: All cases that met inclusion criteria between November 2013 and March 2018 were included. Read More

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http://dx.doi.org/10.1177/1558944718825137DOI Listing
January 2019

Solitary ulnar shortening osteotomy for malunion of distal radius fractures: experience of a centre in the UK and review of the literature.

Ann R Coll Surg Engl 2019 Jan 30:1-5. Epub 2019 Jan 30.

Royal Surrey County Hospital NHS Foundation Trust, Guildford , Surrey , UK.

Introduction: Isolated ulnar shortening osteotomies can be used to treat ulnocarpal abutment secondary to radial shortening following distal radius fractures. Given the increase of fragility distal radius fractures awareness of treating the sequelae of distal radius fractures is important. We present the largest reported case series in the UK of ulnar shortening osteotomies for this indication. Read More

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https://publishing.rcseng.ac.uk/doi/10.1308/rcsann.2018.0211
Publisher Site
http://dx.doi.org/10.1308/rcsann.2018.0211DOI Listing
January 2019
2 Reads

Fracture admission trends in England over a ten-year period.

Ann R Coll Surg Engl 2019 Jan 30:1-7. Epub 2019 Jan 30.

University Hospitals Plymouth NHS Trust , UK.

Introduction: Fractures are a common reason for admission to hospital around the world. Varying incidences have been reported but these are mainly based on small studies from individual centres. The aim of our study was to analyse fracture admissions in England over a ten-year period. Read More

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http://dx.doi.org/10.1308/rcsann.2019.0002DOI Listing
January 2019
2 Reads

The Capitate-to-Axis-of-Radius Distance (CARD): A New Radiographic Measurement for Wrist and Carpal Alignment in the Sagittal Plane.

J Hand Surg Am 2019 Jan 23. Epub 2019 Jan 23.

Roth McFarlane Hand and Upper Limb Centre, St. Joseph's Hospital, London, Ontario, Canada.

Purpose: To determine the reliability of a new radiographic index evaluating sagittal radiocarpal alignment, the capitate-to-axis-of-radius distance (CARD). A secondary purpose was to validate this index by comparing values between normal wrists and those with distal radial fractures (DRFs) and rheumatoid arthritis (RA).

Methods: The CARD is defined as the perpendicular distance from the center of the capitate head to the axis of the radius. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S03635023163082
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http://dx.doi.org/10.1016/j.jhsa.2018.10.024DOI Listing
January 2019
4 Reads

A systematic review of the quality of distal radius systematic reviews: Methodology and reporting assessment.

PLoS One 2019 23;14(1):e0206895. Epub 2019 Jan 23.

Department of Orthopedics and Traumatology, Division of Hand Surgery, Universidade Federal de São Paulo, Sao Paulo, Brazil.

Background: Many systematic reviews (SRs) have been published about the various treatments for distal radius fractures (DRF). The heterogeneity of SRs results may come from the misuse of SR methods, and literature overviews have demonstrated that SRs should be considered with caution as they may not always be synonymous with high-quality standards. Our objective is to evaluate the quality of published SRs on the treatment of DRF through these tools. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0206895PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6343870PMC
January 2019

The impact of mirror therapy on body schema perception in patients with complex regional pain syndrome after distal radius fractures.

Br J Pain 2019 Feb 13;13(1):35-42. Epub 2018 Jun 13.

SI 'Institute of Traumatology and Orthopedics of the Academy of Medical Sciences of Ukraine', Kyiv, Ukraine.

Introduction: Mirror therapy requires a minimum of equipment, is relatively simple to perform and effective for various pathological conditions. The effect of mirror therapy on body schema disturbances registered in complex regional pain syndrome type I (CRPS I) patients has not yet been determined.

Methods: The study is based on the analysis of the treatment results of 30 patients with CRPS I, developed as a result of the distal radius fractures, with help of mirror therapy together with exercise therapy and medications. Read More

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http://dx.doi.org/10.1177/2049463718782544DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6327356PMC
February 2019
4 Reads

Patient-reported outcomes after a distal radius fracture in adults: a 3-4 years follow-up.

Acta Orthop 2019 Jan 23:1-11. Epub 2019 Jan 23.

a Department of Surgery , Leiden University Medical Center (LUMC) , The Netherlands.

Background and purpose - There are few reports on the outcome of distal radius fractures after 1 year. Therefore we investigated the long-term patient-reported functional outcome and health-related quality of life after a distal radius fracture in adults. Patients and methods - We reviewed 823 patients, treated either nonoperatively or operatively in 2012. Read More

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http://dx.doi.org/10.1080/17453674.2019.1568098DOI Listing
January 2019

Early palmar plate fixation of distal radius fractures may benefit patients aged 50 years or older: a randomized trial comparing 2 different treatment protocols.

Acta Orthop 2019 Jan 23:1-10. Epub 2019 Jan 23.

a Department of Surgery, Division of Orthopaedic and Trauma Surgery , Oulu University Hospital , Oulu.

Background and purpose - There is no consensus regarding optimal treatment of displaced distal radius fractures (DRFs). We compared the results of 2 treatment protocols: early palmar plating vs. primary nonoperative treatment of displaced DRFs. Read More

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http://dx.doi.org/10.1080/17453674.2018.1561614DOI Listing
January 2019

The 50 most cited articles about wrist surgery.

Orthop Rev (Pavia) 2018 Dec 6;10(4):7715. Epub 2018 Dec 6.

Department of Translational Research on New Technologies in Medicine and Surgery, Azienda Ospedaliera Universitaria Pisana, University of Pisa, Italy.

The purpose was to establish a ranking of the 50 most cited articles about wrist surgery and analyse their features. Science Citation Index Expanded was used to identify the 50 most frequently cited orthopaedic journal articles written in English, searching for the topic "wrist surgery" in the subject category ''Orthopaedics''. Then, we analysed the number of citations, citation density, authorship, article institution, the year of publication, the country of origin of the article, name and impact factor of the journal, and publication type of the article. Read More

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http://dx.doi.org/10.4081/or.2018.7715DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6315303PMC
December 2018
1 Read

Initial clinical trial of pins coated with fibroblast growth factor-2-apatite composite layer in external fixation of distal radius fractures.

J Orthop 2019 Jan-Feb;16(1):69-73. Epub 2018 Dec 20.

Department of Orthopaedic Surgery, University of Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki, 305-8575, Japan.

Background: Pin tract infection and loosening are major complications and challenges in the treatment of fractures by external fixation. To address this issue, we developed titanium pins coated with a fibroblast growth factor 2 (FGF-2)-apatite composite layer. The purpose of this initial clinical trial is to clarify the safety and feasibility of using these pins for the external fixation of distal radius fractures. Read More

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http://dx.doi.org/10.1016/j.jor.2018.12.012DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6324763PMC
December 2018

Use of a Large Tenaculum Clamp as a Reduction Technique for Treatment of Distal Radius Fractures.

J Hand Surg Am 2019 Jan 16. Epub 2019 Jan 16.

Department of Orthopaedics and Rehabilitation, Oregon Health and Science University, Portland, OR. Electronic address:

Distal radius fractures are common upper extremity injuries requiring surgical treatment. In the context of management with a volar locking plate (VLP), a number of described techniques assist with restoration of individual anatomical parameters such as radial length, volar tilt, and articular congruity. We present a surgical technique that utilizes a large tenaculum bone clamp to provide an efficacious reduction in several planes. Read More

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http://dx.doi.org/10.1016/j.jhsa.2018.11.017DOI Listing
January 2019
1 Read

The Correction of Systematic Error due to Plaster and Fiberglass Casts on HR-pQCT Bone Parameters Measured In Vivo at the Distal Radius.

J Clin Densitom 2018 Nov 20. Epub 2018 Nov 20.

McCaig Institute for Bone and Joint Health, University of Calgary, Calgary AB, Canada; Department of Surgery, Cumming School of Medicine, University of Calgary, Calgary AB, Canada. Electronic address:

Due to difficulty assessing healing of distal radius fractures using conventional radiography, there is interest in using high resolution peripheral quantitative computed tomography (HR-pQCT) to track healing at the microarchitectural level. Unfortunately, the plaster-of-Paris and fiberglass casts used to immobilize fractures affect HR-pQCT measurements due to beam hardening, and increased noise. The challenge is compounded because casts have variable thickness, and an individual patient will often have their cast changed 2-3 times during the course of treatment. Read More

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http://dx.doi.org/10.1016/j.jocd.2018.11.005DOI Listing
November 2018

Assessment of Distal Radius Fracture Complications Among Adults 60 Years or Older: A Secondary Analysis of the WRIST Randomized Clinical Trial.

JAMA Netw Open 2019 Jan 4;2(1):e187053. Epub 2019 Jan 4.

Center for Statistical Consulting and Research, University of Michigan, Ann Arbor.

Importance: Complications affect treatment outcomes and quality of life in addition to increasing treatment costs.

Objectives: To evaluate complication rates after the treatment of a distal radius fracture, to determine whether the rate or complication type is associated with treatment method, and to determine predictors of complications.

Design, Setting, And Participants: The multicenter Wrist and Radius Injury Surgical Trial (WRIST), a randomized clinical trial, enrolled participants from April 10, 2012, to December 31, 2016. Read More

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http://jamanetworkopen.jamanetwork.com/article.aspx?doi=10.1
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http://dx.doi.org/10.1001/jamanetworkopen.2018.7053DOI Listing
January 2019
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The correlation between the teardrop angle and anterior lunate facet displacement in plating distal radial fractures.

J Hand Surg Eur Vol 2019 Jan 17:1753193418822470. Epub 2019 Jan 17.

5 Traumatologie und Unfallchirurgie, Universitaetsspital Basel, Basel, Switzerland.

This study aimed to determine the association of teardrop angle and anteroposterior distance with anterior lunate facet displacement and articular congruity before and after anterior plating of distal radial fractures. We included 36 patients with complete intra-articular distal radial fractures with separate anterior lunate facet fragments. On radiographs we determined the teardrop angle and anteroposterior distance. Read More

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http://dx.doi.org/10.1177/1753193418822470DOI Listing
January 2019

[Epidemic characteristics of adult Barton's fractures between Western and Eastern of China from 2010 to 2011].

Zhonghua Yi Xue Za Zhi 2019 Jan;99(1):62-66

Emergency Center of Trauma, Key Laboratory of Orthopedic Biomechanics of Hebei Province, Third Hospital of Hebei Medical University, Orthopedic Research Institution of Hebei Province, Shijiazhuang 050051, China.

To compare and analyze the epidemiological features of adult patients with Barton's fractures between Western and Eastern in China. The data of adult patients with Barton's fractures treated from January 2010 to December 2011 in 63 hospitals in Western and Eastern of China were collected through the picture archiving and communication systems (PACs) and case reports checking system. The data of 28 hospitals in Western China were classified as group Western, while data of 35 hospitals in Eastern China were classified as group Eastern, and the analytic items included gender, age and age distribution. Read More

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http://dx.doi.org/10.3760/cma.j.issn.0376-2491.2019.01.014DOI Listing
January 2019

[Galeazzi fracture in children: about 5 cases and literature review].

Pan Afr Med J 2018 14;30:274. Epub 2018 Aug 14.

Service de Chirurgie Pédiatrique, CHU Hassan II, Fès, Maroc.

Galeazzi fracture describes a fracture of the radial diaphysis in association with distal radioulnar dislocation (most often dorsal). We conducted a retrospective study in the Department of Pediatric Orthopedic Trauma at the Mother-Child Hospital CHU Hassan II in Fez (Morocco). The study involved five male children. Read More

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http://dx.doi.org/10.11604/pamj.2018.30.274.6290DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6317382PMC
January 2019

Opioid Prescribing Patterns of Orthopedic Surgery Residents After Open Reduction Internal Fixation of Distal Radius Fractures.

J Hand Surg Am 2019 Jan 8. Epub 2019 Jan 8.

Department of Orthopaedic Surgery, Harvard Combined Orthopaedics Residency Program, Boston, MA.

Purpose: In many academic medical centers, resident physicians typically write initial opioid prescriptions, but little is known about their prescribing practices. We hypothesized that lower resident postgraduate year, residency-training program, and noncompletion of an opioid prescribing training would be factors associated with increased opioid prescribing by orthopedic residents after open reduction and internal fixation of distal radius fractures.

Methods: A survey was administered to all 135 residents from 4 orthopedic residency programs in a state located in the northeastern United States between August 2017 and November 2017. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S03635023183060
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http://dx.doi.org/10.1016/j.jhsa.2018.11.003DOI Listing
January 2019
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Antegrade elastic stable intramedullary nail fixation for paediatric distal radius diaphyseal metaphyseal junction fractures: A new operative approach.

Injury 2019 Jan 6. Epub 2019 Jan 6.

Department of Pediatric Orthopaedics, The Third Hospital of Hebei Medical University, No. 139 Ziqiang Road, Shijiazhuang, 050051, Hebei, China. Electronic address:

Background And Purpose: The treatment of paediatric distal radius diaphyseal metaphyseal junction (DRDMJ) fractures is a challenge. The purpose of this study was to introduce a new operative approach at the proximal "safe zone" of the posterior interosseous nerve (PIN) to treat paediatric DRDMJ fractures and analyse the safety and efficacy of antegrade elastic stable intramedullary nail (ESIN) fixation.

Methods: Thirty paediatric patients with unstable and displaced DRDMJ fractures were treated by antegrade ESIN fixation from November 2015 to September 2017. Read More

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http://dx.doi.org/10.1016/j.injury.2019.01.001DOI Listing
January 2019
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The Effect of Elbow Position on Load to Failure in Olecranon Fracture Fixation: A Biomechanical Cadaveric Study.

J Orthop Trauma 2019 Jan 14. Epub 2019 Jan 14.

The University of Texas Medical Branch Department of Orthopaedic Surgery and Rehabilitation 301 University Blvd., Rt. 0165 Galveston, TX 77555-0165.

Objectives: This study evaluates if relative flexion or extension of the ulnohumeral joint affects the strength of repair in olecranon fractures treated with a pre-contoured locking plate.

Methods: A cadaveric study was performed in matched pair cadaveric elbows. All soft tissue was dissected from the radius, ulna and elbow of each specimen, leaving interosseous ligaments and joint capsules intact. Read More

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http://dx.doi.org/10.1097/BOT.0000000000001423DOI Listing
January 2019
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Outcomes Following Temporary Kapandji Pinning Technique and Distal Radial LCP Fixation for Intra-Articular Fractures of the Displaced Distal Radius.

Tech Hand Up Extrem Surg 2019 Jan 7. Epub 2019 Jan 7.

Department of Orthopaedics Phramongkutklao Hospital and College of Medicine, Bangkok.

In partially or completely displaced intra-articular fracture of the distal radius , achieving satisfactory reduction and maintenance of good reduction before applying the plate may be difficult. Especially to accomplish the anatomic volar tilt remains a problem. Typically, the Kapandji technique has been described to reduce and stabilize a large displaced and extra-articular fracture of the distal radius. Read More

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http://dx.doi.org/10.1097/BTH.0000000000000221DOI Listing
January 2019

Evaluation of Functional Outcomes for Adult Patients After Distal Radius Fracture Treated With Volar Plate Fixation Versus Nonsurgical Care.

J Trauma Nurs 2019 Jan/Feb;26(1):59-64

University of Florida College of Nursing, Gainesville.

Distal radius fractures are one of the most common fractures patients experience. Although there are a variety of treatments, there is a lack of standardization as it relates to treatment of such fractures. The purpose of this study was to compare treatment outcomes between surgical and nonsurgical care of distal radius fractures to inform evidence-based guidelines for the management of distal radius fractures. Read More

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http://dx.doi.org/10.1097/JTN.0000000000000416DOI Listing
January 2019

Hyperglycemic status is associated with an elevated risk of osteoporotic fracture in community-dwelling elderly Japanese men: The Fujiwara-kyo osteoporosis risk in men (FORMEN) cohort study.

Bone 2019 Jan 5;121:100-106. Epub 2019 Jan 5.

Nara Medical University School of Medicine, 840 Shijocho, Kashihara, Nara 634-8521, Japan.

Purpose: Patients with type 2 diabetes mellitus have an increased fracture risk. However, population-based studies on the association between glycemic status and fracture risk are scarce, and none have targeted a Japanese population. In addition, patients in the lowest category of hemoglobin A1c (HbA1c) do not always show the lowest risk. Read More

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http://dx.doi.org/10.1016/j.bone.2019.01.005DOI Listing
January 2019
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Defining displacement thresholds for surgical intervention for distal radius fractures - A Delphi study.

PLoS One 2019 8;14(1):e0210462. Epub 2019 Jan 8.

Academic Team of Musculoskeletal Surgery, University Hospitals of Leicester, Leicester, United Kingdom.

Distal radius fractures are very common yet controversy exists regarding which require treatment and is reflected by significant variation in surgical intervention rate. Evidence regarding which fractures would benefit from intervention is varied and largely poor quality. This study had three aims; identify which radiographic parameters are clinically important; quantify the threshold of displacement at which intervention should occur and investigate which patient factors influence the decision to intervene. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0210462PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6324814PMC
January 2019

Incidence of Flexor Pollicis Longus Complications Following Volar Locking Plate Fixation of Distal Radius Fractures.

Hand (N Y) 2019 Jan 8:1558944718820956. Epub 2019 Jan 8.

1 University of Pittsburgh Medical Center, PA, USA.

Background: Distal radius fractures are among the most common orthopedic injuries presenting to emergency departments. The complications of distal radius open reduction and internal fixation (ORIF) range from paresthesia to tendon ruptures. The Soong grading system was designed to evaluate volar plate position to predict postoperative flexor pollicis longus (FPL) ruptures. Read More

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http://journals.sagepub.com/doi/10.1177/1558944718820956
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http://dx.doi.org/10.1177/1558944718820956DOI Listing
January 2019
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Prevention and management of early treatment failures in elbow injuries.

Orthop Traumatol Surg Res 2019 Feb 24;105(1S):S75-S87. Epub 2018 Dec 24.

Chirurgie orthopédique et traumatologique, CHU Charles-Nicolle, 1, rue de Germont, 76031 Rouen, France.

The appropriate management of early treatment failures in patients with elbow injuries requires the identification of the cause of failure. In this work, six types of elbow injury are considered: (i) identification of early failed reduction of a dislocation or fracture-dislocation of the elbow should lead to a repeat reduction procedure, testing for elbow instability, and ligament repair, followed by the use of a hinged external fixator to allow early mobilisation. Differentiating an isolated dislocation from a dislocation combined with a fracture of the coracoid process is crucial. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S18770568183030
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http://dx.doi.org/10.1016/j.otsr.2018.05.016DOI Listing
February 2019
6 Reads