7,979 results match your criteria Radius Distal Fractures


Three-Dimensional Planning and Patient-Specific Instrumentation for the Fixation of Distal Radius Fractures.

Medicina (Kaunas) 2022 May 30;58(6). Epub 2022 May 30.

Department of Hand Surgery, Balgrist University Hospital, University of Zurich, 8008 Zurich, Switzerland.

: Three-dimensional planning and guided osteotomy utilizing patient-specific instrumentation (PSI) with the contralateral side used as a reference have been proven as effective in the treatment of malunions following complex fractures of the distal radius. However, this approach has not yet been described in relation to fracture reduction of the distal radius. The aim of this study was to assess the technical and logistical feasibility of computer-assisted surgery in a clinical setting using PSI for fracture reduction and fixation. Read More

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Quantitative Assessment of the Restoration of Original Anatomy after 3D Virtual Reduction of Long Bone Fractures.

Diagnostics (Basel) 2022 Jun 2;12(6). Epub 2022 Jun 2.

Department of Biomedical Engineering and Research Institute of Biomedical Engineering, College of Medicine, Catholic University of Korea, Seoul 06591, Korea.

The purpose of this study was to demonstrate the usefulness of 3D image-based virtual reduction by validating the evaluation criteria according to guidelines suggested by the AO Surgery Reference. For this experiment, 19 intact radial ORTHObones (ORTHObones radius, 3B Scientific, Germany, Hamburg) without any fractures were prepared. All ORTHObones with six cortical marking holes (three points on the distal part and three points on the proximal part) were scanned using a CT scanner twice (before/after intentional fracture of the ORTHObone). Read More

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Analysis of Physeal Fractures from the United States National Trauma Data Bank.

Children (Basel) 2022 Jun 18;9(6). Epub 2022 Jun 18.

Department of Orthopedics, University of Colorado Anschutz Medical Campus, Aurora, CO 80045, USA.

Background: Pediatric long-bone physeal fractures can lead to growth deformities. Previous studies have reported that physeal fractures make up 18-30% of total fractures. This study aimed to characterize physeal fractures with respect to sex, age, anatomic location, and Salter-Harris (SH) classification from a current multicenter national database. Read More

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Spontaneous Rupture of the Extensor Pollicis Longus Tendon in a Lacrosse Player.

Phys Sportsmed 2022 Jun 23. Epub 2022 Jun 23.

Louisiana State University Health Shreveport, Shreveport, LA.

Spontaneous rupture of the extensor pollicis longus (EPL) tendon at the wrist has been reported with predisposing factors to include distal radius fractures, rheumatoid arthritis, systemic or local steroids and repetitive abnormal motion of the wrist joint. We present a case of an 18-year-old college lacrosse player without history of known predisposing factors who presented with an acute inability to extend the interphalangeal (IP) joint of his right thumb. Preoperative musculoskeletal ultrasound demonstrated rupture of the EPL tendon proximal to the carpometacarpal (CMC) joint of the thumb. Read More

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[Wrist arthroscopy assisted open reduction and volar ligament reconstruction through osseous internal fixation for the treatment of distal radius Fernandez type Ⅳ fractures].

Zhongguo Gu Shang 2022 Jun;35(6):566-71

Sichuan Province Orthopaedics Hospital, Chengdu 610041, Sichuan, China.

Objective: To explore clinical effect of treatment for distal radius Fernandez type Ⅳ fractures by wrist arthroscopy assisted open reduction and volar ligament reconstruction through osseous, internal fixation.

Methods: From January 2018 to December 2019, 11 patients distal radius Fernandez type Ⅳ fractures treated with wrist arthroscopy assisted open reduction and volar ligament reconstruction through osseous, internal fixation, including 8 males and 3 females, aged from 23 to 42 years old. The fracture were all calssified to type Ⅳ according to Fernandez classification. Read More

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Treatment of distal radius fractures using a cemented K-wire frame.

BMC Musculoskelet Disord 2022 Jun 20;23(1):591. Epub 2022 Jun 20.

Central Laboratory, Second Hospital of Hebei Medical University, Shijiazhuang, 050000, Hebei, China.

Background: This retrospective study included an alternative treatment for types A2, A3, and B1 distal radius fractures using percutaneous fixation with a cemented K-wire frame.

Methods: From January 2017 to January 2020, 78 patients with distal radius fractures were treated with percutaneous internal fixation using a cemented K-wire frame. There were 47 male patients and 31 female patients. Read More

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Influence of ulnar bow sign on surgical treatment of missed Bado type I Monteggia fracture in children.

Sci Rep 2022 Jun 17;12(1):10238. Epub 2022 Jun 17.

Department of Orthopedics, The First Affiliated Hospital of Guangxi Medical University, 6 Shuangyong Road, Nanning, Guangxi, China.

The present study aimed to explore the influence of ulnar bow on the surgical treatment of Bado type I missed Monteggia fracture in children. A retrospective review of 28 patients was conducted between November 2010 and June 2020. All patients were treated with open reduction of the radial head and ulnar opening wedge osteotomy without annular ligament reconstruction. Read More

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Pancarpal dissociation, a very rare type of injury: A case report.

Medicine (Baltimore) 2022 Jun 17;101(24):e29479. Epub 2022 Jun 17.

Department of Orthopaedic Surgery, Bucheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.

Rationale: Pan-carpal dissociation is very rare injury and there is little information as to diagnosis, treatment, and prognosis of this injury.

Patient Concerns: A 35-year-man presented to our hospital with severe pain and swelling of the left wrist and forearm after slipping and falling while riding a motorcycle.

Diagnosis: The wrist simple radiographs demonstrated unrecognizable severe fracture-dislocation of the carpal bones concomitant with fractures of the radioulnar shaft. Read More

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Perioperative Protocol of Ankle Fracture and Distal Radius Fracture Based on Enhanced Recovery after Surgery Program: A Multicenter Prospective Clinical Controlled study.

Pain Res Manag 2022 7;2022:3458056. Epub 2022 Jun 7.

Department of Orthopaedic Trauma, Beijing Jishuitan Hospital, Beijing, China.

Background: The enhanced recovery after surgery (ERAS) program is aimed to shorten patients' recovery process and improve clinical outcomes. This study aimed to compare the outcomes between the ERAS program and the traditional pathway among patients with ankle fracture and distal radius fracture.

Methods: This is a multicenter prospective clinical controlled study consisting of 323 consecutive adults with ankle fracture from 12 centers and 323 consecutive adults with distal radial fracture from 13 centers scheduled for open reduction and internal fixation between January 2017 and December 2018. Read More

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A Review of Pediatric Distal Radius Buckle Fractures and the Current Understanding of Angled Buckle Fractures.

Cureus 2022 May 12;14(5):e24943. Epub 2022 May 12.

Department of Orthopaedic Surgery, Lake Erie College of Osteopathic Medicine, Bradenton, USA.

Distal radius buckle fractures (DRBFs) are the most common pediatric fractures and resemble the rounded portion of a Greek pillar or torus. They result from compressive forces applied to a child's highly plastic radius. DRBFs lack cortical and physeal disruption, which makes them relatively stable. Read More

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Radial distraction may reduce the incidence of ulnar-sided wrist pain in ulna-plus morphology intraoperatively following distal radius fractures fixation.

BMC Musculoskelet Disord 2022 Jun 15;23(1):580. Epub 2022 Jun 15.

Department of Orthopedics and Traumatology, Taipei Veterans General Hospital, No. 201, Sec 2, Shi-Pai Road, Taipei, 112, Taiwan, ROC.

Introduction: Fixed-angle plate fixation can be an effective treatment for distal radius fractures (DRFs). However, patients with existing ulnar positive variance might be at risk of developing symptoms of ulnar-sided wrist pain (USWP). Ulnar shortening osteotomy (USO) is one of the main treatment options for USWP. Read More

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Clinical outcomes of open-wedge corrective osteotomy using autogenous or allogenic bone grafts for malunited distal radius: A novel parameter for measuring the rate of bone union.

Acta Orthop Traumatol Turc 2022 May;56(3):199-204

Department of Orthopaedic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.

Objective: The aims of the study were (1) to compare outcomes in terms of malunited distal radius bone union in open-wedge corrective osteotomy using autogenous or allogenic bone and (2) to introduce a new parameter that quantifies the rate of the bone union.

Methods: This retrospective study included 22 patients (14 males, 8 females) who underwent open-wedge corrective osteotomy with bone grafting for a malunited distal radius fracture between January 2006 and December 2018 were enrolled. The mean follow-up duration was 57. Read More

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Surgical Management of Acute on Chronic Distal Radius Fractures: Correcting Malunion Deformities Through the Secondary Fracture Plane.

Tech Hand Up Extrem Surg 2022 May 2. Epub 2022 May 2.

Department of Orthopaedics & Rehabilitation, University of New Mexico, Albuquerque, NM.

It is challenging to restore the clinically acceptable alignment of the distal radius after an acute on chronic fracture or after a secondary fracture occurring after malunion of a primary distal radius fracture. In cases of insignificant primary deformity, restoration to the primary deformity may suffice to obtain a successful clinical result. A borderline acceptable primary radial deformity can be unacceptable after the second injury, resulting in functional disability. Read More

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A Cadaveric Comparison of Approaches for Exposure of the Volar Distal Radius: Is There a Utilitarian Approach?

Hand (N Y) 2022 Jun 13:15589447221094320. Epub 2022 Jun 13.

Indiana Hand to Shoulder Center, Indianapolis, USA.

Background: It remains unclear whether exposure for planned fixation of distal radius fractrues is superior with any given approach, and whether a single utilitarian approach exists that permits reliable complete exposure of the volar distal radius.

Methods: A cadaveric study was performed using 10 matched specimens. Group 1 consisted of 3 radially based approaches (standard flexor carpi radialis [FCR], standard FCR with radial retraction of FCR and flexor pollicis longus [FPL] tendons, extended FCR). Read More

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Does Time to Operative Intervention of Distal Radius Fractures Influence Outcomes?

Hand (N Y) 2022 Jun 11:15589447211072219. Epub 2022 Jun 11.

Case Western Reserve University, Cleveland, OH, USA.

Background: No investigation has analyzed the time from injury to operative intervention and its effect on complications and functional outcomes in distal radius fractures. This investigation aimed to establish whether the time to surgical intervention from injury was associated with the observed rate of complications in distal radius fractures.

Methods: A retrospective review of all orthopedic trauma patients who came to our center was conducted from 2008 through 2014. Read More

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EPIDEMIOLOGY, CLASSIFICATION, AND TREATMENT OF BILATERAL FRACTURES OF THE DISTAL RADIUS.

Acta Ortop Bras 2022 23;30(3):e245185. Epub 2022 May 23.

Universidade Federal do Ceará, Faculty of Medicine, Department of Orthopedics, Fortaleza, CE, Brazil.

Objective: To study epidemiology, fracture pattern, associated injuries, and treatment of individuals with bilateral distal radius fracture, in a tertiary hospital.

Methods: Retrospective cross-sectional study developed based on patients with bilateral distal radius fracture from January 2012 to November 2017. Demographic data, trauma mechanism, radiological patterns, degree of deviation, associated injuries, classification of fractures according to the Association of Osteosynthesis (AO), the Salter-Harris (SH) and Frykman scales, and type of treatment used in each case. Read More

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Volar locking plate fixation for distal radius fractures: did variable-angle plates make difference?

Int Orthop 2022 Jun 11. Epub 2022 Jun 11.

Department of Trauma and Orthopedics, Faculty of Medicine, Cairo University, Cairo, Egypt.

Purpose: Two different locking plate designs are now being used for volar plating of the distal radius fractures based on the freedom of screw direction; the fixed-angle, and the variable-angle (polyaxial) plates. We investigated the clinical and radiographic outcomes of both designs.

Methods: We reviewed 96 patients with 113 unstable distal radius fractures that were operated on with volar locking plates. Read More

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Comparative clinical and radiographic outcomes between early and delayed wrist mobilization after volar fixed-angle plate fixation of distal radius fracture.

Sci Rep 2022 Jun 10;12(1):9648. Epub 2022 Jun 10.

Department of Orthopaedic Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.

Postoperative immobilization protocols after volar fixed-angle plate fixation of distal radius fractures (DRF) vary among surgeons. This study aimed to compare functional outcomes, radiographic parameters, and complications between early and delayed mobilization after volar fixed-angle plate fixation of DRF. This study is a randomized controlled trial. Read More

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Outcomes of Primary Volar Locking Plate Fixation of Open Distal Radius Fractures.

J Hand Surg Asian Pac Vol 2022 May 27:1-7. Epub 2022 May 27.

Department of Orthopaedic Surgery, Chung-Ang University Hospital, Seoul, South Korea.

Few studies have reported the outcomes of primary volar locking plate fixation in Gustilo and Anderson type II and IIIA open distal radius fractures. We report the outcomes of treatment of Gustilo and Anderson type II and IIIA open distal radius fractures using primary volar locking plate fixation. We retrospectively reviewed 24 patients with open distal radius fractures who were treated using primary volar locking plate fixation. Read More

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[A Distal Radius Fracture Is Not Simply a Distal Radius Fracture].

Praxis (Bern 1994) 2022 ;111(8):475-481

Medbase St. Gallen Am Vadianplatz, St. Gallen, Schweiz.

A Distal Radius Fracture Is Not Simply a Distal Radius Fracture We report on a 57-year-old female patient with a distal extra-articular radius fracture. The family doctor's suspicion was an osteoporosis-associated fracture, and an interdisciplinary investigation was initiated. In addition to DXA measurement differential diagnoses for secondary osteoporosis were considered. Read More

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Implicit and Explicit Factors that Influence Surgeons' Decision-Making for Distal Radius Fractures in Older Patients.

J Hand Surg Am 2022 Jun 2. Epub 2022 Jun 2.

Department of Orthopedic Surgery, Brigham and Women's Hospital, Boston MA; Harvard Medical School, Boston, MA.

Purpose: The purpose of this study was to evaluate factors that influence surgeons' decision-making in the treatment of distal radius fractures in older patients.

Methods: Fourteen clinical vignettes of a 72-year-old patient with a distal radius fracture were sent to 185 orthopedic hand and/or trauma surgeons. The surgeons were surveyed regarding the demographic/practice details, treatment decision (surgical or nonsurgical), and factors that influenced management, including the Charlson Comorbidity Index, functional status, radiographic appearance, and handedness. Read More

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Children's distal forearm fractures: a population-based epidemiology study of 4,316 fractures.

Bone Jt Open 2022 Jun;3(6):448-454

Department of Orthopaedic Surgery, Aalborg University Hospital, Aalborg, Denmark.

Aims: The aim of this study was to report a complete overview of both incidence, fracture distribution, mode of injury, and patient baseline demographics of paediatric distal forearm fractures to identify age of risk and types of activities leading to injury.

Methods: Population-based cohort study with manual review of radiographs and charts. The primary outcome measure was incidence of paediatric distal forearm fractures. Read More

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A Novel Prescription Method Reduces Postoperative Opioid Distribution and Consumption: A Randomized Clinical Trial.

Hand (N Y) 2022 Jun 3:15589447221096709. Epub 2022 Jun 3.

University of Iowa Hospitals and Clinics, Iowa City, USA.

Background: Prescription opioid abuse in the United States has risen substantially over the past 2 decades. Narcotic prescription refill restrictions may paradoxically be contributing to this epidemic. We investigated a novel, refill-based opioid prescription method to determine whether it would alter postoperative narcotic distribution or consumption. Read More

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The functional and radiographic outcomes following distal radius fracture treatment in a cast for 4 and 6 weeks in the elderly: A randomized trial.

Adv Clin Exp Med 2022 Jun 2. Epub 2022 Jun 2.

Department of Orthopaedic and Trauma Surgery, Institute of Medical Sciences, University of Opole, Poland.

Background: The optimal duration of cast immobilization following distal radius fractures (DRFs) in elderly patients has not been established.

Objectives: To assess the functional and radiological parameters following DRF treatment in elderly patients using 2 different periods of cast immobilization.

Material And Methods: We assessed 50 patients (33 women and 17 men). Read More

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Ipsilateral Simultaneous Low-Energy Multiple Upper Limb Fractures in an Elderly Patient: Case Report and Review of the Literature.

Case Rep Orthop 2022 18;2022:3571724. Epub 2022 May 18.

Department of Orthopedic Surgery and Traumatology, Clemenceau Medical Center Affiliated with Johns Hopkins International, Clemenceau Beirut, Lebanon.

Traumatic injuries of the upper limb can result in variant fracture combination. This article discusses a rare injury combination including ipsilateral proximal and distal humerus fractures alongside a distal radius fracture. The mechanism of the fall is unknown, but the patient being old with such a complex injury, one can only assume that osteoporosis played a major role. Read More

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Pediatric Orthopedic Trauma Care During the COVID-19 Pandemic: A Survey of the Pediatric Orthopedic Society of North America.

HSS J 2022 May 15;18(2):205-211. Epub 2021 Nov 15.

Division of Orthopaedic Surgery, UCSF Benioff Children's Hospitals, Oakland, CA, USA.

The COVID-19 pandemic has dramatically altered the practice of pediatric orthopedic trauma surgery in both outpatient and inpatient settings. While significant declines in patient volume have been noted, the impact on surgeon decision-making is unclear. We sought to investigate changes in pediatric orthopedic trauma care delivery as a result of COVID-19 and determine their implications for future orthopedic practice. Read More

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Greater length of hospital stay for concurrent hip and upper limb fractures compared to isolated hip fractures: a systematic review of 13 studies including 210,289 patients and meta-analysis.

Injury 2022 Jul 24;53(7):2617-2624. Epub 2022 May 24.

Blackpool Teaching Hospitals NHS Foundation Trust, Blackpool, UK; School of Medicine, University of Central Lancashire, Preston, UK. Electronic address:

Background: The impact of concurrent upper limb and fragility hip fractures has not been well defined. A greater understanding of this can guide decision making in the early peri-operative period and subsequent rehabilitation of such patients.

Aims: To identify if patients with concurrent upper limb and fragility hip fractures have different outcomes and demographics than those with an isolated hip fracture. Read More

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Risk Factors for Infections Following Open Reduction and Internal Fixation for Distal Radius Fractures An Analysis of the Medicare Claims Database.

Bull Hosp Jt Dis (2013) 2022 Jun;80(2):228-233

Bulletin of the Hospital for Joint Diseases 2022;80(2):228-33228 Mahmood B, Golub IJ, Ashraf AM, Ng MK, Vakharia RM, Choueka J. Risk factors for infections following open reduction and internal fixation for distal radius fractures: an analysis of the medicare claims database. Bull Hosp Jt Dis. Read More

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Quantitative Analysis of the Volar Ulnar Corner of the Distal Radius: A Reference For Intraoperative Distal Radius Fracture Reduction.

J Hand Surg Am 2022 May 28. Epub 2022 May 28.

Department of Orthopaedic Surgery, Hand and Upper Extremity Service, Massachusetts General Hospital, Boston, MA. Electronic address:

Purpose: The reduction of distal radius fractures using volar locking plate fixation can be performed by securing the plate to the distal fragments and then levering the plate to the radial shaft. Oblique placement of the plate on the radial shaft may lead to malreduction. The aim of this study was to evaluate parameters that can be used for the assessment of intraoperative distal radius fracture reduction using "distal-first" volar plate fixation, especially the geometry of the ulnar corner. Read More

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Variations in Strain Distribution at Distal Radius under Different Loading Conditions.

Life (Basel) 2022 May 16;12(5). Epub 2022 May 16.

Management Strategy Section, President Office, Niigata University, Niigata 950-2181, Japan.

Distal radial fractures exhibit various fracture patterns. By assuming that the strain distribution at the distal radius affects the diversification of the fracture pattern, a parameter study using the finite element model of a wrist developed from computed tomography (CT) images was performed under different loading conditions. The finite element model of the wrist consisted of the radius, ulna, scaphoid, lunate, triquetrum, and major carpal ligaments. Read More

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