7,469 results match your criteria Radius Distal Fractures


Comparison of the Orientation Angles of Volar Locking Plate Distal Ulnar Locking Screw for Distal Radius Fractures.

J Hand Surg Am 2021 Jun 19. Epub 2021 Jun 19.

Department of Orthopaedic Surgery, Toyonaka Municipal Hospital, Osaka, Japan.

Purpose: This study aimed to measure the angles between the screw and plate in 16 commercially available volar locking plates (VLPs) to determine the fixable intra-articular fragment size.

Methods: Ulnar orientation angles (axial plane) and elevation angles (sagittal plane) between the distal ulnar screw and plate were measured for 14 fixed-angle VLPs and 2 variable-angle VLPs. Each VLP was simulated by 2 surgeons to sit distally and ulnarly in 10 normal distal radius models. Read More

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Volar plate fixation vs. non-operative management for distal radius fractures in older adults: a meta-analysis.

Eur Rev Med Pharmacol Sci 2021 Jun;25(11):3955-3966

Department of Orthopedics, Zaozhuang Hospital of Traditional Chinese Medicine, Zaozhuang, Shandong Province, P.R. China.

Objective: The aim of the study was to perform a systematic literature search and conduct a meta-analysis of studies comparing clinical and functional outcomes of open reduction with internal fixation (ORIF) using a volar plate and closed reduction with casting for distal radius fracture in older adults (≥60 years of age).

Materials And Methods: A comprehensive electronic search was done for PubMed, Scopus, CENTRAL (Cochrane Central Register of Controlled Trials), and Google scholar databases. Only randomized controlled trials (RCTs) comparing the two treatment modalities for functional and clinical outcomes were eligible to be included. Read More

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Epidemiological study of distal radius fractures in the sanitary area of Vigo.

Rev Esp Cir Ortop Traumatol 2021 Jun 18. Epub 2021 Jun 18.

Departamento de Cirugía Ortopédica y Traumatología, Hospital Álvaro Cunqueiro, Vigo, Pontevedra, España.

Introduction: Distal radius fractures (DRF) are being a bigger burden for health resources as changes continue to happen in our population demography and in management strategies, so a precise epidemiologic comprehension is mandatory. We present a DRF epidemiology study and we compared it with other sanitary areas of the Iberian Peninsula and Europe.

Method: Every DRF in our sanitary area registered between 2017 and 2018 in patients older than 18 years old were observational and retrospectively recorded and classified using AO-OTA classification. Read More

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Intraoperative evaluation of DRUJ instability through dorsal stress radiography in distal radius fractures.

J Orthop Sci 2021 Jun 18. Epub 2021 Jun 18.

Department of Orthopaedic Surgery, Konkuk University, School of Medicine, Seoul, South Korea. Electronic address:

Introduction: Certain type of injury of the triangular fibrocartilage complex associated with distal radius fracture can result in distal radioulnar joint instability (DRUJ). Untreated DRUJ instability may lead to poor result in the treatment of acute distal radius fractures. The aim of this study was to evaluate DRUJ instability in distal radius fractures through dorsal stress radiography comparing the affected and unaffected wrists intraoperatively. Read More

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Three-dimensional analysis of the gap space under forearm casts.

Chin J Traumatol 2021 Jun 2. Epub 2021 Jun 2.

Department of Orthopaedics and Traumatology, Université Libre de Bruxelles, Campus Hospitalo-Facultaire Erasme, 1070, Bruxelles, Belgium.

Purpose: Secondary displacement represents a frequent complication of conservative treatment of fractures, particularly of the distal radius. The gap space between skin and cast allows to a certain degree movements and this increased mobility might favor redisplacement. The aim of this study was to develop a new 3D method, to measure the gap space in all 3 geometrical planes, and to validate this new technique in a clinical setting of distal radius fractures. Read More

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The incidence of distal radius fractures in a Swedish pediatric population - an observational cohort study of 90 970 individual fractures.

BMC Musculoskelet Disord 2021 Jun 19;22(1):564. Epub 2021 Jun 19.

Department of Clinical Science and Education, Södersjukhuset Karolinska Institutet, SE-118 83, Stockholm, Sweden.

Background: 40-50 % of all boys and 30-40 % of girls suffer from at least one fracture during childhood. A quarter of these fractures affects the wrist, making it the worst affected part of the body. Children often sustain the injury during play or sport activities. Read More

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The external fixation can be a good alternative to plate-screw treatment in the surgical treatment of bilateral distal radius fractures: A retrospective cohort study.

Jt Dis Relat Surg 2021 11;32(2):406-413. Epub 2021 Jun 11.

Maltepe Üniversitesi Tıp Fakültesi Ortopedi ve Travmatoloji Anabilim Dalı, 34844 Maltepe, İstanbul, Türkiye.

Objectives: We aimed to compare the outcomes of two surgical treatment options, external fixator (EF) or open reduction and internal fixation (ORIF), in patients with bilateral distal radius fractures (DRFs).

Patients And Methods: Twenty-one patients (11 males 10 females; mean age: 40.0±16. Read More

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What Are the Tradeoffs in Outcomes after Casting Versus Surgery for Closed Extraarticular Distal Radius Fractures in Older Patients? A Statistical Learning Model.

Clin Orthop Relat Res 2021 06 18. Epub 2021 Jun 18.

Section of Plastic Surgery, Department of Surgery, University of Michigan Medical School, Ann Arbor, MI, USA.

Background: Distal radius fractures (DRFs) are one of the most common major fractures. Despite their frequency, the tradeoffs in different outcomes after casting or surgery for closed extraarticular DRFs in older adults are unknown.

Questions/purposes: (1) For adults older than 60 years with closed extraarticular DRFs, what are the tradeoffs in outcomes for choosing casting versus surgery? (2) In what settings would surgery be preferred over casting?

Method: This is a secondary analysis of data from the Wrist and Radius Injury Surgical Trial (WRIST), a randomized, multicenter clinical trial that enrolled patients from April 10, 2012 to December 31, 2016. Read More

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The Incidence of Fractures Among the Adult Population of Germany-an Analysis From 2009 through 2019.

Dtsch Arztebl Int 2021 Oct 8(Forthcoming). Epub 2021 Oct 8.

Background: Detailed analyses of epidemiological data on fractures are an important resource for persons and institutions providing health care services, as they yield information on the effects of current treatment strategies and on the need for preventive measures. The epidemiology of fractures in Germany, however, is unknown. The goal of this study is to determine the nationwide fracture burden from 2009 through 2019, as a function of anatomical site, age, and sex. Read More

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October 2021

What Can We Learn From COVID-19 Protocols With Regard to Management of Nonoperative Pediatric Orthopaedic Injuries?

J Pediatr Orthop 2021 Jun 17. Epub 2021 Jun 17.

Department of Trauma and Orthopaedics, Sheffield Children's NHS Foundation Trust, Sheffield Children's Hospital, Sheffield, UK.

Introduction: The COVID-19 pandemic has resulted in significant changes to normal practice in pediatric outpatient orthopaedics, with the instigation of telephone fracture clinic appointments, and the use of self-removable casting. We aim to determine any beneficial or detrimental short-term effects of these changes.

Methods: All patients referred to fracture clinic from the emergency department during the period March 24, 2020 to May 10, 2020 (national lockdown) were assessed for number of face to face and telephone appointments, number of radiographs performed, time to discharge, use of a removable cast, any cast complications, other complications, reattendance or re-referral after discharge. Read More

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Comparison of 24-Month Outcomes After Treatment for Distal Radius Fracture: The WRIST Randomized Clinical Trial.

JAMA Netw Open 2021 Jun 1;4(6):e2112710. Epub 2021 Jun 1.

Section of Plastic Surgery, Department of Surgery, University of Michigan Medical School, Ann Arbor.

Importance: Distal radius fractures (DRFs) are common injuries among older adults and can result in substantial disability. Current evidence regarding long-term outcomes in older adults is scarce.

Objective: To compare outcomes across treatment groups at 24 months among adults with DRFs who participated in the WRIST trial. Read More

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The malunion of distal radius fracture: Corrective osteotomy through planning with prototyping in 3D printing.

Injury 2021 Jun 6. Epub 2021 Jun 6.

Orthopedics and Traumatology Department - Hand Surgery Discipline - Escola Paulista de Medicina - Universidade Federal de São Paulo (UNIFESP) - São Paulo - Brazil.

Introduction: Distal radius fractures (DRF) are among the most frequent in the body. About one third of these fractures can result in malunion with restriction of movement and pain in the wrist, the treatment in these cases consists of corrective osteotomy of the deformity. Due to its three-dimensional (3D) complexity, careful preoperative planning is a fundamental step in correction. Read More

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The Characteristics of Women with Subsequent Distal Radius Fracture after Initial Distal Radius Fracture.

J Bone Metab 2021 May 31;28(2):123-129. Epub 2021 May 31.

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

Background: The purpose of this study was to investigate the characteristics of women with subsequent distal radius fracture (DRF) and to compare bone fragility variables in women with initial and subsequent DRF.

Methods: We enrolled 227 women who experienced DRF (203 women with initial DRF and 24 women with subsequent DRF) between September 2016 and April 2019. We compared demographic characteristics and bone fragility variables, including bone mineral density, trabecular bone score, hip geometry, bicortical thickness of the distal radius, and fracture risk assessment tool (FRAX) scores between the 2 groups. Read More

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Cartilage Injuries and Posttraumatic Osteoarthritis in the Wrist: A Review.

Cartilage 2021 Jun 15:19476035211021909. Epub 2021 Jun 15.

Cartilage Research Unit, Region Halland Orthopaedics, Kungsbacka Hospital, University of Gothenburg, Kungsbacka, Sweden.

Objective: Focal cartilage injuries, and posttraumatic osteoarthritis (OA) in the wrist are likely common and a cause of wrist pain. To estimate the incidence of cartilage lesions and to understand the pathomechanisms leading to wrist cartilage injuries and OA, a literature review on the subject was performed combined with a presentation of one of the authors' own experience.

Design: This study includes a literature review of the topic. Read More

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Single-bone versus both-bone plating of unstable paediatric both-bone forearm fractures. A randomized controlled clinical trial.

Int Orthop 2021 Jun 12. Epub 2021 Jun 12.

1Orthopedic Department, Assiut University, Assiut, Egypt.

Purpose: This clinical trial compares the functional and radiological outcomes of single-bone fixation to both-bone fixation of unstable paediatric both-bone forearm fractures.

Methods: This individually randomized two-group parallel clinical trial was performed following the Consolidated Standards of Reporting Trials (CONSORT) statement at a single academic tertiary medical centre with an established paediatric orthopaedics unit. All children aged between nine and 15 years who presented to the emergency department at Assiut university with unstable diaphyseal, both-bone forearm fractures requiring surgical intervention between November 1, 2018, and February 28, 2020, were screened for eligibility against the inclusion and exclusion criteria. Read More

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Surgical Outcomes Following Fixation of Peri-Implant Distal Radius Fractures: A Case Series.

J Hand Surg Am 2021 Jun 9. Epub 2021 Jun 9.

Rothman Orthopaedic Institute, Thomas Jefferson University, Philadelphia, PA. Electronic address:

Purpose: The purpose of this study was to evaluate surgical outcomes following fixation of peri-implant distal radius fractures.

Methods: A retrospective chart review was conducted of peri-implant distal radius fractures treated surgically at a large academic practice over 18 years. Patients were included if they had previously undergone open reduction and internal fixation of a distal radius fracture; subsequently sustained a fracture at, or adjacent to, the existing hardware; and then undergone revision fixation with the removal of hardware. Read More

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Correction to: Impact of Ulnar Styloid Fractures on the Treatment Effect of Distal Radius Fractures with Volar Plate Fixation: A Case Control Study.

Indian J Orthop 2021 May 13;55(Suppl 1):278. Epub 2020 Mar 13.

Department of Orthopedic Surgery, The People's Hospital of Guangxi Zhuang Autonomous Region, Nanning, 530021 China.

[This corrects the article DOI: 10.1007/s43465-019-00016-2.]. Read More

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The One-Bone Forearm in Children: Surgical Technique and a Retrospective Review of Outcomes.

J Hand Surg Am 2021 Jun 7. Epub 2021 Jun 7.

Department of Orthopedic Surgery, Shriners Hospitals for Children, Philadelphia, PA.

Purpose: The purpose of this study was to describe a technique of end-to-end rigid fixation of the distal radius to the proximal ulna. The shortening and radioulnar overlap in this technique yield a high union rate, large corrections, and few complications.

Methods: This retrospective chart review from 2 centers was undertaken in 39 patients (40 forearms) who underwent one-bone forearm operations between 2005 and 2019. Read More

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No benefit for elbow blocking on conservative treatment of distal radius fractures: A 6-month randomized controlled trial.

PLoS One 2021 10;16(6):e0252667. Epub 2021 Jun 10.

Department of Orthopaedics and Traumatology, Unit of Hand Surgery, Universidade Federal de São Paulo (Unifesp -EPM), São Paulo, Brazil.

Purpose: For displaced distal radius fracture, this trial aimed to compare an above-elbow (AE) and below-elbow (BE) cast at the end of a 24-week follow-up using the Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire as a primary outcome.

Methods: This is a clinical trial with parallel groups (1:1) and a blinded evaluator. There are two non-surgical interventions: AE and BE. Read More

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"The more I do, the more I can do": perspectives on how performing daily activities and occupations influences recovery after surgical repair of a distal radius fracture.

Disabil Rehabil 2021 Jun 10:1-10. Epub 2021 Jun 10.

Health & Rehabilitation Research Institute, Auckland University of Technology, Auckland, New Zealand.

Purpose: The study aimed to explore perceptions and experiences about how engaging in daily activities and occupations influenced recovery in the first eight weeks after surgical treatment of a distal radius fracture.

Methods: Twenty-one adults completed an online activity and exercise log then participated in a semi-structured interview between weeks 6 and 8 postoperatively. Interviews were transcribed and analysed using reflexive thematic analysis. Read More

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Epidemiology of Fractures Sustained During Electric Scooter Accidents: A Retrospective Review of 563 Cases.

J Bone Joint Surg Am 2021 Jun;103(12):1125-1131

Division of Orthopedics, Tel-Aviv Sourasky Medical Center, Tel-Aviv, affiliated with the Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel.

Background: The use of electric scooters (e-scooters) has dramatically increased as they become an attractive alternative for public transportation in busy metropolitan areas worldwide. Despite their benefits, e-scooters challenge the health-care system with poorly understood forms of injuries, mainly orthopaedic fractures. To our knowledge, this study is the first to investigate e-scooter-related orthopaedic fracture patterns, mechanisms of injury, and management. Read More

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Early Retrieval of Spanning Plates Used for Fixation of Complex Fractures of the Distal Radius.

J Wrist Surg 2021 Jun 22;10(3):229-233. Epub 2021 Jan 22.

Department of Hand and Wrist Surgery, Rothman Orthopaedic Institute, Philadelphia, Pennsylvania.

 Spanning plates are being increasingly used for the treatment of complex fractures of the distal radius. The traditional recommendation is to leave the hardware in place for at least 12 weeks.  This study assesses the comparative outcomes of spanning plates removed at or before 10 weeks. Read More

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Pronator Quadratus Repair Does Not Affect Reoperation Rates Following Volar Locking Plate Fixation of Distal Radius Fractures.

Hand (N Y) 2021 Jun 9:15589447211017239. Epub 2021 Jun 9.

Brigham and Women's Hospital, Boston, MA, USA.

Background: The purpose of this study was to evaluate the impact of pronator quadratus (PQ) repair on reoperation rates after distal radius open reduction internal fixation (ORIF) using a volar locking plate.

Methods: A retrospective study of all patients undergoing distal radius ORIF with a volar locking plate between January 2012 and December 2016 at 2 urban, academic level I trauma centers was performed. Patient demographics, fracture and procedure characteristics, surgeon subspecialty, PQ repair, and reoperations were recorded. Read More

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Distal Radius Physeal Bar and Ulnar Overgrowth: Indications for Treatment.

J Pediatr Orthop 2021 Jul;41(Suppl 1):S6-S13

Department of Orthopedic Surgery, Nationwide Children's Hospital.

Background: Distal radius physeal bar with associated growth arrest can occur because of fractures, ischemia, infection, radiation, tumor, blood dyscrasias, and repetitive stress injuries. The age of the patient as well as the size, shape, and location of the bony bridge determines the deformity and associated pathology that will develop.

Methods: A search of the English literature was performed using PubMed and multiple search terms to identify manuscripts dealing with the evaluation and treatment of distal radius physeal bars and ulnar overgrowth. Read More

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Management of Distal Radius Fractures in Adolescent Patients.

J Pediatr Orthop 2021 Jul;41(Suppl 1):S1-S5

Orthopaedic Institute for Children, Los Angeles, CA.

Background: While management recommendations for distal radius fractures in both young and skeletally mature patients have been generally well-established, controversy still exists regarding optimal management in adolescent patients approaching skeletal maturity. Thus, the goal of this review is to analyze relevant literature and provide expert recommendations regarding the management of distal radius fractures in this patient population.

Methods: A PubMed search was performed to identify literature pertaining to distal radius fractures in adolescent patients, defined as 11 to 14 years in girls and 13 to 15 years in boys. Read More

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Effectiveness of Percutaneous Pinning of Acute Partial Scapholunate Injury during Volar Locking Plating for Distal Radius Fractures: A Comparative Study of Pinning and Conservative Treatment.

Clin Orthop Surg 2021 Jun 1;13(2):252-260. Epub 2021 Apr 1.

Department of Orthopedic Surgery, Regional Rheumatoid and Degenerative Arthritis Center, Chungnam National University Hospital, Chungnam National University School of Medicine, Daejeon, Korea.

Backgroud: We hypothesized that concurrent temporary fixation of scapholunate ligament (SL) injury during volar locking plate (VLP) fixation of distal radius fractures (DRFs) would improve restoration outcomes based on both radiological and clinical results. Here, we performed a prospective, comparative study investigating the effectiveness of temporary percutaneous reduction/pinning during VLP fixation in DRFs.

Methods: The first 43 consecutive SL injuries were treated concurrently after VLP fixation by closed pinning (group 1); the next 36 consecutive injuries were treated nonoperatively (group 2). Read More

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Comparison of extra-articular radiographic parameters of distal radius fractures on plain radiographs and CT scans.

J Hand Surg Eur Vol 2021 Jun 6:17531934211021042. Epub 2021 Jun 6.

Department of Trauma Surgery, Maasstad Hospital, Rotterdam, The Netherlands.

The aim of this study was to compare extra-articular radiographic parameters of distal radial fractures measured on plain radiographs and CT scans. Two researchers independently measured four extra-articular radiographic parameters (dorsal tilt, carpal alignment, radial inclination and ulnar variance) on both radiographs and CT scans in 85 patients. Inter-observer reliability for both techniques was assessed, along with the agreement between CT scans and radiographs using the intraclass correlation coefficient and Bland-Altman plots. Read More

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Intramedullary Steinmann pin nailing of the ulna: an option for the damage control orthopedics treatment of forearm fractures in open injuries in polytraumatized patients - A description of the technique and presentation of a case series.

Injury 2021 May 28. Epub 2021 May 28.

Instituto de Ortopedia e Traumatologia, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, São Paulo, SP, Brazil. Electronic address:

Introduction: Forearm shaft fracture is common in young adult patients and associated with soft tissue and organ injuries. In open fractures in polytrauma patients, damage control orthopaedics (DCO) is well indicated. The aim of this study is to describe intramedullary Steinmann pin fixation of the ulna as a DCO procedure for the forearm and present a case series. Read More

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Updates on Distal Radius Fractures Past, Present, and Complications.

Bull Hosp Jt Dis (2013) 2021 Jun;79(2):108-114

Before the 1900s, distal radius fractures were misdiagnosed as radiocarpal dislocations and most were treated nonoperatively. Between the 1900s and 1920s there were several anesthesia and antiseptic advancements that led to the advancement of surgical interventions. Then after the continued use and implementation of radiographs in orthopedics, radiographic parameters allowed for a critical analysis of treatment and patient outcomes that led to the further advancement of distal radius fracture treatment. Read More

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