6,441 results match your criteria Radius Distal Fractures


The current evidence-based management of distal radial fractures: UK perspectives.

J Hand Surg Eur Vol 2019 Apr 16:1753193419843201. Epub 2019 Apr 16.

1 Academic Team of Musculoskeletal Surgery, Leicester General Hospital, Leicester, UK.

Distal radial fractures are extremely common injuries, yet many basic questions remain unanswered about their optimum management. Recently in the United Kingdom several guideline development groups have produced national standards and best-practice guidelines based on review of the best available evidence and expert knowledge. All guideline groups agree that when surgery is needed for dorsally displaced distal radial fractures, that can be reduced closed, K-wire fixation and cast immobilization, should be offered. Read More

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http://dx.doi.org/10.1177/1753193419843201DOI Listing

Polytrauma and High-energy Injury Mechanisms Are Associated with Worse Patient-reported Outcomes After Distal Radius Fractures.

Clin Orthop Relat Res 2019 Apr 9. Epub 2019 Apr 9.

Q. M. J. van der Vliet, A. A. R. Sweet, A. R. Bhashyam, R. M. Houwert, L. P. H. Leenen, F. Hietbrink, University Medical Center Utrecht, Department of Traumatology, Utrecht, The Netherlands S. Ferree, M. van Heijl, Diakonessenhuis Utrecht, Department of Surgery, Utrecht, The Netherlands.

Background: Patient-reported outcomes (PROs) are increasingly relevant when evaluating the treatment of orthopaedic injuries. Little is known about how PROs may vary in the setting of polytrauma or secondary to high-energy injury mechanisms, even for common injuries such as distal radius fractures.

Questions/purposes: (1) Are polytrauma and high-energy injury mechanisms associated with poorer long-term PROs (EuroQol Five Dimension Three Levels [EQ-5D-3L] and QuickDASH scores) after distal radius fractures? (2) What are the median EQ-5D-3L, EQ-VAS [EuroQol VAS], and QuickDASH scores for distal radius fractures in patients with polytrauma, high-energy monotrauma and low-energy monotrauma METHODS: This was a retrospective study with followup by questionnaire. Read More

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http://dx.doi.org/10.1097/CORR.0000000000000757DOI Listing
April 2019
3 Reads

Bone microarchitecture and distal radius fracture pattern complexity.

J Orthop Res 2019 Apr 12. Epub 2019 Apr 12.

NUTRIM School for Nutrition and Translational Research in Metabolism, Maastricht University, Maastricht, The Netherlands.

Distal radius fractures (DRFs) occur in various complexity patterns among patients differing in age, gender and bone mineral density (BMD). Our aim was to investigate the association of patient characteristics, BMD, bone microarchitecture and bone strength with the pattern complexity of DRFs. In this study, 251 patients aged 50-90 years with a radiologically confirmed DRF who attended the Fracture Liaison Service of VieCuri Medical Centre, the Netherlands, between November 2013 and June 2016 were included. Read More

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http://dx.doi.org/10.1002/jor.24306DOI Listing
April 2019
5 Reads

Predicting epiphyseal screw length in anterior plating of distal radial fractures.

J Hand Surg Eur Vol 2019 Apr 11:1753193419841269. Epub 2019 Apr 11.

2 LaTIM, INSERM, Brest, France.

The purpose of this study was to determine whether optimal epiphyseal screw length could be predicted with reference to a given diaphyseal screw length when fixating a plate to the anterior surface of the distal radius. Computerized tomography scans of 40 wrists of 28 men and 12 women were semi-automatically segmented. A virtual anterior plate model was fixed to the distal radius. Read More

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http://dx.doi.org/10.1177/1753193419841269DOI Listing

Fluoroscopy as Definitive Postreduction Imaging of Pediatric Wrist and Forearm Fractures Is Safe and Saves Time.

J Pediatr Orthop 2019 Apr 9. Epub 2019 Apr 9.

Department of Orthopaedics, The Warren Alpert Medical School of Brown University.

Background: Recent studies indicate that formal postreduction radiographs may be unnecessary for closed, isolated pediatric wrist, and forearm when mini C-arm fluoroscopy is used for reduction. Our institution changed the Emergency Department (ED) management protocol to reflect this by allowing orthopaedic providers to determine if fluoroscopy was acceptable to assess fracture reduction. We hypothesized that using fluoroscopy as definitive postreduction imaging would decrease total encounter time, without an increase in the rate of rereduction or surgery. Read More

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http://dx.doi.org/10.1097/BPO.0000000000001388DOI Listing
April 2019
3 Reads

 > 10-year outcome of dislocated radial fractures with concomitant intracarpal lesions as proven by MRI and CT.

Arch Orthop Trauma Surg 2019 Apr 10. Epub 2019 Apr 10.

Orthopädisch-Unfallchirurgisches Zentrum, Universitätsmedizin Mannheim, Medizinische Fakultät Mannheim der Ruprecht-Karls-Universität Heidelberg, Mannheim, Germany.

To clarify the role of concomitant carpal lesions in dislocated distal radius fractures (DRF), 104 consecutive patients with DRF underwent a preoperative morphological examination using CT and MRI. The study was performed between 2004 and 2006 with the aim of recording all types of concomitant carpal lesions as well as their consequences after 1 year. Carpal lesions of different types were found in all treated cases of dislocated DRF. Read More

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http://dx.doi.org/10.1007/s00402-019-03186-8DOI Listing

The Pronator Quadratus Muscle After Volar Plating: Ultrasound Evaluation of Anatomical Changes Correlated to Patient-Reported Clinical Outcome.

Hand (N Y) 2019 Apr 11:1558944719840737. Epub 2019 Apr 11.

2 Zealand University Hospital, Koege, Denmark.

Background: Repair of the pronator quadratus (PQ) muscle with sutures has been reported durable after volar plating of distal radius fractures (DRF). It is unclear how the muscle reacts if not repaired and if a retracted muscle correlates to worse functional outcome or complications. In this study, we use ultrasound to investigate the anatomy of the PQ muscle after volar plating with PQ repair or nonrepair and correlate the ultrasound findings with patient-reported outcome. Read More

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http://dx.doi.org/10.1177/1558944719840737DOI Listing

Influence of Insurance Type on the Access to Pediatric Care for Children With Distal Radius Torus Fractures.

J Pediatr Orthop 2019 May/Jun;39(5):237-240

Department of Orthopedic Surgery, Nationwide Children's Hospital, Columbus, OH.

Background: Previous literature has demonstrated that pediatric orthopaedic patients with private insurance have less difficulty obtaining appointments than those with Medicaid. Not all injuries of an orthopaedic nature, however, require specialist care. This study evaluated the willingness of pediatricians to provide care for minor orthopaedic injuries and whether or not the patient's insurance status influenced the decision to provide care. Read More

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http://dx.doi.org/10.1097/BPO.0000000000000929DOI Listing

Simulation Training of Orthopaedic Residents for Distal Radius Fracture Reductions Improves Radiographic Outcomes.

J Pediatr Orthop 2019 Apr 8. Epub 2019 Apr 8.

Division of Orthopaedics, The Children's Hospital of Philadelphia.

Background: Most distal radius fractures can be treated with closed reduction and casting in pediatric patients. These skills are traditionally developed treating real patients, however, there is growing interest in the use of simulation training to supplement traditional learning strategies.

Methods: Seventy-eight children with distal radius fractures that underwent closed reduction and casting by novice orthopaedic surgery residents were retrospectively reviewed. Read More

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http://dx.doi.org/10.1097/BPO.0000000000001387DOI Listing

Use of external fixation for juxta-articular fractures in children.

Injury 2019 Mar 29. Epub 2019 Mar 29.

Russian Ilizarov Scientific Centre for Restorative Traumatology and Orthopaedics, Kurgan, Russian Federation. Electronic address:

In this article, the use of external fixation in the management of juxta-articular fractures in paediatric patients is discussed. Basic principles of Ilizarov technique are described for distal radial, distal femoral, distal humeral and distal tibial fractures. Common indications for external fixation in pediatric fractures are comminuted, complicated, and/or open fractures, particularly at the distal humerus, distal radius, distal femur and distal tibia. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00201383193016
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http://dx.doi.org/10.1016/j.injury.2019.03.043DOI Listing
March 2019
2 Reads

Minimal Clinically Important Difference for PROMIS Physical Function in Patients With Distal Radius Fractures.

J Hand Surg Am 2019 Apr 3. Epub 2019 Apr 3.

Department of Orthopedic Surgery, Washington University School of Medicine, St. Louis MO. Electronic address:

Purpose: This study was conducted to determine the minimal clinically important difference (MCID) of the Patient-Reported Outcomes Information System (PROMIS) Physical Function computer adaptive test (CAT) after distal radius fracture.

Methods: This study retrospectively analyzed data from 187 adults receiving nonsurgical care for a unilateral distal radius fracture at a single institution between February 2016 and November 2017. All patients completed the PROMIS Physical Function v1. Read More

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http://dx.doi.org/10.1016/j.jhsa.2019.02.015DOI Listing

Is percutaneous pinning an outdated technique for distal radius fractures?

Injury 2019 Mar 31. Epub 2019 Mar 31.

Orthopaedic and Trauma Surgery Dpt., Saint Antoine Hospital, 184 rue du Faubourg Saint Antoine, F 75571 Paris cedex, Sorbonne Université, France. Electronic address:

Distal radius fracture is a very common injury representing 17.5% of all fractures seen in the emergency room. However, the most effective treatment is still unclear and controversially debated. Read More

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http://dx.doi.org/10.1016/j.injury.2019.03.048DOI Listing

Intercarpal Ligament Injuries Associated With Distal Radius Fractures.

Authors:
Timothy P Fowler

J Am Acad Orthop Surg 2019 Apr 2. Epub 2019 Apr 2.

From the Department of Orthopedics and Rehabilitation, University of Iowa Hospitals and Clinics, Iowa City, IA.

Injuries to the scapholunate (SL) and lunotriquetral (LT) interosseous ligaments occur in approximately one third of distal radius fractures. The diagnosis of these injuries is challenging because plain radiographs are not reliably diagnostic. Wrist arthroscopy may be the most accurate way to examine and diagnose soft-tissue injuries of the carpus adjacent to a distal radius fracture. Read More

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http://dx.doi.org/10.5435/JAAOS-D-18-00503DOI Listing
April 2019
1 Read

Non-union of the ulnar styloid process in children is common but long-term morbidity is rare: a population-based study with mean 11 years (9-15) follow-up.

Acta Orthop 2019 Apr 4:1-10. Epub 2019 Apr 4.

a Department of Children and Adolescents, Pediatric Surgery and Orthopedics , Oulu University Hospital , Oulu ;

Background and purpose - Fracture of the ulnar styloid process (USP) is common in children in connection with distal radius fracture. The long-term morbidity of USP non-union following a childhood distal radius fracture is unclear. We evaluated long-term clinical and radiographic findings of USP non-union. Read More

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http://dx.doi.org/10.1080/17453674.2019.1596561DOI Listing

Artificial intelligence detection of distal radius fractures: a comparison between the convolutional neural network and professional assessments.

Acta Orthop 2019 Apr 3:1-12. Epub 2019 Apr 3.

e Faculty of Electronics & Computer , Zhejiang Wanli University , Ningbo , 315000 , China.

Background and purpose - Artificial intelligence has rapidly become a powerful method in image analysis with the use of convolutional neural networks (CNNs). We assessed the ability of a CNN, with a fast object detection algorithm previously identifying the regions of interest, to detect distal radius fractures (DRFs) on anterior-posterior (AP) wrist radiographs. Patients and methods - 2,340 AP wrist radiographs from 2,340 patients were enrolled in this study. Read More

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http://dx.doi.org/10.1080/17453674.2019.1600125DOI Listing

Dorsal Lunate Facet Fracture Reduction Using a Bone Reduction Forceps.

J Wrist Surg 2019 Apr 3;8(2):118-123. Epub 2018 Oct 3.

Department of Orthopedic Surgery, Hand and Upper Extremity Service, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts.

 The dorsal lunate facet fragment represents part of a complex articular injury of the distal radius and is challenging to reduce through a standard volar approach. We propose reduction through a standard volar approach and intraoperative dorsal lunate facet reduction using a bone forceps. To evaluate the postoperative reduction, we used computed tomography (CT) scan. Read More

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http://dx.doi.org/10.1055/s-0038-1673407DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6443535PMC
April 2019
6 Reads

Carpal Alignment: A New Method for Assessment.

J Wrist Surg 2019 Apr 3;8(2):112-117. Epub 2018 Oct 3.

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

 Carpal alignment may be used as a tool to evaluate fracture reduction in patients with distal radius fractures. However, there is little consensus on how to measure and quantify carpal alignment.  The aim of this study was to compare the inter- and intraobserver variability of a new perpendicular method with the existing method in fractured and unfractured wrists. Read More

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http://dx.doi.org/10.1055/s-0038-1673406DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6443383PMC

Hook Plate for Volar Rim Fractures of the Distal Radius: Review of the First 23 Cases and Focus on Dorsal Radiocarpal Dislocation.

J Wrist Surg 2019 Apr 7;8(2):93-99. Epub 2018 Aug 7.

Hand Surgery Unit, Azienda Ospedaliero Universitaria Careggi, Florence, Italy.

 Fragment-specific fixation of the distal radius is born to fix each articular fragment with limited surgical approach and low-profile devices. Over time, many devices with different designs and characteristics have been developed. However, many of them have showed the inability to securely fix marginal, small, and comminuted fragments as bony ligament avulsions and bony compression injuries. Read More

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http://dx.doi.org/10.1055/s-0038-1667306DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6443400PMC
April 2019
1 Read

Effect of denosumab on trabecular bone score in de novo kidney transplant recipients.

Nephrol Dial Transplant 2019 Apr 1. Epub 2019 Apr 1.

Division of Nephrology, University Hospital, Zürich, Switzerland.

Background: Kidney transplant recipients (KTR) are at risk to lose bone mass. The trabecular bone score (TBS) represents a recently developed parameter of lumbar spine trabecular bone texture that correlates with the occurrence of fractures.

Methods: We analysed the 1-year changes in TBS in 44 de novo KTR that were randomized 1:1 to denosumab or no treatment. Read More

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https://academic.oup.com/ndt/advance-article/doi/10.1093/ndt
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http://dx.doi.org/10.1093/ndt/gfy411DOI Listing
April 2019
5 Reads

Impact of obesity on operative treatment and inpatient outcomes of paediatric limb fractures.

Bone Joint J 2019 Apr;101-B(4):491-496

Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA.

Aims: The aim of this study was to utilize a national paediatric inpatient database to determine whether obesity influences the operative management and inpatient outcomes of paediatric limb fractures.

Patients And Methods: The Kids' Inpatient Database (KID) was used to evaluate children between birth and 17 years of age, from 1997 and 2012, who had undergone open and closed treatment of humeral, radial and ulna, femoral, tibial, and ankle fractures. Demographics, hospital charges, lengths of stay (LOS), and complications were analyzed. Read More

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http://dx.doi.org/10.1302/0301-620X.101B4.BJJ-2018-0740.R2DOI Listing
April 2019
2 Reads

Current Fixation Options for Elbow, Forearm, Wrist, and Hand Fractures.

Semin Musculoskelet Radiol 2019 Apr 29;23(2):109-125. Epub 2019 Mar 29.

Weill Cornell Medical College, New York, New York.

The universal goals of upper limb fracture management are to restore anatomic alignment, establish stable fracture fixation (while preserving blood supply), and allow for early mobilization of the elbow, wrist, and digits. However, the indications for operative management and fixation constructs are specific to each fracture type. This article systematically reviews current classifications and treatment options for adult fractures of the distal humerus, radius, ulna, scaphoid, metacarpals, and phalanges. Read More

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http://dx.doi.org/10.1055/s-0039-1677699DOI Listing
April 2019
1 Read

The 70° Supinated Oblique View: A Cadaveric Analysis to Determine Ideal Radial Styloid Screw Position in Locked Volar Plating of Distal Radius Fractures.

Hand (N Y) 2019 Mar 29:1558944719836210. Epub 2019 Mar 29.

1 Geisinger Medical Center, Danville, PA, USA.

Background: Defining an intraoperative radiographic view to best determine the radial styloid screw position in locked volar plating of distal radius fractures may improve fixation and aid in decreasing cortical penetration and implant complication. We used a cadaveric model to demonstrate a reproducible, oblique radiographic view to identify the radial styloid screw position.

Methods: Nine fresh-frozen elbow-to-fingertip cadavers were used for this study. Read More

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http://dx.doi.org/10.1177/1558944719836210DOI Listing
March 2019
1 Read

Treatment of radius or ulna fractures in the elderly: A systematic review covering effectiveness, safety, economic aspects and current practice.

PLoS One 2019 28;14(3):e0214362. Epub 2019 Mar 28.

Swedish Agency for Health Technology Assessment and Assessment of Social Services, Stockholm, Sweden.

Background: The objective of the present study was to evaluate effectiveness, complications and cost-effectiveness of any surgical or non-surgical treatment for radius or ulna fractures in elderly patients. Secondary objectives were to analyze present treatment traditions of distal radius fractures (DRF) in Sweden and to calculate resource usage for its treatment.

Methods And Findings: The assessment contains a systematic review of clinical and health economic studies comparing treatment options for radius or ulna fractures. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0214362PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6438530PMC

Ultrasound-based estimates of cortical bone thickness and porosity are associated with non-traumatic fractures in postmenopausal women: A pilot study.

J Bone Miner Res 2019 Mar 26. Epub 2019 Mar 26.

Sorbonne Université, CNRS, INSERM, Laboratoire d'Imagerie Biomédicale, F-75006, Paris, France.

Recent ultrasound axial transmission techniques exploit the multimode waveguide response of long bones to yield estimates of cortical bone structure characteristics. This pilot cross-sectional study aimed to evaluate the performance at the one-third distal radius of a bidirectional axial transmission (BDAT) device to discriminate between fractured and non-fractured postmenopausal women. Cortical thickness (Ct. Read More

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http://dx.doi.org/10.1002/jbmr.3733DOI Listing
March 2019
1 Read

Surgical fixation with K-wires versus plaster casting in the treatment of dorsally displaced distal radius fractures: protocol for Distal Radius Acute Fracture Fixation Trial 2 (DRAFFT 2).

BMJ Open 2019 Mar 23;9(3):e028474. Epub 2019 Mar 23.

Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK.

Introduction: Optimal management of distal radius fractures in adults remains controversial. Previous evidence and current clinical guidelines tell us that, if a closed reduction of a dorsally displaced fracture is possible, Kirschner wires (K-wires) are the preferred form of surgical fixation. However, the question remains whether there is any need to perform surgical fixation following a successful closed reduction, or is a simple plaster cast as effective? This is the protocol for a randomised controlled trial of manipulation and surgical fixation with K-wires versus manipulation and casting in the treatment of dorsally displaced distal radius fractures. Read More

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http://dx.doi.org/10.1136/bmjopen-2018-028474DOI Listing

Analyses of fracture line distribution in intra-articular distal radius fractures.

Radiol Med 2019 Mar 22. Epub 2019 Mar 22.

School of Pharmacy and Medical Sciences and University of South Australia Cancer Research Institute, University of South Australia, Adelaide, SA, 5001, Australia.

Purpose: To assess the association between the fracture line distribution and the location of comminution in intra-articular distal radius fractures by building fracture mapping.

Patients/methods: Forty cases with intra-articular fractures of distal radius were enrolled in the current prospective clinical study. Fracture lines and comminution zones were identified by reduced three-dimensional computed tomography reconstructions and then graphically superimposed onto a standard template to create two-dimensional fracture maps, followed by the conversion into heating maps. Read More

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http://dx.doi.org/10.1007/s11547-019-01025-9DOI Listing
March 2019
2 Reads

Impact on Bisphosphonate Persistence and Compliance: Daily Postprandial Administration.

J Bone Metab 2019 Feb 28;26(1):39-44. Epub 2019 Feb 28.

Division of Endocrinology and Metabolism, Department of Internal Medicine, Soonchunhyang University College of Medicine, Seoul, Korea.

Background: Bisphosphonate (BP) is an effective drug for the prevention and treatment of osteoporosis. However, gastrointestinal distress caused by BP is a well-known side effect for low compliance. The aim of our study was to compare the 1-year persistence, compliance and T-scores between the aperitif medication group and the postprandial medication group. Read More

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http://dx.doi.org/10.11005/jbm.2019.26.1.39DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6416146PMC
February 2019
2 Reads

Biomechanical Comparison of Titanium Locking Fragment-Specific and Volar Locking Plates for AO B1 and B2 Fractures of the Distal Radius.

J Hand Surg Am 2019 Mar 18. Epub 2019 Mar 18.

The Rothman Institute, Department of Orthopedic Surgery, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, PA.

Purpose: This biomechanical study compared the stability of volar locking plates (VLPs) and locking fragment-specific (LFS) dorsal and radial styloid plates for the fixation of dorsal (AO 23-B2) and radial styloid (AO 23-B1) shear fractures of the distal radius, respectively.

Methods: Two groups of 6 composite radii were fixed with a VLP or an LFS dorsal plate over a simulated dorsal shear fracture. Two additional groups of 6 radii received the same VLP or an LFS radial plate to fix a radial styloid fracture. Read More

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http://dx.doi.org/10.1016/j.jhsa.2019.02.003DOI Listing

Ultrasound-Guided Nerve Blocks as Analgesia for Nonoperative Management of Distal Radius Fractures-Two Consecutive Randomized Controlled Trials.

J Orthop Trauma 2019 Apr;33(4):e124-e130

Departments of Orthopedic Surgery.

Objectives: To investigate whether a conventional fracture hematoma block (FHB) or an ultrasound-guided peripheral nerve block has more superior analgesic effect during nonoperative management of distal radius fractures in an emergency department setting. Two peripheral nerve block types were investigated, one at the level of the elbow, or cubital nerve block (CNB), and another an axillary nerve block (ANB).

Design: Two prospective randomized controlled studies were performed to compare the difference in pain intensity during closed reduction of a distal radius fracture between FHB-, CNB-, and, ANB-treated patients. Read More

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http://dx.doi.org/10.1097/BOT.0000000000001388DOI Listing

Incidence of and Risk Factors for Complex Regional Pain Syndrome Type 1 after Surgery for Distal Radius Fractures: A Population-based Study.

Sci Rep 2019 Mar 19;9(1):4871. Epub 2019 Mar 19.

Department of Orthopedic Surgery, Hanyang University College of Medicine, Seoul, 04763, South Korea.

This study aimed to evaluate the incidence rates of and risk factors for complex regional pain syndrome type 1 (CRPS-1) after surgery for distal radius fractures (DRFs). Using data from January 2007 to December 2014, we analysed the data from the Korean Health Insurance Review and Assessment (HIRA) service. After extracting the data of patients aged ≥18 years whose diagnostic and operation codes for DRFs were entered into the HIRA database, we analysed the incidence rates of and risk factors for CRPS-1. Read More

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http://dx.doi.org/10.1038/s41598-019-41152-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6425010PMC
March 2019
2 Reads

Adding Marrow Adiposity and Cortical Porosity to Femoral Neck Areal Bone Mineral Density Improves the Discrimination of Women with Nonvertebral Fractures from Controls.

J Bone Miner Res 2019 Mar 18. Epub 2019 Mar 18.

Department of Clinical Medicine, UiT The Arctic University of Norway, Tromsø, Norway.

Advancing age is accompanied by a reduction in bone formation and remodeling imbalance, which produces microstructural deterioration. This may be partly due to diversion of mesenchymal cells towards adipocytes rather than osteoblast lineage cells. We hypothesized that microstructural deterioration will be associated with an increased marrow adiposity, and each of these traits will be independently associated with nonvertebral fractures and improve discrimination of women with fractures from controls over that achieved by femoral neck (FN) areal bone mineral density (aBMD) alone. Read More

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https://onlinelibrary.wiley.com/doi/abs/10.1002/jbmr.3721
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http://dx.doi.org/10.1002/jbmr.3721DOI Listing
March 2019
4 Reads

The Cost to Attending Surgeons of Resident Involvement in Academic Hand Surgery.

Ann Plast Surg 2019 May;82(5S Suppl 4):S285-S288

Division of Plastic Surgery, Medical University of South Carolina, Charleston, SC.

Purpose: For many types of surgical cases, there is an increase in length with the participation of a resident physician. The lost operative time productivity is not necessarily mitigated in any fashion other than to benefit the experience of the trainee. Moreover, increasing pressures to maximize productivity, coupled with diminishing reimbursements serve to disincentive resident involvement. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001873DOI Listing
May 2019
2 Reads

Pronator sparing plate osteosynthesis in distal radius fractures: early functional outcome.

Acta Orthop Belg 2018 Dec;84(4):531-538

Thanks to modern anatomic stable angle plate and screw designs in distal radius fractures, early mobilization is possible and pronation torque of the wrist is more important in early recovery. Pronator sparing plate osteosynthesis of the distal radius is a relatively new approach. A short overview of the technique is given with some tips and tricks. Read More

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December 2018
1 Read

Risk of institutionalization following fragility fractures in older people.

Osteoporos Int 2019 Mar 15. Epub 2019 Mar 15.

Department of Clinical Gerontology, Robert Bosch Krankenhaus Stuttgart, Auerbachstraße 110, 70376, Stuttgart, Germany.

Previously independent living older people suffering fractures of the hip have a high risk of new admission to a nursing home during the subsequent months. This study shows that older people admitted to hospital for fractures of the pelvis and spine have a similar risk of admission to a nursing home.

Introduction: Fall-related fractures are a serious threat to the health and well-being of older persons. Read More

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http://dx.doi.org/10.1007/s00198-019-04922-xDOI Listing
March 2019
1 Read

Joint position sense impairments in older adults with carpometacarpal osteoarthritis: A descriptive comparative study.

J Hand Ther 2019 Mar 11. Epub 2019 Mar 11.

Occupational Therapy Department, Gannon University, Ruskin, FL, USA.

Study Design: This study has a descriptive-comparative, cross-sectional design.

Introduction: Sensorimotor (SM) impairments have been observed after common wrist and hand injuries such as distal radius fractures. However, there is a lack of research regarding SM impairments in patients with carpometacarpal (CMC) osteoarthritis (OA). Read More

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http://dx.doi.org/10.1016/j.jht.2019.01.006DOI Listing

The effects of incremental ulnar styloid osteotomies on distal radioulnar joint stability: a biomechanical cadaveric study.

J Hand Surg Eur Vol 2019 Mar 14:1753193419834858. Epub 2019 Mar 14.

1 Department of Orthopaedic Surgery, University of Pennsylvania, Philadelphia, PA, USA.

The purpose of this study was to systematically quantify distal radioulnar joint stability with a cadaveric model, using radiographic and joint contact force measurements. Six fresh-frozen cadavers underwent sequential ulnar styloid osteotomies. Posteroanterior and lateral stress radiographs were obtained and joint contact forces and areas were measured. Read More

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http://dx.doi.org/10.1177/1753193419834858DOI Listing
March 2019
7 Reads

[An Experience of Using a Distraction Plate for an Elderly Patient with a Highly Communited Intraarticular Distal Radius Fracture].

J UOEH 2019 ;41(1):57-61

Department of Orthopaedic Surgery, School of Medicine, University of Occupational and Environmental Health, Japan.

We performed open reduction and internal fixation using a distraction plate in two cases of elderly patients with highly communited intraarticular open distal radius fractures. There was no corrective loss of intraarticular fracture fragment in either case. The implant was removed in one case because bone union was achieved. Read More

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http://dx.doi.org/10.7888/juoeh.41.57DOI Listing
January 2019
2 Reads

Trends in paediatric distal radius fractures: an eight-year review from a large UK trauma unit.

Ann R Coll Surg Engl 2019 Apr 11;101(4):297-303. Epub 2019 Mar 11.

Department of Trauma and Orthopaedics, Leicester General Hospital, University Hospitals of Leicester , Leicester , UK.

Introduction: This observational study investigated the incidence of distal radius fractures in children, to determine whether the rate is rising, the effect of seasonal variation on incidence and whether fracture type and rate of surgical intervention has changed, to help in determining costs for secondary care and to aid resource allocation.

Materials And Methods: All paediatric patients(n = 6529) who sustained a distal radius fracture over an eight-year period (2007-2014) were identified. Poisson regression modelling was used to identify change in trends. Read More

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https://publishing.rcseng.ac.uk/doi/10.1308/rcsann.2019.0023
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http://dx.doi.org/10.1308/rcsann.2019.0023DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6432966PMC
April 2019
3 Reads

Efficacy and safety of denosumab compared to bisphosphonates in improving bone strength in postmenopausal osteoporosis: a systematic review.

Singapore Med J 2019 Mar 11. Epub 2019 Mar 11.

Department of Infectious Diseases, Singapore General Hospital, Singapore.

Introduction: Osteoporosis is the main cause of fractures among women after menopause. This study aimed to evaluate the efficacy and safety of denosumab compared to bisphosphonates in treating postmenopausal osteoporosis.

Methods: Databases including PubMed and the Cochrane Central Register of Controlled Trials were systematically searched for randomised controlled trials (RCTs) that directly compared denosumab and bisphosphonates. Read More

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http://dx.doi.org/10.11622/smedj.2019028DOI Listing
March 2019
1 Read

Wrist Fractures and Osteoporosis.

Orthop Clin North Am 2019 Apr;50(2):211-221

Department of Orthopaedic Surgery and Biomedical Engineering, Campbell Clinic, University of Tennessee, 1211 Union Avenue, Suite 510, Memphis, TN 38104, USA.

Distal radial fractures account for up to 18% of all fractures in patients over 65 years of age, and osteoporosis is a predominant factor in these fractures. Fracture treatment may include closed reduction and casting/splinting, external fixation, and open reduction and internal fixation. Read More

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http://dx.doi.org/10.1016/j.ocl.2018.10.004DOI Listing
April 2019
1 Read

Best Approaches in Distal Radius Fracture Malunions.

Curr Rev Musculoskelet Med 2019 Mar 7. Epub 2019 Mar 7.

Department of Orthopaedic Surgery, Division of Hand and Upper Extremity Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.

Purpose Of Review: Malunion remains a common complication in the treatment of distal radius fractures. The purpose of this review was to discuss the various approaches in planning and surgical management for extra- and intra-articular distal radius malunions.

Recent Findings: Several recent studies have reported good results with surgical correction of distal radius malunions utilizing a number of preoperative planning methods and surgical approaches. Read More

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http://dx.doi.org/10.1007/s12178-019-09540-yDOI Listing

Distal radius fractures and radiographic assessment: a systematic review of measurement accuracy.

Acta Radiol 2019 Mar 7:284185119834687. Epub 2019 Mar 7.

1 Department of Radiology, Odense University Hospital, Odense, Denmark.

Background: Distal radius fracture characterization and treatment are mainly based on radiographic measurements but with contradictory findings on the correlation of those measurements to clinical outcome. Before applying radiographic measurement to the treatment decision and before correlating the measurements to clinical outcome, an accuracy of measurements must be established.

Purpose: To summarize existing evidence on accuracy of the radiographic measurements of: (i) dorsal/volar tilt of the distal radius; (ii) radial shortening; (iii) ulnar variance; (iv) radial inclination; and (v) articular step-off of the distal radius. Read More

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http://dx.doi.org/10.1177/0284185119834687DOI Listing

Effect of Alendronic Acid on Fracture Healing: A Multicenter Randomized Placebo-Controlled Trial.

J Bone Miner Res 2019 Mar 7. Epub 2019 Mar 7.

Edinburgh Clinical Trials Unit, Usher Institute of Population Health Sciences and Informatics, University of Edinburgh, Edinburgh, UK.

There is a concern that bisphosphonates may impair fracture healing because of their inhibitory effects on bone turnover. Here we evaluated the effects of early bisphosphonate therapy on fracture healing and functional outcome following a fracture of the distal radius. The fracture and bisphosphonates (FAB) trial was a double-blind, randomized, placebo-controlled trial involving 15 trauma centers in the United Kingdom. Read More

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http://dx.doi.org/10.1002/jbmr.3679DOI Listing
March 2019
11 Reads
6.832 Impact Factor

Pediatric Forearm Fractures Are Effectively Immobilized With a Sugar-Tong Splint Following Closed Reduction.

J Pediatr Orthop 2019 Apr;39(4):e245-e247

Department of Orthopaedic Surgery and Sports Medicine, University of Kentucky, Lexington, KY.

Introduction: Following closed reduction and initial casting of pediatric forearm fractures, loss of reduction (LOR) occurs in ∼5% to 75% of fractures. Sugar-tong splinting has been shown to maintain acceptable reduction in pediatric distal radius fractures while potentially avoiding issues associated with circumferential casting. We hypothesized that the sugar-tong splint would be an acceptable method for initial immobilization to prevent LOR in distal, mid-shaft, and proximal pediatric forearm fractures. Read More

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http://dx.doi.org/10.1097/BPO.0000000000001291DOI Listing
April 2019
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Do fluoroscopic and radiographic images underestimate pin protrusion in paediatric supracondylar humerus and distal radius fractures? A synthetic bone model analysis.

J Child Orthop 2019 Feb;13(1):57-61

Riverside University Health System Medical Center, Moreno Valley, California, USA and Children's Hospital of Orange County, Orange, California, USA.

Purpose: Fluoroscopy is commonly used to confirm acceptable position of percutaneously placed pins when treating paediatric fractures. There is a paucity of literature investigating the accuracy of fluoroscopic imaging when determining pin position relative to the far cortex of the fixated bone. The purpose of this study was to evaluate the accuracy of fluoroscopic and radiographic imaging in measuring smooth pin protrusion from the far cortex of a bone model. Read More

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http://dx.doi.org/10.1302/1863-2548.13.180173DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6376433PMC
February 2019
1 Read

Fragment-Specific Fixation in Distal Radius Fractures.

Curr Rev Musculoskelet Med 2019 Mar 5. Epub 2019 Mar 5.

Orthopaedic Surgery, Hand to Shoulder Center, Thomas Jefferson University, 834 Chestnut Street Suite G114, Philadelphia, PA, 19107, USA.

Purpose Of Review: Fragment-specific fixation can be a useful tool in treating distal radius fractures. In order to best utilize these techniques, surgeons require an understanding of the normal anatomy, fracture patterns, approaches, and fixation strategies.

Recent Findings: Fragment-specific fixation may be appropriate for certain fracture patterns particularly when monoblock plating techniques are not sufficient. Read More

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http://dx.doi.org/10.1007/s12178-019-09538-6DOI Listing
March 2019
2 Reads

Mismatch of long Gamma intramedullary nail with bow of the femur: Does radius of curvature of the nail increase risk of distal femoral complications?

J Clin Orthop Trauma 2019 Mar-Apr;10(2):302-304. Epub 2017 Dec 21.

Tameside General Hospital, Ashton U Lyne, UK.

Introduction: Anterior cortical penetration of the distal nail tip is a recognized complication of intra-medullary nailing of the femur particularly in the geriatric population. This has been attributed to a mismatch between the femoral bow and the radius of curvature (ROC) of the femoral nail. We wanted to see if there was a reduction of this risk comparing cephalomedullary nails with ROC of 200 cm and 150 cm. Read More

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http://dx.doi.org/10.1016/j.jcot.2017.12.006DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6383139PMC
December 2017
6 Reads

Complications in the Management of Distal Radius Fractures: How Do We Avoid them?

Curr Rev Musculoskelet Med 2019 Mar 2. Epub 2019 Mar 2.

Rothman Orthopaedic Institute, 925 Chestnut Street, Philadelphia, PA, 19107, USA.

Purpose Of This Review: Distal radius fractures are one of the most common fractures in the upper extremity. The purpose of this review is to outline common complications that may arise when caring for distal radius fractures and to describe the treatment strategies when faced with such complications.

Recent Findings: Tendon complications are not uncommon after distal radius fractures. Read More

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http://dx.doi.org/10.1007/s12178-019-09544-8DOI Listing
March 2019
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Patterns of Opioid Use in the 12 Months Following Geriatric Fragility Fractures: A Population-Based Cohort Study.

J Am Med Dir Assoc 2019 Mar;20(3):298-304

Department of Orthopedics, Dartmouth-Hitchcock Medical Center, Lebanon, NH; The Dartmouth Institute for Health Policy and Clinical Practice, Geisel School of Medicine at Dartmouth, Lebanon, NH. Electronic address:

Objectives: Fractures of the hip, distal radius, and proximal humerus are common in the Medicare population. This study's objective was to characterize patterns and duration of opioid use, including regional variations in use, after both surgical and nonoperative management.

Design: Population-based cohort study. Read More

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http://dx.doi.org/10.1016/j.jamda.2018.09.024DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6400293PMC
March 2019
1 Read