12,197 results match your criteria distal radius


Isolated Fracture Dislocation of Medial Humeral Condyle Without Elbow Dislocation: Mechanism of an Unreported Injury.

Indian J Orthop 2021 Jul 29;55(Suppl 2):486-492. Epub 2021 Mar 29.

Department of Orthopaedics, Northern Railway Central Hospital, New Delhi, India.

Dislocations of elbow are often associated with fractures in proximal radius and/or ulna. In adults, fracture dislocations involving humeral condyle are exceptional and have been reported only in association with lateral humeral Condyle. Medial condyle Fracture dislocations have not been reported in adults. Read More

View Article and Full-Text PDF

Dorsal or Lateral Approach for Intramedullary Nailing Using Kirschner Wire in Pediatric Radius Diaphyseal Fractures: Does it really matter?

Indian J Orthop 2021 Jul 7;55(Suppl 2):323-329. Epub 2021 Mar 7.

Department of Orthopaedics and Traumatology, Marmara University Pendik Training and Research Hospital, Istanbul, Turkey.

Background: Intramedullary nailing is the most preferred fixation method for diaphyseal radius and ulna fractures in the young age group. The aim of this study was to compare the dorsal and lateral entry points in the context of entry site-related complications, fracture union and functional results.

Methods: This retrospective comparative study included pediatric patients who underwent surgery for isolated diaphyseal radius or both bone forearm fractures with intramedullary nailing using Kirschner wire between January 2013 and January 2019. Read More

View Article and Full-Text PDF

Acute compartment syndrome of the forearm: A case report of radius fracture with concomitant brachial artery transaction.

Med J Malaysia 2021 Jul;76(4):603-605

Universiti Sains Malaysia, School of Medical Sciences, Department of Emergency Medicine, Kubang Kerian, Malaysia.

Acute compartment syndrome (ACS) is a surgical emergency that requires timely recognition and early management for a good outcome. We report a case of a 71- year-old male seen at the Emergency Department of Universiti Sains Malaysia (USM), Malaysia, on anticoagulant therapy for valvular atrial fibrillation, who had sustained a closed fracture of the left distal end radius following a fall. Examination of the left upper limb showed deformity and tenderness over the left wrist, associated with swelling and a tense anterior compartment with blisters formation and rapid expansion of hematoma at the cubital fossa away from the fracture site. Read More

View Article and Full-Text PDF

Comparison of immobilization periods following open reduction and internal fixation of distal radius fracture: A systematic review and meta-analysis.

J Hand Ther 2021 Jul 22. Epub 2021 Jul 22.

College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia; King Abdullah International Medical Research Center, Jeddah, Saudi Arabia; Department of Orthopedic Surgery, King Abdulaziz Medical City, Jeddah, Saudi Arabia.

Study Design: Systematic review and meta-analysis.

Introduction: The use of volar locking plate (VLP) in the fixation of fracture fragments promised a new era in the management of distal radius fracture (DRF).

Purpose Of The Study: To compare the patient-reported outcomes, functional outcomes, pain, and adverse events between the different periods of immobilization following open reduction and internal fixation of DRFs with VLP. Read More

View Article and Full-Text PDF

[Clinical effects of ulnar artery perforator chain flaps in repairing wounds on distal forearm or wrist with vascular anastomosis].

Zhonghua Shao Shang Za Zhi 2021 Jul;37(7):635-639

Department of Hand Surgery, the Second Hospital of Tangshan, Tangshan 063000, China.

To investigate the clinical effects of ulnar artery perforator chain flaps in repairing wounds on distal forearm or wrist with vascular anastomosis. The retrospective observational study method was used. From March 2015 to July 2019, a total of 11 serious trauma patients on distal forearm or wrist with vascular injury were admitted to the Second Hospital of Tangshan, including 8 male patients and 3 female patients, aged from 25 to 62 years, with an average age of 45 years. Read More

View Article and Full-Text PDF

Casting Position for Distal Radius Fractures Changes Radiocarpal Joint Forces: A Cadaveric Study.

J Hand Surg Am 2021 Jul 21. Epub 2021 Jul 21.

Leni & Peter W. May Department of Orthopaedic Surgery, Icahn School of Medicine at Mount Sinai, Mount Sinai Health System, New York, NY.

Purpose: Nonsurgical distal radius fracture treatment requires immobilization and classical teaching suggests varying cast positions. We investigated the effect of cast position on the force and pressure experienced by the articular cartilage in the scaphoid and lunate fossae.

Methods: Ten fresh-frozen cadaveric specimens were used. Read More

View Article and Full-Text PDF

Efficacy and Safety of Postmenopausal Osteoporosis Treatments: A Systematic Review and Network Meta-Analysis of Randomized Controlled Trials.

J Clin Med 2021 Jul 8;10(14). Epub 2021 Jul 8.

Department of Orthopedic Surgery, College of Medicine, China Medical University, No. 2, Yu-Der Rd., Taichung 40447, Taiwan.

Although a range of pharmacological interventions is available, it remains uncertain which treatment for osteoporosis is more effective. This network meta-analysis study aimed to compare different drug efficacy and safety in randomized controlled trials (RCTs) for the treatment of postmenopausal osteoporosis. PubMed, EMBASE, MEDLINE, Clinicaltrial. Read More

View Article and Full-Text PDF

High Risk of Hip and Spinal Fractures after Distal Radius Fracture: A Longitudinal Follow-Up Study Using a National Sample Cohort.

Int J Environ Res Public Health 2021 Jul 10;18(14). Epub 2021 Jul 10.

Department of Orthopaedic Surgery, Wonju College of Medicine, Yonsei University, Wonju 26426, Korea.

The purpose of the present study was to estimate the risk of hip and spinal fracture after distal radius fracture. Data from the Korean National Health Insurance Service-National Sample Cohort were collected between 2002 and 2013. A total of 8013 distal radius fracture participants who were 50 years of age or older were selected. Read More

View Article and Full-Text PDF

Mini-invasive Osteotomy for Pediatric Distal Radius Malunion.

Tech Hand Up Extrem Surg 2021 Jul 22. Epub 2021 Jul 22.

Department of Hand Surgery, Turku University Hospital, University of Turku and CoE TYKS ORTO, Turku, Finland.

Although most malunions after pediatric distal radius fractures will remodel as the child grows, adolescent patients with severe malunion and limited growth require reduction to restore alignment. The authors technique for a mini-invasive osteotomy is presented. The apex of the malunion is approached from a single 2 cm volar incision through the flexor carpi radialis sheath. Read More

View Article and Full-Text PDF

Bridge Plate Fixation of Distal Radius Fractures: Indications, Techniques, and Outcomes.

Orthopedics 2021 Jul-Aug;44(4):e620-e625. Epub 2021 Jul 1.

Distal radius fractures are among the most commonly encountered injuries treated by orthopedic surgeons. The incidence of distal radius fractures appears to be on the rise. Although this injury is usually treated nonoperatively, surgical management is often indicated and involves several options, including percutaneous pinning, fragment-specific fixation, volar/dorsal/radial locked plating, intramedullary fixation, and external fixation. Read More

View Article and Full-Text PDF

Sex estimation using radius in a Thai population.

Anat Cell Biol 2021 Jul 21. Epub 2021 Jul 21.

Department of Anatomy, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.

The estimation of sex is an essential component of forensic osteological analyses, and the potential of an incomplete radius for sex determination of human remains is investigated. The present study was conducted on 200 left-right pairs of radial bone from a northern Thai population (100 males and 100 females). The most dimorphic single parameter was maximum head diameter (MDH) with accuracies 92. Read More

View Article and Full-Text PDF

Adult Distal Radius Fracture Management.

J Am Acad Orthop Surg 2021 Jul 19. Epub 2021 Jul 19.

From the Department of Orthopaedic Surgery, University of Virginia, Charlottesville, VA.

Distal radius fractures (DRFs) are some of the most commonly encountered fractures, and the incidence is increasing. Optimal treatment remains controversial. Critical evaluation of the initial imaging is necessary to recognize fracture characteristics and stability. Read More

View Article and Full-Text PDF

Outcome Metrics in the Treatment of Distal Radius Fractures in Patients Aged Above 50 Years: A Systematic Review.

Hand (N Y) 2021 Jul 21:15589447211028919. Epub 2021 Jul 21.

Stanford University, Redwood City, CA, USA.

Background: The inclusion of patient-reported outcome measures (PROMs) serves to better quantify aspects of patient outcomes missed with objective measures, including radiographic indices and physical examination findings. We hypothesize that PROMs are inconsistently and heterogeneously captured in the treatment of distal radius fractures.

Methods: We performed a systematic review following Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines of all level I and II randomized controlled trials (RCTs) of distal radius fracture treatment of any modality for those older than 50 years of age from January 2008 to January 2018. Read More

View Article and Full-Text PDF

Use of aromatase inhibitors in patients with breast cancer is associated with deterioration of bone microarchitecture and density.

Arch Endocrinol Metab 2021 Jul 16. Epub 2021 Jul 16.

Divisão de Endocrinologia, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brasil,

Objective: To evaluate changes in bone density and architecture in postmenopausal women with breast cancer (BC) and use of aromatase inhibitor (AI).

Methods: Thirty-four postmenopausal women with BC, without bone metastasis, renal function impairment and who were not receiving bone-active drugs were selected from a population of 523 outpatients treated for BC. According to the presence of hormonal receptors, HER2 and Ki67, seventeen had positive hormonal receptors and received anastrozole (AI group), and seventeen were triple-negative receptors (non-AI group), previously treated with chemotherapy. Read More

View Article and Full-Text PDF

What's the best surgical repair technique of an ulnar styloid fracture? A biomechanical comparison of different techniques.

Injury 2021 Jul 2. Epub 2021 Jul 2.

Orthopaedic Biomechanics Laboratory, Congress Medical Foundatiom, Pasadena, CA, USA. Electronic address:

Introduction: 8-10% of all Ulnar styloid fractures (USF) accompanying distal radius fractures are addressed surgically. The surgical fixation has to counteract forces of translation and rotation acting on the distal radioulnar joint (DRUJ). The different technics used were never compared biomechanically. Read More

View Article and Full-Text PDF

Association Between Bone Mineral Density of the Distal Third of the Radius and Mortality in Patients on Hemodialysis, a Retrospective Cohort Study.

Iran J Kidney Dis 2021 Jul;15(4):306-313

Department of Nephrology, Konan Medical Center, 1-5-16 Kamokogahara, Higashinadaku, Kobe 658-0064, Japan.

Introduction: Although several investigators have reported the relationship between bone mineral density (BMD) and mortality in patients on hemodialysis, it is unclear BMD of which site is most strongly associated with mortality.

Methods: We examined the factors related to fractures in patients on hemodialysis in 2009. Based on these data, we investigated the influence of BMD of different sites on mortality in this cohort of 81 patients on hemodialysis. Read More

View Article and Full-Text PDF

Scaphoid Nonunion Volar Plating with Pure Nonvascularized Cancellous Autograft.

JBJS Essent Surg Tech 2021 Apr-Jun;11(2). Epub 2021 May 27.

Department of Orthopaedic Surgery, University of Arizona College of Medicine-Phoenix, Phoenix, Arizona.

Background: Surgical treatment of scaphoid nonunion has evolved over the years to include a variety of procedures and techniques involving a number of vascularized and nonvascularized bone grafting options and fixation strategies. Volar plating of scaphoid nonunions with use of pure cancellous nonvascularized autograft is a safe and effective treatment method with good functional outcomes and union rates.

Description: Volar plating of the scaphoid nonunion is performed via a volar approach, with debridement and reduction of the nonunion site. Read More

View Article and Full-Text PDF

Supernumerary extensor pollicis longus tendon masking an extensor pollicis longus rupture following non-surgical treatment of a distal radius fracture.

BMJ Case Rep 2021 Jul 15;14(7). Epub 2021 Jul 15.

Orthopaedic Surgery and Sports Medicine, Temple University, Philadelphia, Pennsylvania, USA.

Extensor pollicis longus tendon pathology is a recognised complication following non-surgical treatment of non-displaced distal radius fractures. Tendon entrapment typically presents with pain, but preservation of thumb retropulsion during complete rupture results in loss of active thumb retropulsion and tenodesis effect. We present the case of a 52-year-old woman who developed extensor pollicis longus tendon entrapment with full active thumb extension following a non-displaced distal radius fracture. Read More

View Article and Full-Text PDF

Capitate shortening osteotomy with or without vascularized bone grafting for the treatment of early stages of Kienböck's disease.

Int Orthop 2021 Jul 15. Epub 2021 Jul 15.

Orthopedic Department, Faculty of Medicine, Suez University, El Salam CitySuez, 43533, Egypt.

Purpose: The study evaluates the procedures of capitate shortening osteotomy with or without vascularized bone grafting (VBG) for the treatment of stage II or IIIA Kienböck's disease with neutral ulnar variance.

Method: Forty-five patients with stage II (n = 21) and IIIA (n = 24) Kienböck's disease were included in the study. Patients were classified into two groups; isolated capitate shortening (ICS) group included 21 patients (stage II [n = 10] and stage IIIA [n = 11]) treated by capitate shortening without VBG of the lunate. Read More

View Article and Full-Text PDF

[THE ROLE OF BONE SCINTIGRAPHY IN THE DIAGNOSIS OF CHRONIC RECURRENT MULTIFOCAL OSTEOMYELITIS IN CHILDREN].

Harefuah 2021 Jul;160(7):429-432

Day Care Department, Schneider Children's Medical Center, Tel Aviv University.

Introduction: This case report presents a teenage girl hospitalized due to fever, left wrist pain and elevated inflammatory markers. These clinical findings, as well as a lytic lesion seen on plain radiographs and MRI in the distal left radius, led to the working diagnosis of acute osteomyelitis. Following 4 weeks of antibiotic therapy, a bone scan was conducted due to inadequate clinical response. Read More

View Article and Full-Text PDF

A new quantitative evaluation system for distal radioulnar joint instability using a three-dimensional electromagnetic sensor.

J Orthop Surg Res 2021 Jul 14;16(1):452. Epub 2021 Jul 14.

Department of Orthopaedic Surgery, Kobe University Graduate School of Medicine, Kobe, Japan.

Background: The accurate assessment of distal radioulnar joint (DRUJ) instability is still challenging as there is no established objective evaluation method. This study aimed to develop a noninvasive measurement method using a three-dimensional electromagnetic sensor system (EMS) to quantitatively assess and characterize the normal DRUJ movement in healthy volunteers.

Methods: The DRUJ movement was mimicked using both a block model and saw bone. Read More

View Article and Full-Text PDF

Distal radius fractures.

J Hand Surg Eur Vol 2021 Jul 13:17531934211028711. Epub 2021 Jul 13.

Department of Orthopaedic Surgery, Flinders University, Adelaide, Australia.

The management of distal radius fractures has evolved considerably in the last two decades. Techniques and hardware have improved so much that the surgeon can usually assure good results in these debilitating fractures. Yet no one method can be used for all injuries, as the personality of each fracture demands a customized approach. Read More

View Article and Full-Text PDF

Effect of pre-treatment expectations on post-treatment expectation fulfillment or outcomes in patients with distal radius fracture.

J Hand Ther 2021 May 13. Epub 2021 May 13.

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

Background: The influence of patient expectations on patient-rated outcomes (PRO) after elective orthopedic procedures has been addressed in previous studies. However, the influence of pre-treatment expectations on post-treatment PRO was rarely examined in patients with extremity fractures.

Purpose: The purpose of this study was to determine if pre-treatment expectations have an effect on post-treatment expectation fulfillment or PRO in patients surgically and conservatively managed for distal radius fractures (DRFs). Read More

View Article and Full-Text PDF

Bone Mechanoregulation Allows Subject-Specific Load Estimation Based on Time-Lapsed Micro-CT and HR-pQCT .

Front Bioeng Biotechnol 2021 25;9:677985. Epub 2021 Jun 25.

Institute for Biomechanics, ETH Zurich, Zurich, Switzerland.

Patients at high risk of fracture due to metabolic diseases frequently undergo long-term antiresorptive therapy. However, in some patients, treatment is unsuccessful in preventing fractures or causes severe adverse health outcomes. Understanding load-driven bone remodelling, i. Read More

View Article and Full-Text PDF

Co-producing a multi-stakeholder Core Outcome Set for distal Tibia and Ankle fractures (COSTA): a study protocol.

Trials 2021 Jul 12;22(1):443. Epub 2021 Jul 12.

Warwick Research in Nursing, Warwick Medical School, University of Warwick, Coventry, UK.

Background: Ankle fracture is a common injury with a strong evidence base focused on effectiveness of treatments. However, there are no reporting guidelines on distal tibia and ankle fractures. This has led to heterogeneity in outcome reporting and consequently, restricted the contribution of evidence syntheses. Read More

View Article and Full-Text PDF

Medium-term clinical and radiological results of surgically treated stage 3A Kienböck's disease.

Hand Surg Rehabil 2021 Jul 8. Epub 2021 Jul 8.

University of Health Sciences Ankara City Hospital, Orthopedics and Traumatology Department, University District 1604, Street No: 9, 06800 Cankaya, Ankara, Turkey.

The purpose of this study was to compare the methods of distal radial shortening osteotomy (RSO), lateral closing distal radial wedge osteotomy (RWO), and scaphotrapeziotrapezoid (STT) fusion in the treatment of stage 3A Kienböck's disease (KD). The research was planned as a single-center and retrospective study for the period 2008-2018. Patients were allocated to three groups according to surgical method: group 1, patients with negative ulnar variance, undergoing RSO; group 2, patients with non-negative (neutral or positive) ulnar variance, undergoing RWO; and group 3, patients with non-negative ulnar variance, undergoing STT fusion. Read More

View Article and Full-Text PDF

Absence of Flexor Carpi Radialis Identified During Volar Approach for Fixation of Distal Radius Fracture: A Case Report.

J Orthop Case Rep 2021 Mar;11(3):42-44

Department of Orthopaedic, Amandeep Hospital, G.T. Road, Near Model Town, Amritsar. Punjab. India.

Introduction: Volar locking plate fixation of distal radius fractures is commonly performed because of its good clinical outcomes. The flexor carpi radialis (FCR) approach is one of the most popular approaches to dissecting the volar side of the distal radius because of its simplicity and safety. We describe an extremely rare case of an absent FCR identified during a volar approach for fixation of a distal radius fracture. Read More

View Article and Full-Text PDF

Serum Levels of Vitamin D in Children with or without Isolated Distal Radius Fractures: A Prospective Clinical Study.

Rev Bras Ortop (Sao Paulo) 2021 Jun 31;56(3):351-355. Epub 2021 Mar 31.

Departamento de Cirurgia Ortopédica e Traumatologia, Sisli Hamidiye Etfal Training and Research Hospital, Istambul, Turquia.

 To compare the serum levels of vitamin D and minerals in children with or without isolated distal radius fractures.  The present prospective clinical study included 50 children (aged between 5 and 15 years) with isolated distal radius fractures who were admitted to our emergency unit between February and May 2018 as the study group (group A), and 50 healthy children with no history of fracture as the control group (group B). Peripheral venous blood samples were obtained and analyzed for measurements of 25-hydroxyvitamin D (25(OH)D), calcium (Ca), magnesium (Mg), phosphorus (P), alkaline phosphatase (ALP), and parathyroid hormone (PTH) in both groups. Read More

View Article and Full-Text PDF

Ultrasound in forearm fractures: a pragmatic study assessing the utility of Point of Care Ultrasound (PoCUS) in identifying and managing distal radius fractures.

Emerg Radiol 2021 Jul 8. Epub 2021 Jul 8.

Barking, Havering and Redbridge University Hospitals Trust, Queens Hospital, Rom Valley Way, Romford, London, RM7 0AG, UK.

Background: Point of Care Ultrasound (PoCUS) is a safe, non-invasive tool for identifying distal radius fractures and can potentially be utilised to assist clinicians to reduce displaced fractures. We aim to test whether PoCUS is accurate to identify distal radius fractures and to determine how PoCUS performs as a tool to confirm a successful fracture reduction.

Methods: A pragmatic prospective observational study was done in adult patients presenting with forearm injuries resulting in Colle's type distal radius fractures. Read More

View Article and Full-Text PDF