Ppt distal radius fractures powerpoint presentation. Intraarticular fractures of the distal end of the radius in young adults. Intermediate column fractures icf of the distal radius are fractures only or mainly limited to the middle column of the distal radius that is a result of an axial load passed to the lunate fossa. The distal humerus is the end of the upper arm bone the humerus that forms the upper part of the elbow.
Complications of distal radius fracture fixation may arise from the injury or method of treatment, as well as both. The break can occur in many different ways, however. The fractures of the distal radius represent the most common fractures of the upper extremity. Get a printable copy pdf file of the complete article 253k. Ultrasoundassisted closed reduction of distal radius. Consideration of the treatment of the distal ulna fracture should be given after the fracture to the radius has been dealt with. Distal humerus fractures of the elbow the three bones that come together to form the elbow can break fracture in different ways. Nondisplaced distal radius fracture torus fracture, buckle fracture immobilize in a short arm cast for 3 weeks. Acumed has introduced the aculoc 2 volar distal radius vdr plating system as the next generation in plating fixation. A fracture of the lower end of the radius to 1 inch from the articular surface, in which the lower fragment and the carpus were displaced forwards in relation to the forearm subluxation of the. Distal radial fracture radiology reference article. These common fractures usually occur when significant force is applied to the distal radial metaphysis. Distal radius fractures common injury fractures of the distal radius represent approximately 16% of all fractures treated by orthopaedic surgeons three main peaks of fracture distribution. On the whole the clinical outcome following such an injury will be determined by the type and severity of the distal radius fracture.
Pintract complications in external fixation of fractures of the distal radius henrik g ahlborg and per olof josefsson we analyzed retrospectively the rate and outcome of pintract complications in 31 4 unstable fractures of the distal radius, treated with the hoffmann small frame external fixator. A distal radius fracture almost always occurs about 1 inch from the end of the bone. The purpose of this retrospective study was to evaluate the initial effect of dynamic splinting on wrist extension active range of motion, in both surgical and non. These types of elbow fractures are fairly uncommon. Distal radius fractures a free powerpoint ppt presentation displayed as a flash slide show on id. Wolfe, md, new york, ny the biomechanical stability of an internal. Distal radius fracture is the medical term for a broken wrist. Instead of running across the shaft like a colles fracture, this type of fracture separates the bones distal joint surface, breaking off the styloid process tip of the radius. Treatment of unstable fractures of the distal radius by external fixation. In younger people, these fractures typically occur during sports or a motor vehicle collision. It has a bimodal distribution, with a peak incidence among young patients with highenergy traumas and elderly patients with lowenergy falls 1,2,3,4. Modality of treatment for the distal end radius fracture. Symptoms include pain, bruising, and rapidonset swelling.
In fact, we have found only one case reported in the english language medical literature. Download full thesis topics for ms dnb orthopaedics degree orthodnb. Distal radius fracture orif rehabilitation protocol kelly holtkamp, m. Pdf fractures of distal radius account for up to 20% of all fractures treated in emergency department. Classification of distal radius fractures wikipedia. There are many types of distal radius wrist fractures. Evidence based postoperative treatment of distal radius. Most distal ulna fractures occur with a distal radius fracture. After soft tissue swelling subsides, open reduction and internal fixation of the distal radius is performed. To study the management of distal end radius fracture.
Recovering from a distal radius fracture sportshealth. Positioning of the radius plate while applying tension to the ngers and in palmar exion of the wrist, reduce the fracture until the joint fragment abuts against the distal end of the plate. Original article efficacy of volar and dorsal plate. Longterm outcome after a surgically treated distal radius fracture external or internal. Fractures of the bilateral distal radius and scaphoid. Dorsal approach and plating of a distal radius fracture 04.
This can be altered with fracture of the distal radius 15, 17. Icd10 other icd 10 codes for associated health conditions s63. Comparison between various modalities of treatment of. A fracture of the lower end of the radius to 1 inch from the articular surface, in which the lower fragment and the carpus were displaced forwards in relation to the forearm. Out of the total number of cases n412 for fracture distal end radius, 5012% cases were managed with cast, 9122%with percutaneous fixation with kwire, 98 with external fixature, 78. Distal radial fractures can be seen in any group of patients and there is a bimodal age and sex. As many as 20% to 50% of the drfs are considered to be inadequately reduced and they require surgical fixation. Distal radius fracture adventhealth orthopedic institute.
The aim of this study was to assess the influence of age, sex, distal radial ulnar joint injury druj, ulnar styloid fracture, and dorsal displacement in late collapse of distal radius fractures. One of the most common distal radius fractures is a colles fracture, in which the broken fragment of the radius tilts upward. Download thesis pdf files, complete thesis dissertation work. Joint stability, restoration and early mobilization are frequently achieved through surgical treatment after such an injury. Original article efficacy of volar and dorsal plate fixation for unstable dorsal distal radius fractures changhong chen, rongkui zhou, huaqing zhen, lei huang, yajun jiao department of orthopaedics, jiangyin traditional chinese medical hospital, jiangyin, jiangsu, china. Pdf the fracture of the distal radius is the most common fracture we treat. Distal radius fractures broken wrist orthoinfo aaos. Pintract complications in external fixation of fractures. Different modalities of distal end radius fracture treatment.
Comparison of conservative and operative treatment for distal radius. It also occurs in young men with high velocity, injury. Distal radial fractures are a heterogeneous group of fractures that occur at the distal radius and are the dominant fracture type at the wrist. Distal radius fracture drf is one of the most common fractures in the human body. A distal radius fracture, also known as wrist fracture, is a break of the part of the radius bone which is close to the wrist. Treating a distal radius fracture using spanning plate fixation feat. Society ots asking for volunteers to take part who fulfilled the above criteria. Access guide method with the end of the small access guide fixed by the target kwire, the proximal end is rotated until the tip is. Associated injuries may accompany distal radius fractures.
The scope of this guideline is specifically limited to acute distal radius fractures. The distal radius is the most common fracture site in the upper extremity. Radiographs of the affected wrist are shown in figure a. The search criteria were based on the pico format and all searches performed on the. The management of distal ulnar fractures in adults.
Dynamic splinting in wrist extension following distal. Although fractures of the distal radius are a common clinical presentation, many factors affect instability of these injuries. Please fax initial evaluation and progress notes to 815. Help with complete thesis work available for download in all subjects. The reported overall incidence of the distal radius fractures drfs per year, ranges from 280 to 440 per 100,000 individuals. In this paper, we report the case of a young man who sustained highenergy, unstable, displaced distal radius fractures along with displaced scaphoid fractures. A prospective study of functional outcome following intraarticular fracture of distal.
It occurs in middle aged and elderly women commonly. These personalized documents served as the basis for discussions of. Removable splints have been used with similar outcomes to casting. Distal radius fractures can be reset either with surgery open reduction or without it closed reduction. Outcomes and cost of care for patients with distal radius. Outcome following nonoperative treatment of displaced distal radius fractures in lowdemand patients older than 60 years.
Familiarity with wrist anatomy and the natural history of major fracture types is essential for appropriate management of distal radius fractures. Bilateral fractures of the distal radius and scaphoid are extremely rare injuries. Such injuries account for approximately onesixth of fractures treated in united states emergency departments eds. Aspects of current management of distal radius fractures. Modality of treatment for the distal end radius fracture dr bhuvnesh chaturvedi, dr sk irfan ali, dr sumit krishna abstract fracture of the distal end of radius is one of the most common fractures. Pathomechanism of posteriorly displaced fracture the usual cause is fall on the hyperextended wrist athe theory of compression impaction when is hyperextended proximal carpal bones come and impact dorsal aspect of radius and body weight is transmitted through long axis of radius to distal end and compression occur at dorsal aspect of. Download full thesis topics for ms dnb orthopaedics degree. In what position should a fractured distal radius be immobilised. The overall complication rate of distal radius fractures ranges from 6% to 80% and has been associated with poor functional outcomes. In older men, the risk of hip fracture increases 2. Best practice for management of distal radial fractures drfs. Distal radius fracture is the second most common fracture type in the medicare population, numbering approximately 85,000 per year.
Displaced distal radius fractures are usually managed. Open reduction and internal fixation of displaced, comminuted intra articular fractures of the distal end of the radius. There are a number of ways to classify distal radius fractures. Most distal radius fractures need surgery to treat pain, restore movement and return func on. Factors predicting late collapse of distal radius fractures.
Open fractures of the distal radius, however, are rare, and there is little information in the literature regarding their management. No studies to date have analyzed the clinical course of open distal radius fractures, and for this reason the clinical results and functional outcome of. This article discusses the recovery process for both approaches, plus the pain management tactics that can be used for all patients. A fracture of the lower end of the radius to 1 inch from the articular surface, in which the lower fragment and the carpus were displaced forwards in relation to. A distal humerus fracture is one type of elbow fracture. Epidemiology of distal radius fracture in akershus, norway. Distal radius fractures considerations and treatment. Fractures of the distal radius drf are commonly defined as fractures within three centimeters of the radiocarpal joint of the radius, where the lower end of the radius interfaces with the carpal bones 21. Distal radius fracture with plaster immobilization and with external fixation. Sld in distal radius fractures, should they be fixed. Distal radius fracture orif rehabilitation protocol. Dodds, md, simon cornelissen, md, new haven, ct, subir jossan, md, manassas, va, scott w. A distal radius fracture occurs when a sudden force causes the radius bone, located on the thumb side of the wrist, to break.
The fracture line then runs diagonally into the shaft. Wrist flexion contracture is a common pathology which presents secondary to distal radius fractures. Classifications systems are devised to describe patterns of injury which will behave in predictable ways, to distinguish between conditions which have different outcomes or which need different treatments. In addition to the individual morbidity, considerable financial resources are spent investigating and treating this injury. Distal radius fractures are the most common long bone fracture. Causes a distal radius fracture is typically caused by direct trauma to the wrist. Thus, accurate primary reduction is valuable for management of a distal radius fracture and essential in nonsurgical cases. It may be part of a complex injury that involves other tissues, nerves and bones of the wrist. The treatment of distal radius fractures summary of recommendations the following is a summary of the recommendations in the aaos clinical practice guideline, the treatment of distal radius fractures. Distal radius fracture is one of the most common fractures seen by orthopaedic. Distal radius fractures occur through the distal metaphysis of the radius may involve articular surface frequently involving the ulnar styloid most often result from a fall on the outstretched hand.
1291 1386 1249 950 1423 446 1254 1090 404 1409 86 885 224 1305 569 111 859 905 921 1147 1183 919 873 692 1335 1080 360 804 993 1037 492 304 836 1042 459 505 819 1460