Complex Distal Radius Fracture #dr_azanki
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Distal End Radius Fracture are quiet frequent, but some are complex fracture which requires a special care in diagnosis and management (according to certain algorithm )...this is a presentation transforming the review article by the american academy of orthopedic surgery into a simple and useful presentation. #dr_azanki
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Distal radius fractures
This document summarizes the management of distal radius fractures. It describes the anatomy, classification system, factors associated with poor outcomes, imaging techniques, and various treatment options including closed reduction, external fixation, volar plating, and dorsal plating. While operative treatment with plates is increasingly common, evidence is still lacking on the best approach and nonoperative treatment remains an option for many fractures with acceptable alignment. The goal is to restore anatomy while avoiding complications from the fixation method.
Distal radius.
This document provides an overview of distal radius fractures, including:
- The history and key descriptions of these fractures dating back to the 18th century.
- Distal radius fracture demographics, including higher rates in certain age groups and genders.
- Surgical anatomy of the distal radius and surrounding ligaments.
- Biomechanics of the distal radius including measurements like radial inclination and ulnar variance.
- Pathomechanisms of posteriorly and anteriorly displaced distal radius fractures.
- Principles and techniques for implants used in distal radius fracture treatment, including ligamentotaxis, plating approaches, and K-wire fixation.
Plating of the distal radius
This document discusses the treatment of distal radius fractures through plating. It begins with an overview of distal radius anatomy and the columnar classification system used to guide treatment. It then discusses the pathophysiology of distal radius fractures and associated injuries. Treatment options range from closed reduction to open reduction with plating or other internal fixation. Plating allows for anatomic restoration and stable fixation, enabling early return of wrist function. Factors such as fracture pattern, displacement, and patient needs help determine the appropriate treatment. Complications of plating include tendon issues and potential need for plate removal.
DER #
This document discusses distal radial fractures, including:
1. Distal radial fractures account for 20% of all fractures and occur more commonly in younger males from high-energy injuries and older females from low-energy injuries.
2. Operative treatment is recommended for unstable fractures, displaced intra-articular fractures, open fractures, and fractures associated with other injuries. Surgical options include percutaneous pinning, external fixation, volar plating, and internal fixation depending on the fracture type.
3. Nonoperative treatment can be used for stable fractures and low-demand elderly patients. Factors like patient age, activity level, and fracture stability help determine the best treatment approach.
Distal end of radius fractures dr.harish
This document provides an overview of distal radius fractures, including anatomy, classification systems, treatment options, and complications. Some key points:
- The distal radius has articular surfaces that articulate with the scaphoid, lunate, and triangular fibrocartilage complex.
- Common fracture classifications include the Gartland & Werley and Frykman systems.
- Treatment may involve closed reduction and casting, percutaneous pinning, external fixation, or internal fixation depending on the fracture type and displacement.
- Surgical treatment is usually indicated for displaced intra-articular fractures or when acceptable reduction cannot be achieved/maintained with closed methods.
- Complications can include loss of motion,
Distal radius fracture
Distal radius fractures account for up to 20% of emergency department fractures. They typically result from a fall on an outstretched hand. Diagnosis involves history of injury mechanism and physical exam finding of wrist deformity and pain with movement. Classification systems help understand fracture patterns and challenges. Treatment depends on factors like stability, alignment, comminution and patient age/demands. Options include closed reduction with casting, percutaneous pinning, external fixation, plating, and open reduction with internal fixation. Complications can include arthritis, loss of motion, nerve issues, contractures and nonunion.
Fractures of distal end radius
This document provides information on fractures of the distal end of the radius bone. It discusses the history, incidence, anatomy, classification, diagnosis, and treatment options for these fractures. Distal radius fractures most commonly result from falls on an outstretched hand and occur in three main age groups. Treatment depends on factors like fracture pattern and stability, and may involve closed reduction with casting or surgical options like percutaneous pinning, plating, or external fixation. The goals of treatment are to restore function, alignment, and stability while avoiding complications.
Distalra
This document describes the surgical procedure for placing an external fixator on a patient's forearm to treat an intraarticular distal radius fracture. Key steps include making a small incision over the radius, using retractors to expose the bone, drilling holes and placing pins proximal and distal to the fracture, connecting rods to create the frame, performing an initial reduction of the fracture, obtaining x-rays to check positioning, and the potential use of bone grafting or fixation of bone fragments.
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Distal radius fractures
This document summarizes the management of distal radius fractures. It describes the anatomy, classification system, factors associated with poor outcomes, imaging techniques, and various treatment options including closed reduction, external fixation, volar plating, and dorsal plating. While operative treatment with plates is increasingly common, evidence is still lacking on the best approach and nonoperative treatment remains an option for many fractures with acceptable alignment. The goal is to restore anatomy while avoiding complications from the fixation method.
Distal radius.
This document provides an overview of distal radius fractures, including:
- The history and key descriptions of these fractures dating back to the 18th century.
- Distal radius fracture demographics, including higher rates in certain age groups and genders.
- Surgical anatomy of the distal radius and surrounding ligaments.
- Biomechanics of the distal radius including measurements like radial inclination and ulnar variance.
- Pathomechanisms of posteriorly and anteriorly displaced distal radius fractures.
- Principles and techniques for implants used in distal radius fracture treatment, including ligamentotaxis, plating approaches, and K-wire fixation.
Plating of the distal radius
This document discusses the treatment of distal radius fractures through plating. It begins with an overview of distal radius anatomy and the columnar classification system used to guide treatment. It then discusses the pathophysiology of distal radius fractures and associated injuries. Treatment options range from closed reduction to open reduction with plating or other internal fixation. Plating allows for anatomic restoration and stable fixation, enabling early return of wrist function. Factors such as fracture pattern, displacement, and patient needs help determine the appropriate treatment. Complications of plating include tendon issues and potential need for plate removal.
DER #
This document discusses distal radial fractures, including:
1. Distal radial fractures account for 20% of all fractures and occur more commonly in younger males from high-energy injuries and older females from low-energy injuries.
2. Operative treatment is recommended for unstable fractures, displaced intra-articular fractures, open fractures, and fractures associated with other injuries. Surgical options include percutaneous pinning, external fixation, volar plating, and internal fixation depending on the fracture type.
3. Nonoperative treatment can be used for stable fractures and low-demand elderly patients. Factors like patient age, activity level, and fracture stability help determine the best treatment approach.
Distal end of radius fractures dr.harish
This document provides an overview of distal radius fractures, including anatomy, classification systems, treatment options, and complications. Some key points:
- The distal radius has articular surfaces that articulate with the scaphoid, lunate, and triangular fibrocartilage complex.
- Common fracture classifications include the Gartland & Werley and Frykman systems.
- Treatment may involve closed reduction and casting, percutaneous pinning, external fixation, or internal fixation depending on the fracture type and displacement.
- Surgical treatment is usually indicated for displaced intra-articular fractures or when acceptable reduction cannot be achieved/maintained with closed methods.
- Complications can include loss of motion,
Distal radius fracture
Distal radius fractures account for up to 20% of emergency department fractures. They typically result from a fall on an outstretched hand. Diagnosis involves history of injury mechanism and physical exam finding of wrist deformity and pain with movement. Classification systems help understand fracture patterns and challenges. Treatment depends on factors like stability, alignment, comminution and patient age/demands. Options include closed reduction with casting, percutaneous pinning, external fixation, plating, and open reduction with internal fixation. Complications can include arthritis, loss of motion, nerve issues, contractures and nonunion.
Fractures of distal end radius
This document provides information on fractures of the distal end of the radius bone. It discusses the history, incidence, anatomy, classification, diagnosis, and treatment options for these fractures. Distal radius fractures most commonly result from falls on an outstretched hand and occur in three main age groups. Treatment depends on factors like fracture pattern and stability, and may involve closed reduction with casting or surgical options like percutaneous pinning, plating, or external fixation. The goals of treatment are to restore function, alignment, and stability while avoiding complications.
Distalra
This document describes the surgical procedure for placing an external fixator on a patient's forearm to treat an intraarticular distal radius fracture. Key steps include making a small incision over the radius, using retractors to expose the bone, drilling holes and placing pins proximal and distal to the fracture, connecting rods to create the frame, performing an initial reduction of the fracture, obtaining x-rays to check positioning, and the potential use of bone grafting or fixation of bone fragments.
Distal radius fractures
This document discusses distal radius fractures, which make up 20% of orthopaedic admissions. It describes the anatomy of the distal radius and classifications of fractures. Common types include Colles, Smith, Barton, and die punch fractures. Treatment depends on factors like patient age and fracture stability/displacement, and may involve closed or open reduction with pinning or plating to restore normal anatomy. Nonoperative treatment uses casting for stable fractures, while unstable fractures often require surgical fixation.
Fractures Of The Distal Radius
Distal radius fractures can be extra-articular or intra-articular. They are commonly classified based on location, configuration, displacement, involvement of the ulna, and stability. Treatment depends on factors like age, fracture pattern, and degree of displacement. Options include closed reduction with casting or surgical fixation to restore anatomy and allow early mobility. Complications can include malunion, arthritis, and nerve injuries if not properly treated.
Distal radius
1) The document provides an overview of distal radius fractures, including classification systems, treatment algorithms, and surgical procedures.
2) Key points include that distal radius fractures are the most common fractures, with a spectrum ranging from simple to complex fractures. Treatment depends on factors like displacement and stability.
3) Surgical techniques discussed include percutaneous pinning, external fixation, limited open reduction with internal fixation using plates, screws, or bone grafts. The choice of technique depends on the fracture pattern and stability.
conference extern orthopedic
A 41-year-old male presented with a right wrist injury following a motorcycle accident. Radiographs showed a distal radius fracture, specifically a volar Barton's fracture. Due to the patient's young age and active lifestyle, the treatment plan was to perform an open reduction and internal fixation (ORIF) with plate and screws to achieve anatomic reduction and minimize long-term complications like arthritis. Pre-operatively, the fracture was reduced closed and immobilized with a short arm cast in preparation for definitive surgical fixation.
Distal Radius Fractures- Journal club
A Description on the fracture itself followed by a review of literature on the management .
Kindly report the flaws.
Dr.y.nageshwarao neglected wrist fractures
1. Neglected wrist trauma, especially distal radius fractures, are common injuries that are often overlooked.
2. Malunions of distal radius fractures can lead to deformities like shortening, angulation, and rotational abnormalities that disrupt the biomechanics of the wrist.
3. Surgical management of neglected wrist injuries focuses on correcting deformities through osteotomies and bone grafting, restoring radial length and angle, and addressing ulnar-sided problems through procedures like ulnar shortening. Late stage treatment may require salvage procedures like wrist fusion.
A brief review of distal radius fractures
This document provides an overview of distal radius fractures, including:
- Classifications including Frykman, Fernandez, Melone, AO which describe fracture type, severity and treatment.
- Common fracture types like Colles, Smith's and Barton's are described.
- Radiographic parameters to assess fracture reduction are outlined.
- Management approaches including closed reduction and casting, percutaneous pinning, external fixation and open reduction internal fixation are discussed. Complications of different treatment methods are also reviewed.
Distal radius fracture
This document discusses the history and treatment of distal radius fractures. Some key points:
- Distal radius fractures are common injuries that were first recognized in the late 18th century, with descriptions of injury patterns evolving over the 19th century.
- Treatment has progressed from casting to external fixation to various internal fixation methods like dorsal, volar, and combined plating approaches.
- Factors like fracture pattern, displacement, comminution, and articular involvement help determine appropriate treatment, whether closed reduction or open reduction with internal fixation.
- The goal of treatment is to restore normal anatomy, allow early motion, and avoid complications like malunion.
Distal radius fracture fixed angle volar plate
This study evaluated the functional outcomes of using volar plating to surgically treat fractures of the distal radius. 30 patients underwent open reduction and internal fixation with a volar plate. At one year follow up, wrist range of motion, grip strength, and alignment had significantly improved. Nearly 90% of patients reported excellent or good results based on the Modified Green and O'Brien scoring system. While a few patients developed minor complications like tenosynovitis, no patients had non-union or implant failures. Overall, volar plating provided an effective treatment that led to high levels of patient satisfaction through restored wrist function and limited pain.
Distal radius fracture
This document discusses Colles' fracture, which is a fracture of the distal radius near the wrist. It most commonly occurs in post-menopausal women after a fall on an outstretched hand. The fracture causes dorsal displacement of the distal radius fragment. Treatment involves closed manipulation and casting the forearm in pronation, palmar flexion, and ulnar deviation. Complications can include nerve injuries, complex regional pain syndrome, malunion from improper treatment, and secondary osteoarthritis in more severe fractures.
Distal radius fractures
Distal radius fractures are the most common fractures seen in orthopaedic trauma. They typically occur due to falls in older populations and can be classified based on the degree of articular involvement and instability. Treatment depends on fracture pattern but generally involves closed reduction and casting for non-displaced fractures, while more displaced or unstable fractures may require operative fixation to restore anatomy and maximize function. Rehabilitation focuses on early range of motion exercises and recovery of grip strength.
Distal radius fracture
The document discusses the anatomy, epidemiology, classification, diagnosis, and management of distal radius fractures. Some key points:
- The distal radius is responsible for 80% of the wrist's axial load and articulates with the scaphoid, lunate, and ulna.
- Distal radius fractures have a trimodal distribution and are the most common osteoporotic fracture.
- Types include Colles', Smith's, Barton's, and lunate load fractures. Colles' involves backward displacement and Smith's involves palmar displacement.
- Treatment depends on factors like age, fracture characteristics, and associated injuries. Non-operative options include closed reduction and casting while operative options include pinning, external
Distal Radius.Fractures
The document discusses distal radius fractures, including their classification, management, and research. It describes the most common classification systems, which classify fractures based on joint involvement, mechanism of injury, and severity. Management options include closed reduction and casting for non-displaced fractures, as well as percutaneous pinning, external fixation, and open reduction internal fixation for displaced or unstable fractures. Complications and the importance of anatomic restoration and early motion are also covered.
Mx of distal radius fractures
1) Closed reduction is recommended for all distal radius fractures to limit swelling and provide pain relief, even if later surgical treatment is anticipated.
2) Indications for closed treatment include non or minimally displaced fractures, displaced fractures with a stable pattern that is expected to heal with acceptable alignment, and low demand elderly patients.
3) Acceptable reduction criteria include ulnar variance within 2mm, no more than 2mm of shortening, neutral palmar tilt, and radial inclination of at least 10 degrees.
Fracture of the distal radius
This document discusses fractures of the distal radius, including Colles' fractures (transverse fractures with dorsal displacement), Smith's fractures (volar displacement), and Barton's fractures (dorsal or volar rim avulsions). Treatment depends on the fracture type and degree of displacement/fragmentation. Displaced fractures may be reduced manually or surgically with K-wires, plates, or external fixation. Outcomes depend on restoring length, alignment, and congruity while allowing early motion. Complications include malunion, nonunion, instability, and arthritis.
Distal radius fracture
This document discusses distal radius fractures, providing details on:
- Epidemiology, including three main peaks of fracture distribution among different age groups.
- Classification systems including Gartland & Werley and AO/OTA.
- Treatment options including casting, percutaneous pinning, plating techniques, external fixation.
- Surgical indications such as intra-articular displacement, comminution, open fractures.
- Goals of treatment which are to preserve function, realign anatomy and promote healing.
Wrist fractures - Dafydd Loughran
The document provides information on the assessment and management of wrist and forearm fractures including:
1) It outlines the relevant anatomy, common fracture patterns, and principles for clinical assessment including neurovascular examination.
2) It describes mnemonics to remember carpal bone names and locations of major nerves.
3) Examples of common fracture types are given like Colles', Smith's, Barton's and scaphoid fractures along with their characteristic features and management approaches.
4) The document stresses following ATLS protocols, considering associated injuries, and being vigilant for compartment syndrome in the assessment and initial stabilization of fractures.
DISTAL END RADIUS FRACTURE
This document provides information on distal radius fractures. It begins with a brief history of distal radius fractures and then discusses anatomy, classification systems, diagnosis, treatment options including casting, percutaneous pinning, external fixation and plating, and postoperative care. The key points covered are the common mechanisms of injury, importance of radiographic evaluation, factors determining stability, and indications for closed versus operative treatment.
Distal end radius fracture
The document discusses fractures of the distal radius. It begins with an introduction stating that distal radius fractures represent about one sixth of all fractures and occur most commonly in children aged 5-14, males under 50, and females over 40. It then discusses the anatomy of the distal radius and surrounding ligaments. The document covers various classification systems for distal radius fractures and describes some specific fracture types like Colles fractures and Barton's fractures. It concludes with discussing clinical features like symptoms of pain and deformity following trauma to the wrist.
Distal radius malunion , correction
This document describes the management of distal radius malunion through corrective osteotomy and bone grafting with definitive fixation. It discusses the clinical features and radiographic evaluation of distal radius malunion. It also outlines the indications and contraindications for surgical treatment, as well as strategies for treating extra-articular and intra-articular malunion. Specific procedures described for correcting deformities include Fernandez and Shea osteotomies, as well as procedures for addressing distal radioulnar joint incongruencies such as ulnar shortening osteotomy or Darrach's procedure. Post-operative protocols including immobilization and restricted activities are also summarized.
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3. Various surgical techniques have been developed to allow for implantation of an adequate sized prosthesis while preventing complications like left ventricular outflow tract obstruction.
Distal Radius Fractures(DER) colless.pdf
Distal radius fractures are common injuries that can impair hand and wrist function if not properly treated. They often result from falls on an outstretched hand. Surgical treatment goals are to preserve function, realign anatomy, and promote healing. Treatment may involve closed reduction and casting, percutaneous pinning, external fixation, or open reduction with internal fixation using plates or screws. Proper restoration of radial length, inclination, and tilt is important for outcomes. Malunion can alter load bearing and require corrective osteotomy.
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Distal radius fractures
This document discusses distal radius fractures, which make up 20% of orthopaedic admissions. It describes the anatomy of the distal radius and classifications of fractures. Common types include Colles, Smith, Barton, and die punch fractures. Treatment depends on factors like patient age and fracture stability/displacement, and may involve closed or open reduction with pinning or plating to restore normal anatomy. Nonoperative treatment uses casting for stable fractures, while unstable fractures often require surgical fixation.
Fractures Of The Distal Radius
Distal radius fractures can be extra-articular or intra-articular. They are commonly classified based on location, configuration, displacement, involvement of the ulna, and stability. Treatment depends on factors like age, fracture pattern, and degree of displacement. Options include closed reduction with casting or surgical fixation to restore anatomy and allow early mobility. Complications can include malunion, arthritis, and nerve injuries if not properly treated.
Distal radius
1) The document provides an overview of distal radius fractures, including classification systems, treatment algorithms, and surgical procedures.
2) Key points include that distal radius fractures are the most common fractures, with a spectrum ranging from simple to complex fractures. Treatment depends on factors like displacement and stability.
3) Surgical techniques discussed include percutaneous pinning, external fixation, limited open reduction with internal fixation using plates, screws, or bone grafts. The choice of technique depends on the fracture pattern and stability.
conference extern orthopedic
A 41-year-old male presented with a right wrist injury following a motorcycle accident. Radiographs showed a distal radius fracture, specifically a volar Barton's fracture. Due to the patient's young age and active lifestyle, the treatment plan was to perform an open reduction and internal fixation (ORIF) with plate and screws to achieve anatomic reduction and minimize long-term complications like arthritis. Pre-operatively, the fracture was reduced closed and immobilized with a short arm cast in preparation for definitive surgical fixation.
Distal Radius Fractures- Journal club
A Description on the fracture itself followed by a review of literature on the management .
Kindly report the flaws.
Dr.y.nageshwarao neglected wrist fractures
1. Neglected wrist trauma, especially distal radius fractures, are common injuries that are often overlooked.
2. Malunions of distal radius fractures can lead to deformities like shortening, angulation, and rotational abnormalities that disrupt the biomechanics of the wrist.
3. Surgical management of neglected wrist injuries focuses on correcting deformities through osteotomies and bone grafting, restoring radial length and angle, and addressing ulnar-sided problems through procedures like ulnar shortening. Late stage treatment may require salvage procedures like wrist fusion.
A brief review of distal radius fractures
This document provides an overview of distal radius fractures, including:
- Classifications including Frykman, Fernandez, Melone, AO which describe fracture type, severity and treatment.
- Common fracture types like Colles, Smith's and Barton's are described.
- Radiographic parameters to assess fracture reduction are outlined.
- Management approaches including closed reduction and casting, percutaneous pinning, external fixation and open reduction internal fixation are discussed. Complications of different treatment methods are also reviewed.
Distal radius fracture
This document discusses the history and treatment of distal radius fractures. Some key points:
- Distal radius fractures are common injuries that were first recognized in the late 18th century, with descriptions of injury patterns evolving over the 19th century.
- Treatment has progressed from casting to external fixation to various internal fixation methods like dorsal, volar, and combined plating approaches.
- Factors like fracture pattern, displacement, comminution, and articular involvement help determine appropriate treatment, whether closed reduction or open reduction with internal fixation.
- The goal of treatment is to restore normal anatomy, allow early motion, and avoid complications like malunion.
Distal radius fracture fixed angle volar plate
This study evaluated the functional outcomes of using volar plating to surgically treat fractures of the distal radius. 30 patients underwent open reduction and internal fixation with a volar plate. At one year follow up, wrist range of motion, grip strength, and alignment had significantly improved. Nearly 90% of patients reported excellent or good results based on the Modified Green and O'Brien scoring system. While a few patients developed minor complications like tenosynovitis, no patients had non-union or implant failures. Overall, volar plating provided an effective treatment that led to high levels of patient satisfaction through restored wrist function and limited pain.
Distal radius fracture
This document discusses Colles' fracture, which is a fracture of the distal radius near the wrist. It most commonly occurs in post-menopausal women after a fall on an outstretched hand. The fracture causes dorsal displacement of the distal radius fragment. Treatment involves closed manipulation and casting the forearm in pronation, palmar flexion, and ulnar deviation. Complications can include nerve injuries, complex regional pain syndrome, malunion from improper treatment, and secondary osteoarthritis in more severe fractures.
Distal radius fractures
Distal radius fractures are the most common fractures seen in orthopaedic trauma. They typically occur due to falls in older populations and can be classified based on the degree of articular involvement and instability. Treatment depends on fracture pattern but generally involves closed reduction and casting for non-displaced fractures, while more displaced or unstable fractures may require operative fixation to restore anatomy and maximize function. Rehabilitation focuses on early range of motion exercises and recovery of grip strength.
Distal radius fracture
The document discusses the anatomy, epidemiology, classification, diagnosis, and management of distal radius fractures. Some key points:
- The distal radius is responsible for 80% of the wrist's axial load and articulates with the scaphoid, lunate, and ulna.
- Distal radius fractures have a trimodal distribution and are the most common osteoporotic fracture.
- Types include Colles', Smith's, Barton's, and lunate load fractures. Colles' involves backward displacement and Smith's involves palmar displacement.
- Treatment depends on factors like age, fracture characteristics, and associated injuries. Non-operative options include closed reduction and casting while operative options include pinning, external
Distal Radius.Fractures
The document discusses distal radius fractures, including their classification, management, and research. It describes the most common classification systems, which classify fractures based on joint involvement, mechanism of injury, and severity. Management options include closed reduction and casting for non-displaced fractures, as well as percutaneous pinning, external fixation, and open reduction internal fixation for displaced or unstable fractures. Complications and the importance of anatomic restoration and early motion are also covered.
Mx of distal radius fractures
1) Closed reduction is recommended for all distal radius fractures to limit swelling and provide pain relief, even if later surgical treatment is anticipated.
2) Indications for closed treatment include non or minimally displaced fractures, displaced fractures with a stable pattern that is expected to heal with acceptable alignment, and low demand elderly patients.
3) Acceptable reduction criteria include ulnar variance within 2mm, no more than 2mm of shortening, neutral palmar tilt, and radial inclination of at least 10 degrees.
Fracture of the distal radius
This document discusses fractures of the distal radius, including Colles' fractures (transverse fractures with dorsal displacement), Smith's fractures (volar displacement), and Barton's fractures (dorsal or volar rim avulsions). Treatment depends on the fracture type and degree of displacement/fragmentation. Displaced fractures may be reduced manually or surgically with K-wires, plates, or external fixation. Outcomes depend on restoring length, alignment, and congruity while allowing early motion. Complications include malunion, nonunion, instability, and arthritis.
Distal radius fracture
This document discusses distal radius fractures, providing details on:
- Epidemiology, including three main peaks of fracture distribution among different age groups.
- Classification systems including Gartland & Werley and AO/OTA.
- Treatment options including casting, percutaneous pinning, plating techniques, external fixation.
- Surgical indications such as intra-articular displacement, comminution, open fractures.
- Goals of treatment which are to preserve function, realign anatomy and promote healing.
Wrist fractures - Dafydd Loughran
The document provides information on the assessment and management of wrist and forearm fractures including:
1) It outlines the relevant anatomy, common fracture patterns, and principles for clinical assessment including neurovascular examination.
2) It describes mnemonics to remember carpal bone names and locations of major nerves.
3) Examples of common fracture types are given like Colles', Smith's, Barton's and scaphoid fractures along with their characteristic features and management approaches.
4) The document stresses following ATLS protocols, considering associated injuries, and being vigilant for compartment syndrome in the assessment and initial stabilization of fractures.
DISTAL END RADIUS FRACTURE
This document provides information on distal radius fractures. It begins with a brief history of distal radius fractures and then discusses anatomy, classification systems, diagnosis, treatment options including casting, percutaneous pinning, external fixation and plating, and postoperative care. The key points covered are the common mechanisms of injury, importance of radiographic evaluation, factors determining stability, and indications for closed versus operative treatment.
Distal end radius fracture
The document discusses fractures of the distal radius. It begins with an introduction stating that distal radius fractures represent about one sixth of all fractures and occur most commonly in children aged 5-14, males under 50, and females over 40. It then discusses the anatomy of the distal radius and surrounding ligaments. The document covers various classification systems for distal radius fractures and describes some specific fracture types like Colles fractures and Barton's fractures. It concludes with discussing clinical features like symptoms of pain and deformity following trauma to the wrist.
Distal radius malunion , correction
This document describes the management of distal radius malunion through corrective osteotomy and bone grafting with definitive fixation. It discusses the clinical features and radiographic evaluation of distal radius malunion. It also outlines the indications and contraindications for surgical treatment, as well as strategies for treating extra-articular and intra-articular malunion. Specific procedures described for correcting deformities include Fernandez and Shea osteotomies, as well as procedures for addressing distal radioulnar joint incongruencies such as ulnar shortening osteotomy or Darrach's procedure. Post-operative protocols including immobilization and restricted activities are also summarized.
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Distal Radius Fractures(DER) colless.pdf
Distal radius fractures are common injuries that can impair hand and wrist function if not properly treated. They often result from falls on an outstretched hand. Surgical treatment goals are to preserve function, realign anatomy, and promote healing. Treatment may involve closed reduction and casting, percutaneous pinning, external fixation, or open reduction with internal fixation using plates or screws. Proper restoration of radial length, inclination, and tilt is important for outcomes. Malunion can alter load bearing and require corrective osteotomy.
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15. (new)definitive obturators partially edent patients
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Galeazzi fracture..23
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Presentation 3
- The patient is a 42-year-old Thai female nurse who fell in the bathroom and injured her right wrist. X-rays showed a closed fracture at the distal end of the right radius bone (Colles' fracture).
- Distal radius fractures are common injuries, especially in older patients. They result from falls onto an outstretched hand.
- Treatment depends on the fracture pattern and stability. Most can be treated with closed reduction and casting, while unstable or displaced fractures may require surgery.
Case discussion 9
This patient sustained a right foot Lisfranc fracture dislocation from an MVA. Imaging shows a fracture dislocation of the tarsometatarsal (TMT) joint with lateral displacement of the metatarsals. Immediate treatment includes following ATLS protocols given the risk of vascular injury and compartment syndrome associated with this high-energy injury. Surgical management aims to restore anatomic alignment through open reduction and internal fixation, potentially using screws, K-wires or plating, to allow a painless, plantigrade stable foot.
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- 1. Journal Club Complex Distal Radius Fracture Presented by : Ibraheim El Wasif Orthopedic Surgery Resident (R3) Abdallah Jomaa El Azanki Orthopedic Surgery As. Lecturer Cedar Tree of Lebanon
- 2. About the article Authors : Peter Charles Rhee, DO, MS Robert J. Medoff, MD Alexander Y. Shin, MD Journal of the American Academy of Orthopedic Surgeons , 2017 . Department of Orthopedic Surgery, San Antonio Military Medical Center Department of Orthopedic Surgery, University of Hawaii, Kailua Department of Orthopedic Surgery, Mayo Clinic
- 3. Anatomy Of Distal F.A. 3 columns : Radial Intermediate Ulnar
- 4. Radial column Formed of : styloid radius scaphoid fossa Attachment to Brachioradialis Long radio-lunate ligament Radio-scapho-capitate ligament Fracture Large styloid fragment Fracture line extending from interfossal ridge to metadiaphysis
- 5. Intermediate column Function Load transmission Attachment Volar R-U lig + Short RL Dorrsal R-U lig Dorsal R-C lig Fracture Volar rim DUC Dorsal wall Intraarticular fragment
- 6. Illustration
- 7. Ulnar column Formed of : Distal ulna TFCC Attachments : Dorsal RU lig Volar RU lig Function : DRUJ stability
- 8. Pedestal “ TheBase” and it refer to the metaphysis of the distal radius Function Support of radial and intermediate column Attachment to distal oblique bundle ( DRUJ Secondary Stabilizer )
- 9. Imaging X-ray Standard : AP , Lateral , Oblique Additional views ( SF , VR ,FIA ,DUC ) CT Scan more useful after Closed Reduction Complex , multi-fragmentary fractures
- 10. Surgical Treatment Goals Radial shortening < 5 mm Radial inclination > 15 Articular step-off < 2 mm Tilt ( ) 15 dorsal – 20 volar tilt Method of fixation Volar locking plate fix Fragment specific fix Ext fix +- PP Distraction bridge plate fixation
- 11. Fragment specific fix : App of individualized low profile implant Create multi-planar , load shearing construct Useful when # fragments too small or distal Volar locking plate : Fixed angle construct Mainstay for fix of DRFs Additional fix may be required
- 12. Distraction bridging plate Int method of wrist spanning fix Used when prolonged immobilization is required Augment to VLP Ext fix +- pp : Highly comminuted DRFs Open fracture Unfit patient
- 13. Reconstruction Sequence 1. Intermediate 2. Radial 3. Ulnar
- 14. Volar Rim amenable for internal fixation ? noyes DBP EF +- PP Stabilized with Volar Locked Plate? NOYYES VLP F-S FIX VLP + K wire fix VLP far distal Proceed to DUC , DW , FIA fragments Algorithm
- 16. VLP already inserted NOYES locking screws into RC fragment persistent instability ? yes Stabilization of RC fragment with F-S FIX or Pin fix No Proceed to ulnar column
- 17. Unstable DRUJ NOYES Stabilize DRUJ TFCC repair ORIF of styloid Assess stability YES Reconstruction complete NO Reduce & fix by Percut. Pin splint FA in sup
- 18. Summary Surgical treatment of complex DRFs very challenging . Understanding anatomy & goals of reconstruction are beneficial in preoperative planning and decision making . Successful surgical management require familiarity of various surgical methods.