distal radius fracture

incidence . The bone that is usually broken is called the radius. De distale radiusfractuur (DRF) is wereldwijd het meest voorkomende fractuurtype op de afdeling Spoedeisende Eerste Hulp. With these fixed-angle constructs, there is no need to expose or fill the dorsal defect created by the initial fracture comminution and displacement ( Fig. The complication rates were higher in the operative groups with most major complications due to volar fixed-angle devices, largely caused by tendon rupture or adhesions.

In dealing with complex fractures, a combination of these methods may be required.

Managing Pain During Recovery During recovery, these pain management techniques can be used for patients: Follow-up radiographs at 1 and 2 weeks are necessary to monitor any displacement within the cast.

[3] Among those who are cast, repeated X-rays are recommended within three weeks to verify that a good position is maintained. They can happen even in healthy bones if the trauma was severe enough (for example, a car accident or a fall off a bike).

This technique uses ligamentotaxis (fracture reduction through intact ligaments) to restore anatomic relationships.

The workup of a patient with a distal radius fracture should consist of a careful medical history, general physical examination, and routine laboratory testing. The fracture is almost always about 1 inch from the end of the bone. [4], Where the fracture is undisplaced and stable, nonoperative treatment involves immobilization. These options include percutaneous pinning, external fixation, and ORIF using plating. Remember, these are general guidelines and may not apply to you and your fracture.

[4], Before the 18th century, distal radius fracture was believed to be due to dislocation of the carpal bones or the displacement of the distal radioulnar articulation.

We use necessary cookies to make our site work. Most wrist fracture systems have failed to accomplish any of these goals and there is no consensus about the most useful one.

Ulnar impaction syndrome is a painful condition of excessive contact and wear between the ulna and the carpus with an associated is a degenerative tear of the TFCC. For more detailed information about the cookies we use, see our Cookies page

Symptomatic malunion may require additional surgery. The classification is as follows:[9], The Universal classification system is descriptive but also does not direct treatment. This usually occurs in highly comminuted or displaced fractures.

The most common of the two-part intraarticular fractures are the simple transverse bending fractures, which enter the DRUJ but do not involve the radiocarpal articulation. Although these are often referred to as extraarticular fractures, they do disrupt the sigmoid notch of the distal radius and can lead to dysfunction of the DRUJ (pain and limitation of forearm rotation). The Arbeitsgemeinschaft für Osteosynthesefragen (AO) classification of complete articular distal radius fractures. Most fractures hurt moderately for a few days to a couple of weeks.

DRUJ involvement should not be overlooked in fractures of the distal radius. The metacarpal pins should be placed approximately 45 degrees off the horizontal plane of the palm to permit retroposition of the thumb. Extensor indicis transfer for rupture of the extensor pollicis longus tendon. Although superficial pin tract infections are common, the majority respond to local antibiotics and local wound care, and osteomyelitis is rare.

The methods for treatment of fractures of the distal radius most simply include above-elbow and below-elbow cast immobilization, percutaneous pins and cast immobilization, external fixation with or without percutaneous pins, and limited or formal open reduction.
If the broken wrist isn’t in the correct position to heal, your doctor may need to reset it. Some people also develop compartment syndrome, a condition that happens when pressure in muscles gets dangerously high. Whichever exposure is chosen, next the pronator quadratus is incised radially.

If the fracture is still undisplaced, cast and splint can be applied for three weeks. There are four major types of wrist fractures; they are detailed below. [4] Tenderness at an area with no obvious deformity may still point to underlying fractures. Physical therapy starts to improve function and range of motion in the wrist (but can start much earlier depending on the cast used).

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