Search results
Results from the WOW.Com Content Network
The majority of distal radius fractures are treated with conservative nonoperative management, which involves immobilization through application of plaster or splint with or without closed reduction. [12] The prevalence of nonoperative approach to distal radius fractures is around 70%. [13]
Some fractures, however, cannot be held in a satisfactory position by this method, and require some additional form of fixation. This is the usual situation with all displaced fractures of the first metacarpal and of the proximal phalanges of the hand, and of about two thirds of fractures of the distal end of the radius. Percutaneous pinning is ...
Galeazzi fractures are best treated with open reduction of the radius and the distal radio-ulnar joint. [3] It has been called the "fracture of necessity," because it necessitates open surgical treatment in the adult. [4] Nonsurgical treatment results in persistent or recurrent dislocations of the distal ulna. [1]
It is an intra-articular fracture of the distal radius with dislocation of the radiocarpal joint. [2] There exist two types of Barton's fracture – dorsal [3] and palmar, the latter being more common. The Barton's fracture is caused by a fall on an extended and pronated wrist increasing carpal compression force on the dorsal rim.
In such cases, closed reduction followed by immobilization in a thumb spica cast and serial radiography may be all that is required for effective treatment. [ 5 ] For Bennett fractures where there is between 1 mm and 3 mm of displacement at the trapeziometacarpal joint, closed reduction and percutaneous pin fixation (CRPP) with Kirschner wires ...
Implant that has been used for fixation of a broken wrist. Closed reduction internal fixation (CRIF) is reduction without any open surgery, followed by internal fixation. It appears to be an acceptable alternative in unstable distressed lateral condylar fractures of the humerus in children, but if fracture displacement after closed reduction exceeds 2 mm, open reduction and internal fixation ...
Indications for operative management include dorsal or volar comminution, intra-articular involvement, instability post-reduction, angulation greater than 20 degrees, surface step-off over 2mm or shortening of the radius greater than 5mm. [5] For a closed reduction, the approach is the opposite of reductions completed for Colle's fractures.
Monteggia fractures may be managed conservatively in children with closed reduction (resetting and casting), but due to high risk of displacement causing malunion, open reduction internal fixation is typically performed. [4] Osteosynthesis (open reduction and internal fixation) of the ulnar shaft is considered the standard of care in adults.