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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. [1] Symptoms include pain, bruising, and rapid-onset swelling. [1] The ulna bone may also be broken. [1] In younger people, these fractures typically occur during sports or a motor vehicle collision. [2]
A Smith's fracture, is a fracture of the distal radius. [1] Although it can also be caused by a direct blow to the dorsal forearm [2] or by a fall with the wrist flexed, the most common mechanism of injury for Smith's fracture occurs in a palmar fall with the wrist joint slightly dorsiflexed. [3] Smith's fractures are less common than Colles ...
A capitate fracture accounts for 1.3% of all wrist fractures. Isolated fractures of the capitate comprise only 0.3% and are often non-displaced. This is since the capitate is at the centre of the carpal region and is therefore quite well protected. Capitate fractures occur together with fractures of another carpal bone, the scaphoid. [5]
A subtle radial head fracture with associated positive sail sign. Specific fracture types of the radius include: Proximal radius fracture. A fracture within the capsule of the elbow joint results in the fat pad sign or "sail sign" which is a displacement of the fat pad at the elbow. Illustration showing radius shaft fracture
The Galeazzi fracture is a fracture of the distal third of the radius with dislocation of the distal radioulnar joint.It classically involves an isolated fracture of the junction of the distal third and middle third of the radius with associated subluxation or dislocation of the distal radio-ulnar joint; the injury disrupts the forearm axis joint.
Fracture with a dorsal tilt. Dorsal is left, and volar is right in the image. There are a number of ways to classify 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.
A Barton's fracture is a type of wrist injury where there is a broken bone associated with a dislocated bone in the wrist, typically occurring after falling on top of a bent wrist. [1] It is an intra-articular fracture of the distal radius with dislocation of the radiocarpal joint .
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.