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Treatment options for distal radius fractures include nonoperative management, external fixation, and internal fixation. [ 4 ] [ 9 ] Indications for each depend on a variety of factors such as the patient's age, initial fracture displacement, and metaphyseal and articular alignment, with the ultimate goal to maximize strength and function in ...
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]
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 ...
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 ...
Chauffeur's fracture, also known as Hutchinson fracture, is a type of intraarticular oblique fracture of the radial styloid process in the forearm. [1] The injury is typically caused by compression of the scaphoid bone of the hand against the styloid process of the distal radius.
The radial inclination of a distal radius fracture is shown in red in image at right. The angle is measured between: [4] [5] A line drawn between the distal ends of the articular surface of the radius on an AP view of the wrist. A line that is perpendicular to the diaphysis of the radius. Radial inclination is normally 21-25°. [6]
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.
Diagram of an open, transverse, midshaft radius fracture. Cephalosporins, sometimes with aminoglycosides, are generally the first line of antibiotics and are used usually for at least three days. [3] Therapeutic irrigation, wound debridement, early wound closure and bone fixation core principles in management of open fractures. [4]