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Distal radius fractures are the most common fractures seen in adults and children. [4] Distal radius fractures account for 18% of all adult fractures with an approximate rate of 23.6 to 25.8 per 100,000 per year. [25] For children, both boys and girls have a similar incidence of these types of fractures, however the peak ages differ slightly.
An unstable fracture will involve fracture displacement, fractures to adjacent structures and injury to other associated soft tissues. A stable type 1 radial head fracture is typically managed with conservative measures including joint aspiration , immobilization in a sling for a few days and followed by early range of motion exercises.
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 ...
The radial head fracture is usually managed by open reduction internal fixation under general anaesthesia: the area is opened surgically, the surgeon forces the bones back into their correct positions, and then fixes them in place using titanium pins and/ or plates; if the fracture is too comminuted (i.e., the bones have been crushed or fractured into many pieces) a radial head implant can be ...
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]
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.
The Monteggia fracture is a fracture of the proximal third of the ulna with dislocation of the proximal head of the radius. It is named after Giovanni Battista Monteggia . [ 1 ] [ 2 ]
The classic Colles fracture has the following characteristics: [8] Transverse fracture of the radius; 2.5 cm (0.98 inches) proximal to the radio-carpal joint; dorsal displacement and dorsal angulation, together with radial tilt [9] Other characteristics: [10] [7] Radial shortening; Loss of ulnar inclination≤; Radial angulation of the wrist