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Distal radius fractures are common, [3] and are the most common type of fractures that are seen in children. [4] Distal radius fractures represent between 25% and 50% of all broken bones and occur most commonly in young males and older females. [3] [2] A year or two may be required for healing to occur. [1]
The ambulatory treatment of fractures was the direct result of these innovations. The innovation of the modern cast can be traced to, among others, four military surgeons, Dominique Jean Larrey, Louis Seutin, Antonius Mathijsen, and Nikolai Ivanovich Pirogov. [10] Dominique Jean Larrey (1768–1842) was born in a small town in southern France ...
For a radial fracture, it is not clear if the position in which the wrist is immobilized in the cast after pinning effects the risk of reduced grip strength. [1] For an approach in which the pins are placed under the skin, it is not clear if this technique reduces the risk of infection, however in order to remove the pins when the bone has ...
Fractures of the radius bone are often associated by TFCC damage. If the fracture is treated surgically it is recommended to evaluate and if necessary repair the TFCC as well. [12] Closed fractures (where the skin is still intact) of the radius bone are treated non-surgically with cast; the immobilization can also help heal the TFCC.
Colles fracture of the left hand, with posterior displacement clearly visible. Diagnosis can be made upon interpretation of anteroposterior and lateral views alone. [7] 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
Since bone healing is a natural process that will occur most often, fracture treatment aims to ensure the best possible function of the injured part after healing. Bone fractures typically are treated by restoring the fractured pieces of bone to their natural positions (if necessary), and maintaining those positions while the bone heals.
The system that comes closest to directing treatment has been devised by Melone. This system breaks distal radius fractures down into 4 components: radial styloid, dorsal medial fragment, volar medial fragment, and radial shaft. The two medial fragments (which together create the lunate fossa) are grouped together as the medial complex. [8]
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.
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