Radius Fractures In Adults Research Articles

Current Concepts in Volar Fixed-angle Fixation of Unstable Distal Radius Fractures

We present new developments in the volar treatment of unstable distal radius fractures in adults. New perspectives on the anatomy of the wrist, the watershed line on the volar radius and the usefulness of the pronator fossa are presented and these help to avoid flexor and extensor tendon disturbance when using a volar approach. Other new insights on the bony anatomy of the distal end of the radius are discussed, which are important in improving the quality of fracture fixation, including the benefits of constructing a precise fixed-angle scaffold underneath the articular surface in order to stabilize it. A volar fixed-angle plate must support the dorsal, central and volar aspects of the subchondral bone in order to stabilize the most complex fractures. Awareness of the anatomy of blood supply to the distal radius: the dorsal retinaculum that feeds the distal fragments and the blood supply to the diaphysis through branches of the anterior interosseous artery is necessary to maximize healing potential and avoid complications. Volar fixed-angle plates need to withstand very high forces during rehabilitation, the magnitude of these forces are up to five times the loads applied on the hand. Level V (expert opinion).

Operative treatment for malunited distal radius fractures in adults

Operative treatment for malunited distal radius fractures in adults

Nonoperative Treatment of Dorsally Dislocated Distal Radius Fractures in Adults With an Individualized 3D Printed Brace.

Nonoperative Treatment of Dorsally Dislocated Distal Radius Fractures in Adults With an Individualized 3D Printed Brace.

Radius fractures in the horse: a retrospective study of 47 cases.

The case records, radiographs and treatment results of 47 consecutive equine radius fractures presented to The Ohio State University Veterinary Hospital from 1975 to 1985 were examined retrospectively. Chip fractures and incomplete fractures were not considered. Both diaphyseal fractures and fractures involving the physes were included. Diaphyseal fractures were placed into three major categories: comminuted, oblique and transverse; and subclassified as proximal, mid-diaphyseal, or distal. Fractures involving a physis were classified using the Salter-Harris classification system. The horses ranged in age from one day to 19 years old. Nineteen of the patients were destroyed humanely on presentation, and 28 were treated. Twenty-four of the 28 fractures treated were repaired by open reduction and internal fixation. Success rate was related to the age of the horse and the type of fracture. Adult radius fractures have a poor prognosis. Most fractures in foals are either physeal fractures or transverse or oblique diaphyseal fractures and have an excellent to good prognosis when repaired adequately.

Classification of distal radius fractures

We analysed retrospectively a series of 269 distal radius fractures in adults in order to determine which of five different classification systems gave the best information about the radiographical prognosis of a fracture. The result after reduction in 195 cases was influenced mainly by the primary shortening, whereas dorsal angulation, radial displacement, and the age and sex of the patient were of minor importance. The system described by Older et al. in 1965, was superior to the others. In the analysis of the radiographical result after fracture union, the quality of the reduction, the Older classification system, and the age of the patient were the most important prognostic factors. We conclude that reduction of a distal radius fracture should primarily aim at correcting the shortening.