This study retrospectively evaluated the effectiveness of an open reduction and internal fixation of a tension band wiring technique for treating displaced or unstable comminuted distal ulnar shaft fractures without a radial fracture. Ten patients were treated for an isolated distal ulnar shaft fracture. There were 6 cases of a...

The wrist is the most commonly injured region of the upper extremity. Fractures of the distal radius and ulna account for three fourths of wrist injuries. The carpal bones themselves are injured much less frequently but account for up to 10% of injuries to the structures of the hand. Not...

OTA 2002 - Session 10 Session X - Upper Extremity Sun., 10/13/02 Upper Extremity, Paper #68, 10:54 AM *The Role of Distal Radial Osteotomy in the Restoration of Wrist and Hand Function Margaret M. McQueen, MD, FRCS; Alison Wakefield, MSc, MCSP; Edinburgh Orthopaedic Trauma Unit, Royal Infirmary of Edinburgh, Edinburgh, United Kingdom...

Subchondral hematomas have been found with arthroscopy in one third of patients with dislocated distal radial fractures. The aim of the present, prospective study was to determine whether these hematomas might cause radiographic osteoarthrosis. We studied 41 patients (age 20-57 years, 22 women) with a dislocated distal radial fracture. At...

Distal radial fractures are common in children. Recent outcome studies have cast doubt on the success of treatment by closed reduction and application of plaster. The most important risk factor for poor outcome is translation of the fracture. If a distal radial fracture is displaced by more than half the...

Distal radius fractures account for approximately 15% of all fractures in adults. A thorough understanding of the pathophysiology and treatment of distal radius fractures is important because these injuries are not limited to just the elderly population. High-energy trauma to the distal radius in younger adults is becoming more prevalent,...

The Galeazzi fracture-dislocation is an injury pattern involving a radial shaft fracture with associated dislocation of the distal radioulnar joint (DRUJ); the injury disrupts the forearm axis joint.
Synonyms and related keywords: Galeazzi fracture-dislocation, reverse Monteggia fracture, Piedmont fracture, Darrach-Hughston-Milch fracture, fracture of necessity, radial shaft fracture, dislocation of the...

Volar lunate fractures are rare injuries, usually seen as a result of high-energy trauma and often in association of other carpal injuries. We present 2 unusual cases of coronal volar lunate fractures. The first case involved a proximal pole scaphoid fracture in association with a volar lunate fracture. During surgical...

BACKGROUND: Factors predicting redisplacement in the cast and early complications in distal radial physeal injuries have not been analyzed before. PATIENTS AND METHODS: We analyzed 109 consecutive children with displaced physeal fractures of the distal radius treated by manipulation under anesthesia RESULTS: Acute carpal tunnel syndrome developed in 2 patients....

PURPOSE: To establish a consensus regarding immobilisation of the wrist following reduction of Barton's and paediatric distal radial fractures. METHODS: Questionnaires were distributed to orthopaedic surgeons at the European Federation of National Associations of Orthopaedics and Traumatology meeting in Lisbon in 2005. Questions included the surgeon's country of practice, hospital,...

The Essex-Lopresti syndrome may develop after a proximal radial fracture such as a radial head fracture, excision of the radial head for fracture, or a displaced proximal radial shaft fracture. The Essex-Lopresti syndrome results when such a fracture, associated with disruption of the forearm interosseous membrane, allows proximal migration...

Article by Steven I Rabin, MD 2005
Radial head fractures and dislocations are traumatic injuries that require adequate treatment to prevent disability from stiffness, deformity, posttraumatic arthritis, nerve damage, or other serious complications. Radial head fractures and dislocations may be isolated just to the radial head (and neck) and the lateral...

Isolated fractures of the radial shaft (proximal two-thirds) are less common than distal radius fractures. These injuries usually occur from either a direct blow to the forearm or a fall on outstretched hands (FOOSH). Isolated radial shaft fractures require full evaluation and documentation of distal radial ulnar joint...

Volar Versus Dorsal Plating in the Management of Intra-Articular Distal Radius Fractures David S. Ruch MD, and Anastasios Papadonikolakis MD Department of Orthopaedic Surgery, Wake Forest University School of Medicine, Winston-Salem, NC Received 16 February 2005; accepted 7 September 2005. Available online 25 January 2006. Purpose To compare...

A prospective study was made over a three-year period of 900 consecutive unilateral Colles' fractures. The radiographic features at the time of fracture, after reduction and one week later were measured and correlated with grip strength and range of movement at three years. The most significant radiographic feature to influence...

Unsupervised weight-lifting is dangerous and is prohibited at schools and sports clubs. This report describes the case of a thirteen year old boy who, after sustaining bilateral fracture-separations of the distal radial epiphyses during weight-lifting, suffered a fracture of the distal tibial epiphysis in a football injury a fortnight later.
Bilateral fracture-separations...

The coronoid is the anterior lip of the trough which cradles the distal humerus. Elbow fracture dislocations often disrupt both the coronoid and the radial head, leading to instability and recurrent subluxation, particularly if over half of the height of the coronoid is lost. Radial head implants may help inthis...

List of topics associated with Paediatric Elbow Injuries
- Distal Humeral Physeal Separation:
- Elbow Dislocation
- Lateral Condyle Fracture
- Medial Condyle Fracture
- Medial Epicondyle Fracture
- Nursemaid's Elbow
- Olecranon Fracture
- Osteochondritis
- Osteochondrosis of Medial Epicondyle
- Radial Neck Fracture
- Supracondylar...

The distal radial fracture is the most common forearm fracture. It is usually caused by a fall onto an outstretched hand (FOOSH). It can also result from direct impact or axial forces. The classification of these fractures is based on distal radial angulation and displacement, intra-articular or extra-articular involvement, and...

* radial fracture in distal 2 cm
* +/- ulnar styloid fracture
* dorsal displacement of distal fragment
* "silver-fork" deformity
* most common fracture in this region
* mechanism: fall...

- radial head fracture plus dislocation of distal RU joint (& interosseous membrane disruption);
- mechanism: fall from height;
- in this type of frx, radius will also migrate proximally if radial head is excised;
- if injury is not found when it is acute, pt may develop severe wrist pain ...

The forearm is a complex anatomic structure serving an integral role in upper extremity function. The dexterity of the upper limb is dependent on a combination of hand and wrist function and forearm rotation. The forearm bones can be considered struts linking 2 halves of a condylar joint formed by...

- fracture of radial shaft (between middle and distal 1/3's) & dislocation of distal radioulnar joint;
- usually the dislocation is dorsal, but in some cases can be palmar;
- fracture is almost always located just above proximal border of...

For descriptive purposes, as well as for operative considerations, forearm fractures are classified by location, being categorized as proximal, middle, or distal third fractures. The middle third of the radius stretches from the radial bow to the beginning of diaphyseal straightening. The ulna is relatively straight and can be divided...

Wheeless' Textbook of Orthopaedics Menu on Humeral Fractures. Topics -
Anterior Approach to Humerus Anterior Approach to Shoulder Arteries of the Upper Limb Blood Supply to the Humerus Classification of Proximal Humeral Fractures Condylar Fractures Distal Humeral Fractures Holstein Lewis Fractures Humerus Humeral Shaft Fracture Non Union of Humeral Fractures Pediatric Humeral Frx Posterior Approach to Shoulder Posterior Approach to Humerus...