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...

OTA 2002 - Session 10 Session X - Upper Extremity Sun., 10/13/02 Upper Extremity, Paper #69, 11:00 AM *Corrective Osteotomy of Dorsally Malunited Fractures of the Distal Radius via the Extended Flexor Carpi Radialis Approach Jorge L. Orbay, MD (d-Hand Innovations, Inc.); Alejandro Badia, MD; Roger K. Khouri, MD; Eduardo González,...

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...

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...

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,...

Isolated dislocation of the distal radio-ulnar joint and isolated dislocation of the radial head in adults are not common injuries. A simultaneous dislocation of the radial head and distal radio-ulnar joint with no other injury seems to be extremely rare since only one report was found in the English literature....

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...

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...

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,...

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...

Madelung deformity (MD) of the wrist is characterized by a growth disturbance in the volar-ulnar distal radial physis that results in a volar and ulnar tilted distal radial articular surface, volar translation of the hand and wrist, and a dorsally prominent distal ulna. It occurs predominantly in adolescent females who...

Ulnar variance refers to the relative lengths of the radius and ulna, specifically with regard to adjoining articular surfaces of the distal ulna and radius.� The styloid (or lateral) side of the radius normally projects more distal than does the ulna; however the distal radial articular surface is normally tilted...

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...

A Report by the IFSSH BONE AND JOINT COMMITTEE.
The IFSSH Board of Directors wished to examine the potential for a universal classification of fractures and dislocations of the hand and wrist. If this could be accomplished, classifications could be standardized as a constant. The method of treatment would then be...

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...

The authors compare the functional outcome of 8 patients treated by distal scaphoid resection arthroplasty for scaphoid nonunion with symptomatic wrist arthritis before surgery and after a minimum follow-up of 6 months. There was a significantly better range of radial deviation and grip strength at the time of re-examination. Significantly...

The IFSSH Board of Directors wished to examine the potential for a universal classification of fractures and dislocations of the hand and wrist. If this could be accomplished, classifications could be standardized as a constant. The method of treatment would then be the variable. Scientific method would then be applied...

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....

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...

Colles
    fx distal radius
    DORSAL angulation of distal fragment
Smith
    fx distal radius ("reverse Colles")
    volar angulation of distal fragment
Barton
    intra-articular fx thru DORSAL aspect of radius
    "ventral Barton": thru VENTRAL aspect
chauffeur's
    fx of radial styloid (intra-articular)

- 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 ...

Distal radial fractures account for 17% of all fractures treated in the emergency room. They have a bimodal distribution with pediatric and geriatric peaks.
Archive Copy 2004

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...