Low-energy distal radius fractures in middle-aged and elderly men and women--the burden of osteoporosis and fracture risk
Osteoporosis International, 10/13/2009
Øyen J et al. –Results of this study revealed every second to every third fracture patient met the present BMD criteria for osteoporosis treatment. Because a large proportion of distal ... radius fracture patients did not have osteoporosis, treatment decisions should not be based on fracture risk assessment without bone densitometry. Thus, all distal radius fracture patients ≥ 50 years should be referred to bone densitometry, and if indicated, offered medical treatment WHO fracture risk assessment tool (FRAX®) applied to calculate 10-year fracture risk Results- T-scores ≤ ?2.0 and ≤ - 2.5 SD at femoral neck was found in 37.7% and 19.6% of men and 51.1% and 31.2% of women, respectively
- Risk of hip fracture 6.2% for ... patients with T-score ≤ -2.0 SD were 11.6% and 14.5% and for T-score ≤ -2.5 SD 16.3% and 18.2%, respectively.
- Large proportion of distal radius fracture patients with high 10-year FRAX® risk did not have osteoporosis
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Efficacy of different fixation devices in maintaining an initial reduction for surgically managed distal radius fractures
Canadian Journal of Surgery, 10/08/2009
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Geller L et al. – Treatment with ORIF for comminuted, intra–articular distal radius fractures produces good radiographic results with maintenance of surgical radiographic parameters, whereas NSEFand CRPP of less complex fractures also provide good ... suggests that fracture–specific fixation with CRPP or NSEF are sufficient for certain distal radius fractures.
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Intra-articular distal ulnar fractures associated with distal radial fractures in older adults: early experience in fixation of the radius and leaving the ulna unfixed
Journal of Hand Surgery (European Volume), 10/22/2009
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Namba J et al. – The results were excellent in 11 cases and good in three, according to the modified Gartland and Werley score. All fracture ... of the distal radioulnar joint. A widening of the distal radioulnar joint space was present in one wrist. Angular deformity of the distal ulnar metaphysis was seen in five wrists. This treatment could be an alternative to open reduction with internal fixation for intra–articular distal ulnar ... fractures in older adults.
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Clinical and radiological outcomes after stabilisation of complex intra-articular fractures of the distal radius with the volar 2.4 mm LCP
Archives of Orthopaedic and Trauma Surgery, 11/10/2009
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Konstantinidis L et al. – The treatment of complex intra–articular distal radius fractures with the volar 2.4 mm LCP provides sufficient fixation to prevent ... outcomes and minimal soft tissue complications.
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The Effect of Ulnar Styloid Fractures on Patient-Rated Outcomes After Volar Locking Plating of Distal Radius Fractures
The Journal of Hand Surgery, 11/09/2009
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Sammer DM et al. – In patients with a stable DRUJ after DRF ORIF ulnar styloid fractures did not affect subjective outcomes as measured by the MHQ.
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Computer tomography aided 3D analysis of the distal dorsal radius surface and the effects on volar plate osteosynthesis
Journal of Hand Surgery (European Volume), 10/22/2009
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Pichler W et al. – Computer tomography scans of 30 forearms were performed by using a 64–slice Siemens SOMATOM Sensation CT system. The variations in height of Lister ... account when performing volar plating of distal radius fractures otherwise screws may inadvertently penetrate the dorsal cortex of the radius potentially leading to EPL rupture.
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Comparison of AO Type-B and Type-C Volar Shearing Fractures of the Distal Part of the Radius
Journal of Bone and Joint Surgery, 11/17/2009
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Souer JS et al. – Volar shearing fractures are usually complete articular, Type–C injuries. Patients with a Type–C volar shearing fracture experience more pain during early recovery, but ultimately ... for patients with a Type–B (partial articular) volar shearing fracture.
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External Fixation of Distal Radius Fractures: Effect of Distraction and Duration
The Journal of Hand Surgery, 11/09/2009
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Capo JT et al. – Moderately increased distraction of the carpus at the initial fracture reduction is correlated with improved clinical outcome and does not have an adverse affect on subsequent wrist range of ... hand and wrist,trauma,surgical technique,orthopedics
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Paediatric forearm and distal radius fractures: risk factors and re-displacement
International Orthopaedics, 11/18/2009
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Mazzini JP et al. – The authors think that the three point index is the most valuable measurement for predicting re–displacement among surgeon related factors; this index has not been used in forearm fractures in which the ... re–displacement. The casting indices should not be interpreted as a separate issue but in conjunction with fracture characteristics and patient factors.
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Common Forearm Fractures in Adults
American Family Physician, 11/12/2009
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Black WS et al. – Open fractures, joint dislocation or instability, and evidence of neurovascular injury are indications for emergent referral. Fractures demonstrating significant displacement, comminution, or intra–articular involvement may also ... forearm fractures can be managed by a primary care physician. Initial management of forearm fractures should follow the PRICE (protection, rest, ice, compression, and elevation) protocol, with the exception of compression, which should be avoided in the acute setting. Distal radius fractures with ... displacement can be treated with a short arm cast. Isolated ulnar fractures can usually be managed with a short arm cast or a functional forearm brace. Mason type I radial head fractures can be treated with a splint for five to seven days or with a sling as needed for comfort, along with early range ... fracture are candidates for nonsurgical treatment if the elbow is stable and the extensor mechanism is intact.
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