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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 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]
A Colles' fracture is a type of fracture of the distal forearm in which the broken end of the radius is bent backwards. [2] Symptoms may include pain, swelling , deformity, and bruising . [ 2 ] Complications may include damage to the median nerve .
Bone healing, or fracture healing, is a proliferative physiological process in which the body facilitates the repair of a bone fracture. Generally, bone fracture treatment consists of a doctor reducing (pushing) displaced bones back into place via relocation with or without anaesthetic, stabilizing their position to aid union, and then waiting ...
Distal radius fracture. Galeazzi fracture – a fracture of the radius with dislocation of the distal radioulnar joint; Colles' fracture – a distal fracture of the radius with dorsal (posterior) displacement of the wrist and hand; Smith's fracture – a distal fracture of the radius with volar (ventral) displacement of the wrist and hand
Delayed treatment of the radial head fracture will also lead to proximal migration of the radius. [3] The distal radio-ulnar joint dislocation can be reduced by supination of the forearm, and may be pinned in place for 6 weeks to allow healing of the interosseous membrane. [1]
A Smith's fracture, is a fracture of the distal radius. [1]Although it can also be caused by a direct blow to the dorsal forearm [2] or by a fall with the wrist flexed, the most common mechanism of injury for Smith's fracture occurs in a palmar fall with the wrist joint slightly dorsiflexed. [3]
Some fractures, however, cannot be held in a satisfactory position by this method, and require some additional form of fixation. This is the usual situation with all displaced fractures of the first metacarpal and of the proximal phalanges of the hand, and of about two thirds of fractures of the distal end of the radius. Percutaneous pinning is ...