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Treatment options for distal radius fractures include nonoperative management, external fixation, and internal fixation. [ 4 ] [ 9 ] Indications for each depend on a variety of factors such as the patient's age, initial fracture displacement, and metaphyseal and articular alignment, with the ultimate goal to maximize strength and function in ...
Galeazzi fracture after surgical fixation. Galeazzi fractures are best treated with open reduction of the radius and the distal radio-ulnar joint. [3] It has been called the "fracture of necessity," because it necessitates open surgical treatment in the adult. [4] Nonsurgical treatment results in persistent or recurrent dislocations of the ...
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]
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 .
The radial inclination of a distal radius fracture is shown in red in image at right. The angle is measured between: [4] [5] A line drawn between the distal ends of the articular surface of the radius on an AP view of the wrist. A line that is perpendicular to the diaphysis of the radius. Radial inclination is normally 21-25°. [6]
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 ...