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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 ...
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]
Though the Frykman classification system has traditionally been used, there is little value in its use because it does not help direct treatment. The classification is as follows: [ 2 ] Radius Fracture
A Barton's fracture is a type of wrist injury where there is a broken bone associated with a dislocated bone in the wrist, typically occurring after falling on top of a bent wrist. [1] It is an intra-articular fracture of the distal radius with dislocation of the radiocarpal joint .
In this stage there are two surgical treatment options; total wrist arthroplasty and total wrist arthrodesis. Total wrist arthrodesis is the standard surgical treatment for patients with stage IV wrist osteoarthritis. During this procedure the carpal bones are all fused together and are then fastened to the distal radius. [14]
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]
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
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 ...