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Displaced distal third fractures (high risk of nonunion) Although shortening (as a result of overlap of fracture ends) has often been suggested as an indication for surgery, a review found that people treated without surgery for shortening of mid shaft clavicle fractures did not affect outcomes. [13]
The distal clavicle is found in 2 orientations, either subacromial or subcoracoid. With the subcoracoid dislocation, the clavicle becomes lodged behind the intact conjoined tendon. The posterior superior AC ligaments, which often remain attached to the acromion, get displaced into the AC interval, making anatomic reduction difficult.
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; Barton's fracture – an intra-articular fracture of the distal radius with dislocation of the radiocarpal joint; Hand fracture
Displaced fractures of the ulnar styloid base associated with a distal radius fracture result in instability of the DRUJ and resulting loss of forearm rotation. [ citation needed ] Nerve injury, especially of the median nerve and presenting as carpal tunnel syndrome, is commonly reported following distal radius fractures.
The Mumford procedure, also known as distal clavicle excision or distal clavicle resection, is an orthopedic procedure performed to ameliorate shoulder pain and discomfort by excising the distal (lateral) end of the clavicle.
In terms of anatomy location, fractures of finger phalanges are the most common one at the rate of 14 per 100,000 people per year in the general population, followed by fracture of tibia at 3.4 per 100,000 population per year, and distal radius fracture at 2.4 per 100,000 population per year. [5]
A Salter–Harris fracture is a fracture that involves the epiphyseal plate (growth plate) of a bone, specifically the zone of provisional calcification. [2] It is thus a form of child bone fracture. It is a common injury found in children, occurring in 15% of childhood long bone fractures. [3]
An intraarticular fracture is a bone fracture in which the break crosses into the surface of a joint. This always results in damage to the cartilage . [ 1 ] Compared to extraarticular fractures , intraarticular have a higher risk for developing long-term complications, such as posttraumatic osteoarthritis .