BACKGROUND Ultrasound (US) may provide the emergency physician with the ability to do real-time assessment of fracture reduction adequacy. OBJECTIVES To assess whether US guidance aids in determining the adequacy of distal radius fracture reduction in the emergency department (ED), and to compare the rates of successful reduction with and without US. METHODS We conducted a prospective study...

There are myriad factors that affect patient satisfaction following a distal radius fracture, including anatomic alignment, age, motion, pain,and hand dominance to name a few. The seeming contradictions in the literature serve to illustrate that individual outcomes are not entirely predict-able because of the different functional demands,expectations, and pain tolerance for each patient. Elderl...

Intra-articular fractures of the distal radius are more challenging to treat than extra-articular fractures. Optimal treatment is achieved when the pattern of injury is recognized and its component parts are adequately addressed. The importance of the final articular surface alignment has received substantial emphasis, but extra-articular alignment, the overall complexity of the injury, associa...

Background and purpose - The reliability of conventional radiography when classifying distal radius fractures (DRF) is fair to moderate. We investigated whether reliability increases when additional computed tomography scans (CT) are used. Patients and methods - In this prospective study, we performed pre- and postreduction posterior-anterior and lateral radiographs of 51 patients presenting wi...

Distal radius fractures account for approximately 15% of all fractures in adults. Care of these fractures is associated with a myriad of complications. This review focuses on the soft tissue complications encountered during the management of distal radius fractures, including tendon injury, nerve dysfunction, vascular compromise, skin problems, compartment syndrome, complex regional pain syndro...

Background: Focal fibrocartilaginous dysplasia (FFCD) is a benign lesion and has been reported as a cause of tibia vara in proximal tibia and distal of the femur. It is rare in upper extremity and few cases have been reported in the ulna and radius. Objectives: The aim of the study was to review and report the clinical course, radiographic presentation and treatment results of three cases of FF...

Fractures of the distal radius are frequently biarticular injuries and comprise four basic components. Displacement of the key medial fragments and their strong ligamentous attachments (termed the medial complex) is the basis for a useful classification into four fracture types. Optimal management requires precise correlation of articular disruption and prompt recognition and repair of any conc...

BACKGROUND AND PURPOSE Distal forearm fractures in children have excellent remodeling potential. The current literature states that 15° is the maximum acceptable angulation limit, though studies focusing on remodeling capacity above this value are lacking. We present data on the remodeling process in children with distal radius malunions with an angulation of ≥ 15°. PATIENTS AND METHODS Retro...

Introduction Closed reduction of distal radius fractures (CRDRF) is a commonly performed emergency department (ED) procedure. The use of point-of-care ultrasound (PoCUS) to diagnose fractures and guide reduction has previously been described. The primary objective of this study was to determine if the addition of PoCUS to CRDRF changed the perception of successful initial reduction. This was me...

We report the case of a 14-year-old boy who sustained a displaced triplane fracture of the distal radius. This was treated with closed reduction and application of a cast with good clinical and radiological results. We discuss (for the first time) the reasons for the rarity of this fracture at the distal radius compared to the distal tibia.