Volar locking-plate and kirschner-wire fixation did not differ in terms of functional outcomes after dorsally displaced distal radial fracture.

BACKGROUND & AIMS Children with cerebral palsy (CP) have a high prevalence of pathologic fractures. Bone quantitative ultrasonography (QUS) has emerged as a radiation-free method for the assessment of bone quality and fracture risk. In this study, we applied QUS technique in order to investigate bone status in handicapped institutionalized children and adolescents. METHODS This cross-sectiona...

Many fractures occur in individuals without osteoporosis defined by areal bone mineral density (aBMD). Inclusion of other aspects of skeletal strength may be useful in identifying at-risk subjects. We used surrogate measures of bone strength at the radius and tibia measured by peripheral quantitative computed tomography (pQCT) to evaluate their relationships with nonvertebral fracture risk. Fem...

BACKGROUND Volar locking plates provide significant structural stability to the distal radius. Failure of a volar locked plating is a rarely reported complication in the literature. CASE PRESENTATION A 40 year-old, obese female patient who presented with a displaced extraarticular distal radius fracture, underwent open reduction and internal fixation of the fracture using a volar locking plat...

Although distal radius fractures are a common injury in the elderly and young adult population, the classification, treatment options, and assessment of outcomes of these fractures remain controversial. Since there is no uniform fracture classification system, it is difficult to compare studies. An evidence-based model of management needs to be developed.

We investigate whether applying an internal radiocarpal-spanning plate with the wrist in slight extension affects the biomechanical stability of the construct. An unstable distal radius fracture was simulated in 10 cadaveric specimens and immobilized with a radiocarpal-spanning plate holding the wrist in a neutral position. This construct was then physiologically loaded through the wrist flexor...

BACKGROUND AND PURPOSE The incidence of fractures of the distal radius may have changed over the last decade, and operative treatment has been commoner during that time. We investigated the incidence of fractures of the distal radius and changing trends in surgical treatment during the period 2004-2010. PATIENTS AND METHODS Registry data on 42,583 patients with a fracture of the distal radius...

BACKGROUND Approximately one-third of pediatric fractures occur during sport or recreational activity. In this paper, we investigate the incidence and causes of pediatric fractures in our region and quantify the fracture rate per exposure time for the most common sport and recreational activities. METHODS We prospectively evaluated all children younger than sixteen years who presented to our ...

BACKGROUND We wanted to test the reliability of a commonly used classification of distal radius fractures in children. METHODS 105 consecutive fractures of the distal radius in children were rated on two occasions three months apart by 3 groups of doctors; 4 junior registrars, 4 senior registrars and 4 orthopedic consultants. The fractures were classified as buckle, greenstick, complete or ph...

The authors describe a new technique of fixation of comminuted displaced distal radial fractures in young adults. A 40-year-old man fell from a ladder and injured his wrist. He sustained a comminuted fracture of the distal radius. The fracture was opened through a volar incision and the three rotated, unreduced fragments were reduced and fixed with three Acutrak (Acumed Inc., Beaverton, OR, USA...