A distal radius fracture, also known as wrist fracture, is a break of the part of the radius bone .. For torus fractures, a splint may be sufficient and casting may be avoided. The position of the wrist in cast is usually slight flexion and ulnar deviation. Torus fractures, or buckle fractures, are extremely common injuries in children. The word torus is derived from the Latin word ‘Tori’ meaning. English Translation, Synonyms, Definitions and Usage Examples of Spanish Word ‘fractura torus’.
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Wrist – Fractures
An arthroscope can be used at the time of fixation to evaluate for soft-tissue injury. Smith’s fracture Smith’s fractures occur in younger patients and are the result of high energy trauma on the volar flexed wrist.
On the left sagittal reconstructions of 1mm axial CT slices.
More than 2 mm incongruity of articular surface is fraactura most important factor in the development of posttraumatic osteoarthritis of the wrist. Redislocation is common after closed reduction.
On a standard lateral view, the palmar cortex of the pisiform bone toorus overlie the central third of the interval between the palmar cortices of the distal scaphoid pole and the capitate head. Decreased sensation over the thenar eminence can be due to median nerve injury.
Torus fracture identified more easily on the lateral view. On the left a dorsal-type Barton’s fracture. The blue arrow indicates the depressed fragment of the lunate fossa. Fractures and cartilage injuries Sx2— Rockwood and Green’s Fractures in Adults 8th ed.
However, several studies suggest this approach is largely ineffective in patients with high functional demand, and in this case, more stable fixation techniques should be used. D ICD – Shorter immobilization is associated with better recovery when compared to prolonged immobilization.
Lowering the arm makes the radius cross the ulna and become eb shorter resulting in improper measurement of the length of the radius. Unless an accurate reduction of the joint surface is obtained, these patients are very likely to have long-term symptoms of pain, arthritis, and stiffness.
Swelling, deformity, tenderness, and loss of wrist motion are normal features on examination of a person with a distal radius fracture. The choice of operative treatment is often determined by the type of fracture, which can be categorized broadly into three groups: A second line intersects distal articular surface of ulnar head. The fracture fragment of the lunate fossa was replaced torhs fixated with a screw.
Treatment is with casting for six weeks or surgery.
The deformity is then reduced with appropriate closed manipulative depending on the type of deformity reductionafter which a splint or cast is placed and an X-ray is taken to ensure that the frzctura was successful.
Finally at 6 weeks follow-up, there is malunion with extreme dorsal tilt, radial shortening and loss of inclination. External fixation was used to lengthen the radius.
This was followed by the use of plating in eh Comparison of manual manipulation and finger-trap traction: In addition to the dorsal angulation seen on the lateral view, notice the following:.
Case 3 Case 3.
Inpercutaneous pinning was first used. Closed Reduction The initial treatment for most radius fractures is closed reduction and plaster immobilization. This page was last edited on 22 Frqcturaat A true lateral view is defined by the relationship totus the pisiforme, capitate and scaphoid bones. Classification of distal radius fractures. Risks specific to cast treatment relate to the potential for compression of the swollen arm causing compartment syndrome or carpal tunnel syndrome.
American Academy of Orthopaedic Surgeons.
Distal radius fracture – Wikipedia
Many techniques of fixation are now available, including percutaneous pinning, intramedullary pinning, external fixation, and internal fixation yorus customized implants, including the Distal Volar Radius DVR system. Cochrane Database Syst Rev 2: There are also physeal fractures tors involving the physisthe growth plate, which is not present in adults. Basilar skull fracture Blowout fracture Mandibular fracture Nasal fracture Le Fort fracture of skull Zygomaticomaxillary complex fracture Zygoma fracture.
These signs are listed in the table on the left. Routine X-ray films revealed the typical appearance of torus fracture of radius and ulna figure 1. Check for errors and try again. Anaesthesiaaseptic techniqueimmbolization, and external fixation all have contributed to the management of fixation of distal radius fracture.