Cases reported "Radius Fractures"

Filter by keywords:



Filtering documents. Please wait...

1/81. Wire-loop fixation of volar displaced osteochondral fractures of the distal radius.

    We describe the technique of wire-loop fixation to treat 4 young men with a unique variant of Melone's type 4 articular fracture of the volar lunate facet, characterized by a displaced rotated articular fragment supported by a limited amount of subchondral bone. This is an unusual injury that threatens the integrity of both the radiocarpal and distal radioulnar joints. It is the result of a compressive force to the wrist and may require trispiral computed tomography for delineation. Open reduction and internal fixation is recommended to maintain stability and articular congruity. The displaced volar-articular fragment, however, may be relatively small; therefore, direct manipulation could lead to soft tissue stripping and osteonecrosis. We have found the technique of wire-loop fixation to be a simple, reproducible, and effective alternative method of internal fixation for these difficult fractures. Malunion, nonunion, loss of fixation, tendon rupture, infection, arthrosis, or pain caused by hardware has not occurred. Use of this technique is not recommended in patients with osteoporotic bone.
- - - - - - - - - -
ranking = 1
keywords = joint
(Clic here for more details about this article)

2/81. Tardy displacement of traumatic radial head dislocation in childhood.

    The diagnosis of traumatic dislocation of the radial head, either isolated or as part of a Monteggia fracture-dislocation, was delayed in 10 of the 110 children treated with these injuries during the study period. In eight children, the dislocation was overlooked on the initial radiographs. In two children, the radial head was reduced on the initial elbow radiographs, but it was dislocated 10 days later in one child and 21 days later in the other. The most likely explanation is that the radial head dislocated at the time of impact, spontaneously reduced by the time the first radiographs were obtained, and redislocated while the arm was in a cast. We conclude that radiographic assessments of the radiocapitellar joint, by using the radiocapitellar line, are required in children with elbow and forearm injuries at presentation and when the cast is removed.
- - - - - - - - - -
ranking = 1
keywords = joint
(Clic here for more details about this article)

3/81. Irreducible Galeazzi fracture-dislocation due to an avulsion fracture of the fovea of the ulna.

    We report a rare case of Galeazzi fracture-dislocation with an irreducible distal radioulnar joint. The cause of the irreducibility was entrapment of a fragment avulsed from the fovea of the ulna. The patient was successfully treated with open reduction and internal fixation of the radius, ulnar styloid process and avulsed fracture at the fovea of the ulna.
- - - - - - - - - -
ranking = 1
keywords = joint
(Clic here for more details about this article)

4/81. Centralization of ulna for infected nonunion of radius with extensive bone loss. A modified Hey-Groves procedure.

    We describe a case of infected nonunion of the radius with extensive bone loss in an 11-year-old boy treated by centralization of the ulna. The technique used differs from the original Hey Groves procedure in that it preserves the distal end of the ulna with its important triangular fibrocartilage complex, thereby retaining stability and contour of the wrist joint. Our patient obtained a functionally and cosmetically satisfactory, stable forearm and wrist. We present the technique as a useful armament in the management of extensive bony defect of the radius arising from trauma or infection.
- - - - - - - - - -
ranking = 1
keywords = joint
(Clic here for more details about this article)

5/81. brachial artery injury in closed posterior elbow dislocation case report.

    The authors describe a case with a closed posterior elbow dislocation associated with a distal radial fracture and complete transsection of the brachial artery. The patient had a pulseless distal upper extremity and immediate gross swelling of the elbow and forearm. As closed reduction was not possible, open reduction had to be performed through an anteromedial approach to the elbow. End-to-end suture of the brachial artery was successful. After fasciotomy and internal fixation of the distal radial fracture, the elbow was stabilized with an external fixator spanning the elbow joint. After two years, despite good function of the elbow, restoration of the hand function is not optimal owing to persistent motor deficit of the ulnar nerve.
- - - - - - - - - -
ranking = 1
keywords = joint
(Clic here for more details about this article)

6/81. Assessment of distal radial articular surface by angled radiography.

    A common complication of surgical management of fractures of the lower radius involves hardware penetration of the articular surface. If neglected, this complication will lead to wrist joint degeneration. The authors of this study describe a plain roentgenographic angled view of the wrist that provides visualization of the distal radial articular surface to detect any hardware penetration. This view can also be used during surgery by means of an image intensifier.
- - - - - - - - - -
ranking = 1
keywords = joint
(Clic here for more details about this article)

7/81. Orthopedic pitfalls in the ED: Galeazzi and Monteggia fracture-dislocation.

    Occult dislocations at the wrist and elbow frequently accompany forearm fractures. When left unrecognized and untreated, these injuries lead to a high incidence of long-term functional disability and chronic pain. emergency medicine practitioners need to be vigilant for both Galeazzi (distal radius fracture with radioulnar joint disruption), and Monteggia (proximal ulna fracture with radial head dislocation) fracture-dislocations. This review article examines the clinical presentation, diagnostic techniques, and management options applicable to the emergency practitioner.
- - - - - - - - - -
ranking = 1
keywords = joint
(Clic here for more details about this article)

8/81. Primary ulnar head prosthesis for the treatment of an irreparable ulnar head fracture dislocation.

    We report the case of an irreparable fracture - dislocation of the ulnar head with a concomitant fracture of the radius (Galeazzi lesion), treated by implantation of a Herbert Ulnar head Prosthesis((R)). A stable distal radio-ulnar joint was achieved by careful dissection of a posterior soft tissue flap and accurate reduction of the radius.
- - - - - - - - - -
ranking = 1
keywords = joint
(Clic here for more details about this article)

9/81. Ulnar bursa distention following volar subluxation of the distal radioulnar joint after distal radial fracture: a rare cause of carpal tunnel syndrome.

    This report describes an eighty-four-year-old woman with persistent carpal tunnel syndrome attributable to an ulnar bursa distention associated with the subluxation of the distal radioulnar joint after distal radial fracture. During surgery, when the forearm was placed in supination, the ulna head with a sharp osteophyte was found to be displaced into the carpal tunnel through a defect of the ruptured capsule of the wrist joint. This volar subluxation of the ulnar head had caused distention of the ulnar bursa, causing compression of the median nerve, which resulted in carpal tunnel syndrome. In addition to reduce displaced fractured segment to obtain anatomic articular surface, original radial length and tilt, the anatomic restoration of the distal radioulnar joint is essential to maintain better long-term function after fracture of the distal radius.
- - - - - - - - - -
ranking = 7
keywords = joint
(Clic here for more details about this article)

10/81. Irreducible elbow dislocation associated with a radial neck fracture: a case report.

    A rare case of an irreducible elbow dislocation is described. We discuss the causes of irreducibility and the treatment options. Intraoperative assessment of joint stability, repair of the lateral collateral ligament and appropriate postoperative management led to an excellent 5-year outcome, obviating the need for an external fixator or a radial head replacement.
- - - - - - - - - -
ranking = 1
keywords = joint
(Clic here for more details about this article)
| Next ->


Leave a message about 'Radius Fractures'


We do not evaluate or guarantee the accuracy of any content in this site. Click here for the full disclaimer.