Assessment of articular displacement of distal radius fractures

Clinical Orthopaedics and Related Research
Louis W CatalanoS Z Glickel

Abstract

Intraarticular step and gap displacements represent the most common indication for surgical treatment of distal radius fractures. Most often, treatment decision making relies only on good-quality plain radiographs taken before and after reduction with measurement accuracy maximized by using the longitudinal axis method. When plain radiographs alone prove insufficient, CT scans or tomograms will significantly improve interobserver and intraobserver reliability of measurements, especially when evaluated using the arc method. Tomography is an effective method for postoperative evaluation of fractures immobilized in splints or casts. The role of MRI in assessing intraarticular distal radius fractures is limited to confirming injuries to carpal ligaments or the triangular fibrocartilage complex. Intraoperatively, we use fluoroscopy to obtain 30 degrees cephalad posteroanterior views and as 22 degrees lateral views to best observe articular surface reduction. Our current operative indications include fractures with radiocarpal or distal radioulnar joint step or gap deformities greater than 1-2 mm, gross distal radioulnar joint instability, or those with extensive metaphyseal comminution rendering them particularly unstable after clos...Continue Reading

References

May 1, 1991·The Journal of Hand Surgery·D L Fernandez, W B Geissler
Jul 1, 1987·The Journal of Hand Surgery·W H ShortD J Murphy
Mar 1, 1994·The Journal of Hand Surgery·T E TrumbleN B Vedder
Jan 1, 1996·The Journal of Hand Surgery·H J KrederM F Swiontkowski
Jan 1, 1996·Journal of Orthopaedic Trauma·D D AndersonJ E Imbriglia
Jul 1, 1996·The Journal of Hand Surgery·W F WagnerT E Trumble
Jul 1, 1996·The Journal of Hand Surgery·A O MekhailR A Yeasting
Jun 25, 1998·Skeletal Radiology·L D SpenceS Eustace
Jul 17, 1998·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·L Adolfsson, P Jörgsholm
Jan 28, 1999·Foot & Ankle International·T A DeCosterS R Hurwitz
Apr 23, 1999·Clinical Orthopaedics and Related Research·D M FreedmanT Okezie

❮ Previous
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Citations

Sep 9, 2008·Techniques in Hand & Upper Extremity Surgery·Yukio AbeYasuhiro Tominaga
Sep 9, 2008·Journal of Orthopaedic Trauma·Jörg GoldhahnBeat R Simmen
Mar 5, 2011·The Journal of Hand Surgery, European Volume·R C TakemotoK A Egol
Dec 18, 2013·Journal of Orthopaedic Trauma·Darryl N RamoutarMark Hatton
Jan 22, 2011·Minimally Invasive Therapy & Allied Technologies : MITAT : Official Journal of the Society for Minimally Invasive Therapy·Bart CarelsenSimon D Strackee
Jun 20, 2008·The Journal of Hand Surgery, European Volume·H BombaciO Akinci
Apr 14, 2009·Hand : Official Journal of the American Association for Hand Surgery·Brandon M Boyce, Jaiyoung Ryu
May 26, 2016·Operative Orthopädie und Traumatologie·M LutzT Klestil
Aug 20, 2008·Hand Surgery : an International Journal Devoted to Hand and Upper Limb Surgery and Related Research : Journal of the Asia-Pacific Federation of Societies for Surgery of the Hand·H S ChengJ Wong
Sep 16, 2008·Archives of Orthopaedic and Trauma Surgery·B CarelsenJ C Goslings
Jul 20, 2017·Hand : Official Journal of the American Association for Hand Surgery·James C KyriakedesBlaine T Bafus
Dec 9, 2016·Expert Review of Medical Devices·Swagat Mahapatra, Nandakumar Rengarajan
Jan 13, 2018·Archives of Orthopaedic and Trauma Surgery·Marc SchnetzkeJochen Franke
Mar 20, 2008·Journal of Orthopaedic Trauma·Jinsil K SungPaul Tornetta
Oct 24, 2018·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Diego HammerleClement Max Léonard Werner
Mar 21, 2020·Archives of Orthopaedic and Trauma Surgery·Tobias KastenbergerRohit Arora
Jan 1, 2019·Strategies in Trauma and Limb Reconstruction·Matheus L AziRicardo B Cotias
Jan 31, 2006·The Journal of Hand Surgery·David S Ruch, Anastasios Papadonikolakis
Jun 15, 2007·The Orthopedic Clinics of North America·Bradley E SlagelDavid R Pichora
Sep 22, 2009·The Journal of Hand Surgery·Kevin L HarreldZhongyu Li
Dec 17, 2009·Hand Clinics·Bradley E SlagelDavid R Pichora
Oct 11, 2011·The Journal of Hand Surgery·Katsuhisa TanabeReiko Nakagawa

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