X-ray : anterior- posterior, lateral, and oblique views of the wrist (including the carpal bones).Repeat the neurovascular exam after reduction and again after immobilization of the radial fracture. Skin exam: Evaluate for laceration, tearing, and tenting.Repeat the exam after reduction and again after immobilization.Evaluate for median nerve injury, radial nerve injury, and ulnar nerve injury.Assess radial and ulnar artery pulses and capillary refill time. Intraarticular depression fracture of the lunate fossa of the distal radius.Result of an axial or transverse load through the lunate into the radius.The radial styloid is intraarticularly avulsed.Result of a direct blow to the radial portion of the wrist.Hutchinson fracture ( Chauffeur fracture ).The radiocarpal segment is avulsed and volarly displaced.An intraarticular fracture and dislocation.The radiocarpal segment is avulsed and dorsally displaced.Intraarticular fracture and dislocation.Intraarticular extension, neurovascular compromise, and/or instability are more likely than in Colles fractures.The distal fragment is volarly angulated and volarly displaced.Result of a fall onto a flexed wrist or direct injury to the back of the wrist.The distal fragment is usually radially angulated and dorsally displaced.See “ Fracture classification” for general principles of fracture description. He succeeded Abraham Colles ( Colles fracture) as Professor of Surgery at Trinity College, Dublin.This section lists common types of distal radial fractures and their mechanisms of injury. Named by Robert William Smith (1807-1873) who was a surgeon in Dublin, Ireland. History and etymologyįirst named for Jean-Gaspard-Blaise Goyrand, French physician (1746-1814) 4. More importantly, it also narrows and distorts the entry to the carpal tunnel and can result in carpal tunnel syndrome 1. Malunion, with a residual volar displacement of the distal radius results in a cosmetic deformity, referred to as a garden spade deformity. If the fracture can be reduced but remains unstable, or cannot be reduced then operative fixation ( ORIF) is usually required 1. In most cases, these fractures can be treated with closed reduction and cast application 1. Treatment depends on the type of fracture, stability and ability to successfully reduce the fracture.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |