Average 4. Thank you for rating! Please vote below and help us build the most advanced adaptive learning platform in medicine. Just skip this one for now. Immediate post-operative radiographs are seen in Figure A.

Author:Akitaur Fell
Language:English (Spanish)
Published (Last):2 July 2008
PDF File Size:6.43 Mb
ePub File Size:17.16 Mb
Price:Free* [*Free Regsitration Required]

Average 4. Thank you for rating! Please vote below and help us build the most advanced adaptive learning platform in medicine. Just skip this one for now. Immediate post-operative radiographs are seen in Figure A.

The patient recovered well initially but presents after 6 months with grip weakness. What complication is most likely to occur in this patient?

Review Topic Tested Concept. Four months post-injury, he presents to the office with an inability to extend his thumb. Which of the following injuries is the most likely cause of this finding? Radiographs of the affected wrist are shown in Figure A. After soft tissue swelling subsides, open reduction and internal fixation of the distal radius is performed. Following fixation, a "shuck" test is performed and shows persistent instability of the distal radioulnar joint.

Incompetence of which of the following anatomic structures is the most likely etiology of this finding? The injury is closed and she is neurovascularly intact.

There is no median nerve paresthesias. Radiographs are shown in Figures A and B. What is the next best step in management of this patient? He sustains the injury shown in Figure A. The patient undergoes open reduction and internal fixation of the fracture. Upon discharge from the hospital the medication reconciliation includes an order for daily Vitamin C mg supplementation.

This medication is given in an effort to decrease the incidence of which of the following? He undergoes operative treatment of his fracture, and immediate post-op radiographs are shown in Figure C.

Two weeks later he presents with significantly increased pain and deformity. He denies any new trauma, and has followed all post-operative activity restrictions. Current radiographs are shown in Figure D and a clinical photograph of the affected wrist is shown in Figure E. Which of the following is the most likely cause for failure of fixation in this patient?

Radiographs obtained at the time of injury are shown in Figure A. She underwent open reduction and fixation of the distal radius fracture, and current radiographs are shown in Figure B. At the time of the index operation, there was no distal radioulnar joint instability after plating of the radius. Which of the following is true post-operatively regarding this patient's ulnar styloid fracture?

Chronic distal radioulnar joint instability can be expected to occur without fixation. Wrist function depends on the level of ulnar styloid fracture and initial displacement. She complains of wrist pain and deformity. On physical exam she has no sensation of the volar thumb, index, and middle fingers. Radiographs are provided in Figure A. Two hours following closed reduction, the deformity is corrected, but the numbness and wrist pain is worsening.

Which of the following interventions should be taken? Three months after the fracture she reports an acute loss of her ability to extend her thumb. What is the most likely etiology of her new loss of function?

What is the most appropriate treatment at this time? Which of the following factors has been associated with redisplacement of the fracture after closed manipulation?

During postoperative recovery from this injury, what benefit does formal physical therapy have as compared to a patient-guided home exercise program? There are no open wounds and the hand is neurovascularly intact. Radiographs are provided in Figures A-C.

Which of the following will best achieve anatomic reduction, restore function, and prevent future degenerative changes of the wrist?

Preoperatively, he reported some mild sensory disturbances in the volar thumb and index finger, but had 2-point discrimination of 6mm in each finger. Now, he complains of worsening hand pain and sensory disturbances in his volar thumb and index finger. Radiographs show a well-fixed fracture in good alignment. Adequate maintenance of reduction by non-operative treatment is unsuccesful.

Which plating option provides the most appropriate treatment of this fracture? She presents 11 months later with the radiograph seen in Figure A, complaining of significant wrist pain.

What is the appropriate surgical treatment at this time? Distal Radius Fractures. Leah Ahn. Mark Vitale. Orrin Franko. Acceptable criteria. Please rate topic. Please vote below and help us build the most advanced adaptive learning platform in medicine The complexity of this topic is appropriate for? L2 - PGY3. L3 - PGY4. L4 - PGY5. L5 - Fellow. L6 - years in practice. L7 - years in practice. L8 - 10 years in practice. How important is this topic for board examinations?

How important is this topic for clinical practice? No, Thanks Submit. Technique Guide. Orthobullets Team. Upgrade to PEAK. Take This Question Anyway. L 3 Question Complexity. Question Importance. L 1 Question Complexity. L 2 Question Complexity. Sort by. All Videos 10 Podcasts 1. Login to View Community Videos. California Orthopaedic Association Annual Meeting - Ray Raven.

COA , 5. Kumar Kadiyala. Team Orthobullets 4. Listen Now min. Distal radius fracture C James Seymour. Anton Sialitski. Gilberto Consoli. Please login to add comment.

Cancel Save. Overview distal radius fractures are the most common orthopaedic injury treatment is based on fracture pattern and stability Epidemiology incidence accounts for Die-punch fx.

Depressed fracture of the lunate fossa of the articular surface of the distal radius. Barton's fx. Fracture-dislocation of radiocarpal joint with intra-articular fx involving the volar or dorsal lip volar Barton or dorsal Barton fx. Chauffer's fx.


Fratura de Smith

These images are a random sampling from a Bing search on the term "Distal Radius Fracture. Search Bing for all related images. Started in , this collection now contains interlinked topic pages divided into a tree of 31 specialty books and chapters. Content is updated monthly with systematic literature reviews and conferences. Although access to this website is not restricted, the information found here is intended for use by medical providers.


Distal Radius Fractures

A Smith's fracture , is a fracture of the distal radius. Smith's fractures are less common than Colles' fractures. The distal fracture fragment is displaced volarly ventrally , as opposed to a Colles' fracture which the fragment is displaced dorsally. Depending on the severity of the impact, there may be one or many fragments and it may or may not involve the articular surface of the wrist joint.


Smith's fracture

Fractures of the distal radius Colles' fracture. Address for correspondence. The aim of the present study was to investigate Brazilian orthopedists' opinions regarding the main aspects of treatments for Colles' fracture. METHODS: Five hundred questionnaires containing 12 items were randomly distributed to orthopedists who were attending the congress; were filled out correctly and were considered in this study. RESULTS: The main factors in making decisions on interventions in fracture cases were whether the fracture was intra-articular, the existence of shortening of the distal radius and the patient's age. The classification method most used was Frykmann. The closed reduction method most used was manual reduction.

Related Articles