Early and late displacement of fractures of the distal radius. The prediction of instability.
Journal - International orthopaedics (GERMANY )
One hundred fractures of the distal radius with dorsal displacement were treated by closed reduction and a plaster cast. The mean age of the patients was 55 years. Radiographs were taken after 1, 2 and 5 weeks to evaluate the frequency of early and late displacement. Dorsal angulation occurred in 71 patients, shortening of the radius in 47 and flattening of the radial angle in 32. Late displacement was more frequent than early. Statistical analysis showed a greater incidence of secondary shortening in Older's types III and IV fractures. The severity of the initial radial shortening was the most reliable indication of instability.
|ISSN : ||0341-2695|
|Mesh Heading : ||Chi-Square Distribution Colles' Fracture Fracture Healing Fractures, Malunited Humans Middle Aged Prognosis Prospective Studies Radius Regression Analysis radiography radiography radiography|
|Mesh Heading Relevant : ||Fracture Fixation surgery|
Comminuted articular fractures of the distal radius. Results of conservative treatment.
Journal - Italian journal of orthopaedics and traumatology (AUSTRIA )
Fifty-nine comminuted articular fractures of the distal radius which had received conservative treatment were reviewed after an average of 3 1/2 years. The results--excellent in 15 patients, good in 30, fair in 12, and poor in 2--were closely linked to the quality of the articular reduction. In patients with a residual malalignment greater than 2 mm, a relatively high incidence of both degenerative arthritis (31%) and unsatisfactory results (56%) was found. The presence of a "die punch" fragment often precluded acceptable fracture reduction and was therefore responsible for many poor clinical and radiographic results. The quality of the extraarticular reduction proved to be of little importance to the final outcome.
|ISSN : ||0390-5489|
|Mesh Heading : ||Adult Aged Aged, 80 and over Casts, Surgical Female Follow-Up Studies Humans Male Manipulation, Orthopedic Middle Aged Radius Fractures classification radiography|
|Mesh Heading Relevant : ||standards standards therapy|
Perilunate dislocations of the carpus. A long-term review.
Journal - Italian journal of orthopaedics and traumatology (ITALY )
The long-term results of 19 perilunate dislocations of the carpus (including 9 transscapho-perilunate dislocations) were: good, 7 cases; fair, 8; poor, 4. The 9 transscapho-perilunate dislocations gave worse results than simple dislocations, with pseudarthrosis in 5 cases. Arthrosis was found in more than half the cases, more frequently in transscapho-perilunate dislocations and in cases associated with a fracture of the radial styloid. Radiographic signs of instability were observed in 8 wrists. The unstable wrists had a high incidence of arthrosis and showed decidedly worse clinical results compared to stable wrists (good, 1; fair, 4; poor, 3, as compared to good, 6 and fair 4). In all the unstable wrists we therefore believe that the results may be improved if the radiographic signs of instability are specifically looked for immediately after reduction so that abnormal anatomical relationships in the carpus can be corrected early.
|ISSN : ||0390-5489|
|Mesh Heading : ||Adolescent Adult Aged Arthritis Carpal Bones Female Follow-Up Studies Humans Joint Instability Male Middle Aged Movement Pain Pseudarthrosis etiology radiography radiography complications radiography therapy etiology etiology radiography|
|Mesh Heading Relevant : ||Dislocations injuries|