Distal Radius Fractures: Current Concepts

Front Matter....Pages i-xiv
Front Matter....Pages 1-1
Distal Radius Fractures: What Is the Problem?....Pages 3-9
A Historical Review of the Distal Radius Fracture....Pages 11-19
Anatomy of the Wrist....Pages 21-30
Biomechanics and Kinematics of the Wrist....Pages 31-35
Epidemiology....Pages 37-44
Distal Radius Fractures and Osteoporosis....Pages 45-51
Outcome Assessment After Distal Radius Fractures....Pages 53-59
Medicolegal Aspects of Distal Radius Fractures....Pages 61-68
Front Matter....Pages 69-69
Imaging....Pages 71-82
Classification Distal Radius Fractures....Pages 83-91
How to Assess Fracture Instability....Pages 93-97
Front Matter....Pages 99-99
Pharmacologic Treatment of Distal Radial Fractures....Pages 101-104
Flow Chart for Treatment: A Standardized Treatment Program as an Aid in Primary Treatment of Distal Radius Fractures....Pages 105-107
The Clinical Dilemma: Nonoperative or Operative Treatment....Pages 109-113
Clinical Diagnosis, Closed Reduction, and Plaster....Pages 115-120
Closed Re-reduction: Is It an Alternative....Pages 121-128
Closed Reduction and External Fixation of Unstable Distal Radius Fractures....Pages 129-137
Closed Reduction and Percutaneous Pinning....Pages 139-145
Closed Reduction and Intramedullary Fixation of Distal Radius Fractures....Pages 147-151
Closed Reduction and External Fixation or Open Reduction and Volar Internal Fixation: The Clinical Dilemma....Pages 153-158
Front Matter....Pages 99-99
Combined External Fixation and Internal Fixation....Pages 159-163
Open Reduction and Volar Plating: Surgical Guide....Pages 165-170
When Fixed-Angle Volar Plates Are Not Enough: Alternative Fixation Methods in Problem Fractures....Pages 171-180
Die-Punch Fractures: Open and Arthroscopy-Assisted Fixation....Pages 181-187
Arthroscopy in Distal Radius Fractures....Pages 189-200
Associated Injuries in Distal Radius Fractures....Pages 201-209
Radial Styloid Fractures and Associated Carpal Injuries....Pages 211-223
Acute Injuries Around the Distal Ulna....Pages 225-231
Bone Substitutes, Grafts and Cement....Pages 233-239
The Elderly Osteoporotic Patient....Pages 241-254
Rehabilitation....Pages 255-262
Front Matter....Pages 263-263
Complications: An Overview....Pages 265-269
Nerve Entrapments and Nerve Injuries in Distal Radius Fractures....Pages 271-275
Tendon Complications of Distal Radial Fractures....Pages 277-284
Complex Regional Pain Syndrome....Pages 285-291
Compartment Syndrome of the Forearm....Pages 293-297
Extra-articular Malunion of the Radius; Osteotomy of the Radius....Pages 299-304
Ulnar Shortening Osteotomy After Distal Radius Fracture....Pages 305-315
Intra-articular Malunion....Pages 317-332
Distal Radius Fractures and Secondary Carpal Dysfunction....Pages 333-342
Front Matter....Pages 263-263
Secondary Osteoarthrosis: Partial or Total Arthrodesis Versus Wrist Arthroplasty....Pages 343-348
Secondary DRU Joint Problems Instability, Nonunion Styloid, and Ulnocarpal Abutment....Pages 349-362
Salvage Procedures to the DRU Joint....Pages 363-373
Wrist Denervation....Pages 375-380
Front Matter....Pages 381-381
Associated Fractures of the Distal Ulna....Pages 383-390
Galeazzi’s Fracture and Essex-Lopresti Injuries: Dislocation Fractures of the Forearm....Pages 391-401
Distal Radius Fractures in Children....Pages 403-415
Back Matter....Pages 417-421