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Radial Epiphyseal Fracture

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1. Predicting epiphyseal screw length in anterior plating of distal radial fractures. (PubMed)

Predicting epiphyseal screw length in anterior plating of distal radial fractures. The purpose of this study was to determine whether optimal epiphyseal screw length could be predicted with reference to a given diaphyseal screw length when fixating a plate to the anterior surface of the distal radius. Computerized tomography scans of 40 wrists of 28 men and 12 women were semi-automatically segmented. A virtual anterior plate model was fixed to the distal radius. The mean maximal appropriate (...) length of one diaphyseal screw and of the four distal epiphyseal screws were measured and linear regression analyses were performed. We found that the epiphyseal screw lengths were highly correlated to the diaphyseal screw length. Based on the data derived from measurements, we recommend epiphyseal screw lengths from ulnar to radial of 18, 18, 20 and 16 mm, respectively, if the diaphyseal screw is 14 mm or less. For diaphyseal screws longer than 14 mm we recommend epiphyseal screws of 20, 20, 22

2019 Journal of Hand Surgery - European

2. Fixation of distal radial epiphyseal fracture: Comparison of K-wire and prebent intramedullary nail (PubMed)

Fixation of distal radial epiphyseal fracture: Comparison of K-wire and prebent intramedullary nail To compare the use of crossed K-wire and prebent intramedullary nail techniques for the fixation of distal radius metaphyseal fracture in children.Intraoperative and follow-up data for children with distal radius metaphyseal fracture, treated using crossed K-wire or prebent intramedullary nail fixation, were retrospectively analysed. Patient groups were matched for age, sex and clinical (...) outcome than crossed K-wire fixation in the treatment of distal radial epiphyseal fracture in children.© The Author(s) 2015.

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2016 The Journal of international medical research

3. Radial Epiphyseal Fracture

Radial Epiphyseal Fracture Radial Epiphyseal Fracture Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Radial Epiphyseal Fracture (...) Radial Epiphyseal Fracture Aka: Radial Epiphyseal Fracture From Related Chapters II. Mechanism is weaker than nearby wrist ligaments III. Signs through distal radial epiphysis Tenderness to palpation over the radial epiphysis Highly suggestive of IV. Radiology: Wrist XRay Difficult to identify non-displaced Think in children s in children are rare V. Management Displaced Radial Epiphyseal Fracture Reduce as with Immobilize for 5 weeks High suspicion for without radiologic evidence Immobilize

2018 FP Notebook

4. Conservative Follow-up of Severely Displaced Distal Radial Metaphyseal Fractures in Children (PubMed)

, the distance from the fracture to the epiphyseal line, and the radius lengths were measured. Radial inclination and palmar tilt angles as well as ulnar variance and residual angulation were measured in both antero-posterior (AP) and lateral forearm radiographs. The Mann-Whitney U test was used to compare the variables in SPSS version 21. p < 0.05 was considered statistically significant. Results Twenty-nine patients with a mean age of 8.8 ± 3.1 years were included in this study. The mean follow-up duration (...) Conservative Follow-up of Severely Displaced Distal Radial Metaphyseal Fractures in Children Introduction Distal radius fractures are the most frequent fractures seen in pediatric population and usually treated with closed reduction and casting. However, there is a risk of reduction loss and/or angulations in distal radial metaphyseal fractures. The purpose of this study is to evaluate the radiological and functional results of pediatric patients with distal radius metaphyseal fractures

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2018 Cureus

5. Brace Versus Casting in Pediatric Radial Head Fractures

Brace Versus Casting in Pediatric Radial Head Fractures Brace Versus Casting in Pediatric Radial Head Fractures - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Brace Versus Casting in Pediatric Radial Head (...) Information provided by (Responsible Party): pengzhang, Peking University People's Hospital Study Details Study Description Go to Brief Summary: Commare the pain and function of Brace Versus Casting in Pediatric Radial Head Fractures after 1 month Condition or disease Intervention/treatment Phase Radial Fracture Device: elbow cast Device: Removable elbow brace Not Applicable Detailed Description: Radial Head Fractures are common injury in children. In this study, healthy children with Mason type I or II

2017 Clinical Trials

6. Intramedullary devices in the management of Judet III and IV paediatric radial neck fractures (PubMed)

Intramedullary devices in the management of Judet III and IV paediatric radial neck fractures The aim of this study is to discuss the results of different intramedullary devices used in the management of paediatric radial neck fractures and to suggest methods to avoid the pitfalls of the technique.Thirty patients with isolated Judet III and IV fractures were included in this prospective study. Judet I and II fractures and radial neck fractures associated with other injuries were excluded (...) . The final results were graded using the Metaizeau functional scoring system and Oxford Elbow Score.The functional result was good to excellent in 24 of 30 cases (80%). The mean Oxford Elbow Score was 44.32. The mean follow-up was 40.11 months. The complications seen were radiocapitellar joint penetration - 6 cases at mean 4.87 weeks, redisplacement - 6, radial epiphyseal sclerosis - 5, and heterotopic ossification - 1 case.Intramedullary K wires may result in radiocapitellar joint penetration. Titanium

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2017 Chinese Journal of Traumatology

7. Radial Epiphyseal Fracture

Radial Epiphyseal Fracture Radial Epiphyseal Fracture Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Radial Epiphyseal Fracture (...) Radial Epiphyseal Fracture Aka: Radial Epiphyseal Fracture From Related Chapters II. Mechanism is weaker than nearby wrist ligaments III. Signs through distal radial epiphysis Tenderness to palpation over the radial epiphysis Highly suggestive of IV. Radiology: Wrist XRay Difficult to identify non-displaced Think in children s in children are rare V. Management Displaced Radial Epiphyseal Fracture Reduce as with Immobilize for 5 weeks High suspicion for without radiologic evidence Immobilize

2015 FP Notebook

8. Use of Osteofasciocutaneous Fibular Free Flap and Radial Head Arthroplasty in Trauma for Limb Salvage and Continued Elbow Function (PubMed)

trajectory. This case report details use of an osteofasciocutaneous fibular free flap and radial head prosthesis to restore forearm function in a 64-year-old female with a comminuted fracture of the proximal radius. The patient has sustained a 5.5 cm epiphyseal radial defect with an associated 20 × 15 cm overlying tissue defect after serial debridement. In review of the literature, only one nontraumatic case using a combined free flap and radial head prosthesis for proximal forearm defect to restore (...) Use of Osteofasciocutaneous Fibular Free Flap and Radial Head Arthroplasty in Trauma for Limb Salvage and Continued Elbow Function Reconstructive flaps have revolutionized the ability of surgeons to restore function and cosmesis for patients. While reconstructive flaps have been used to bridge large defects due to oncologic or congenital maladies necessitating large debridements, few cases have observed salvage flaps in traumas which provide additional challenges secondary to an injury

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2018 Case reports in orthopedics

9. Fracture and dislocation classification compendium for children: the AO pediatric comprehensive classification of long bone fractures (PCCF). (PubMed)

). It is further described by the fracture subsegment recorded as epiphyseal (E), metaphyseal (M) and diaphyseal (D), whereby proximal and distal fractures are classified as E or M and shaft fractures are always D. The distinction between metaphyseal and diaphyseal fractures is achieved by localizing the center of fracture lines with regard to a square drawn over the respective growth plates. The morphology of the fracture is documented by a subsegment-specific child pattern code, a severity code as well (...) as an additional code for displacement of specific fractures such as supracondylar fractures and radial heads. The classification process requires trained observers to read standard radiographic images.

2017 Journal of Orthopaedic Trauma

10. A Prospective Observational Assessment of Unicortical Distal Screw Placement During Volar Plate Fixation of Distal Radius Fractures. (PubMed)

A Prospective Observational Assessment of Unicortical Distal Screw Placement During Volar Plate Fixation of Distal Radius Fractures. Although volar plating of the distal radius is performed frequently, the necessity of distal bicortical fixation in the metaphyseal and epiphyseal areas of the distal radius has not been proven. This study aimed primarily to quantify the ability of unicortical distal screws to maintain operative reduction of adult distal radius fractures and secondarily (...) to determine if unicortical screw lengths could be predicted based on anatomical measurements.This prospective trial enrolled 75 adult patients undergoing volar locking plate fixation of a unilateral distal radius fracture at a tertiary center. Study inclusion required screw fixation in the distal rows of the plate performed with unicortical screw placement. The primary outcome was maintenance of operative reduction, according to predefined parameters, quantified by comparing initial operative reduction

2018 Journal of Hand Surgery - American

11. Physeal fracture in the wrist and hand due to stress injury in a child climber: A case report. (PubMed)

radius. Magnetic resonance imaging revealed epiphyseal widening of the radial aspect of the wrist and bone marrow signal increase on T2-weighted imaging. Likewise, radiographs showed physeal injury of the right fourth finger INTERVENTIONS:: No surgery was performed and we applied wrist brace and finger splint for conservative treatment.The patient's pain was immediately relieved. The patient had no complications or recurrence of symptoms and was undergoing regular check-ups every 6 months.During (...) Physeal fracture in the wrist and hand due to stress injury in a child climber: A case report. In competitive athletes, the upper extremity is subject to tremendous torsional forces with axial loading due to repetitive weight bearing. Approximately 25% of injuries in sports are related to the hand or wrist. Skeletal deformity on the wrist physis is common in athletes due to repetitive loading and presents at early ages between 6 and 13 years. Additionally, it is more common in female than

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2018 Medicine

12. Role of the Pronator Quadratus in Distal Radius Fractures

is interrupted by disease or trauma. There are numerous metaphyseal-epiphyseal branches arise within the pronator quadratus and the anterior interosseous artery and course towards the distal radius. These branches may be fundamental to the healing of the distal radius fractures and make nonunion a rare complication. The aim of this study is the evaluation of the role of the pronator quadratus muscle and its repair in volar approach in distal radius fractures treated with plate fixation. Condition or disease (...) arthrodesis. In volar plating and often by the fracture injury itself, the complete pronator quadratus is stripped off the volar radius. Thus, the intraosseous collateral circulation must be sufficient for clinical healing. Any operative approach to the distal radius fracture should not compromise both volar radial and the dorsoulnar arteries. While the branches to the pronator quadratus must be sacrificed in a palmar approach, the distal perforator can and should be spared. This is true even

2017 Clinical Trials

13. Treatment of Pediatric Supracondylar Humerus Fractures

Treatment of Pediatric Supracondylar Humerus Fractures THE TREATMENT OF PEDIATRIC SUPRACONDYLAR HUMERUS FRACTURES EVIDENCE- BASED GUIDELINE AND EVIDENCE REPORT Adopted by the American Academy of Orthopaedic Surgeons Board of Directors September 24, 2011 AAOS Clinical Practice Guidelines Unit v1.0_092311 ii Disclaimer This Clinical Practice Guideline was developed by an AAOS physician volunteer Work Group based on a systematic review of the current scientific and clinical information (...) of the recommendations in the AAOS’ clinical practice guideline, The Treatment of Pediatric Supracondylar Humerus Fractures. This summary does not contain rationales that explain how and why these recommendations were developed nor does it contain the evidence supporting these recommendations. All readers of this summary are strongly urged to consult the full guideline and evidence report for this information. We are confident that those who read the full guideline and evidence report will see

2011 American Academy of Orthopaedic Surgeons

14. Radial Clubhand (Treatment)

recurrence of radial deviation. Ilizarov device applied for correction of recurrent deformity. The application of sophisticated techniques, such as distraction osteogenesis and microsurgery, to the treatment of radial clubhand introduces additional potential complications, such as fracture of the regenerate bone, digital stiffness from lengthening, and vascular thrombosis of the microsurgical anastomosis. Previous Next: Long-Term Monitoring Patients with radial deficiencies require follow-up (...) . Aplasia and hypoplasa of the radius: studies on 64 cases and on epiphyseal transplantation in rabbits with the imitated defect. Acta Orthop Scand Suppl . 1959. 39:1-155. . Manske PR, McCarroll HR Jr, Swanson K. Centralization of the radial club hand: an ulnar surgical approach. J Hand Surg Am . 1981 Sep. 6 (5):423-33. . Bayne LG, Klug MS. Long-term review of the surgical treatment of radial deficiencies. J Hand Surg Am . 1987 Mar. 12 (2):169-79. . Bora FW Jr, Nicholson JT, Cheema HM. Radial meromelia

2014 eMedicine Surgery

15. Radial Clubhand (Follow-up)

recurrence of radial deviation. Ilizarov device applied for correction of recurrent deformity. The application of sophisticated techniques, such as distraction osteogenesis and microsurgery, to the treatment of radial clubhand introduces additional potential complications, such as fracture of the regenerate bone, digital stiffness from lengthening, and vascular thrombosis of the microsurgical anastomosis. Previous Next: Long-Term Monitoring Patients with radial deficiencies require follow-up (...) . Aplasia and hypoplasa of the radius: studies on 64 cases and on epiphyseal transplantation in rabbits with the imitated defect. Acta Orthop Scand Suppl . 1959. 39:1-155. . Manske PR, McCarroll HR Jr, Swanson K. Centralization of the radial club hand: an ulnar surgical approach. J Hand Surg Am . 1981 Sep. 6 (5):423-33. . Bayne LG, Klug MS. Long-term review of the surgical treatment of radial deficiencies. J Hand Surg Am . 1987 Mar. 12 (2):169-79. . Bora FW Jr, Nicholson JT, Cheema HM. Radial meromelia

2014 eMedicine Surgery

16. Phalangeal Fractures (Follow-up)

: Salter-Harris I/II or Juxta-epiphyseal Fractures of the Distal Phalanx With Associated Nailbed Laceration. J Pediatr Orthop . 2017 Jun. 37 (4):247-253. . Ridley TJ, Freking W, Erickson LO, Ward CM. Incidence of Treatment for Infection of Buried Versus Exposed Kirschner Wires in Phalangeal, Metacarpal, and Distal Radial Fractures. J Hand Surg Am . 2017 Jul. 42 (7):525-531. . Freeland AE, Hardy MA, Singletary S. Rehabilitation for proximal phalangeal fractures. J Hand Ther . 2003 Apr-Jun. 16(2):129-42 (...) , especially with PIP joint fractures and dislocations. After 3 weeks, removable custom splints can be used. Distal phalanx fracture Stack splints are useful for a variety of distal phalanx fractures and allow for PIP joint motion. Middle/proximal phalanx fracture Radial or ulnar gutter splints are preferable when possible to maintain motion in the noninjured digits. Splint the hand in the safe position with the metacarpophalangeal (MCP) joint in 70° of flexion, the distal interphalangeal (DIP) and PIP

2014 eMedicine Surgery

17. Proximal Humerus Fractures (Overview)

fracture in 460 BCE and treated it with traction. In 1869, to improve treatment, Krocher classified fractures of the proximal humerus. In 1934, Codman developed a classification that divided the proximal humerus into four parts on the basis of epiphyseal lines. In 1970, Neer's classification expanded on the four-part concept and included anatomic, biomechanical, and treatment principles, providing clinicians with a useful framework to diagnose and treat patients with these fractures. [ ] Successful (...) are associated with neurovascular injuries; 8% result in permanent motor loss. The axillary nerve is the nerve most commonly injured. The fracture pattern most commonly associated with axillary nerve injury is an anterior fracture dislocation with a displaced greater tuberosity. Loss of sensation over the lateral deltoid should alert the examiner to possible axillary nerve injury. Isometric contraction of the deltoid should also be tested. The suprascapular, radial, and musculocutaneous nerves also

2014 eMedicine Surgery

18. Tillaux Fracture (Overview)

in adults, because the ligament gives way instead of avulsing the tibial fragment from its epiphyseal attachment, resulting in a ligament injury known as a Tillaux lesion. Commonly, the two unique fracture patterns of the distal tibia in adolescents are the and the juvenile Tillaux fracture. They are also called transition fractures, because in both injury patterns, the germinal layer of the partially closed growth plate is violated. The aim of treatment with these fractures is the prevention of early (...) their extensive work on distal tibial fractures, Kleiger and Mankin described an isolated fracture of the lateral portion of the distal tibial physis in adolescents. This is a Salter-Harris type III epiphyseal injury. [ ] Tillaux fractures can cause pain or stiffness for up to 2 years after the injury, with incongruity resulting in degenerative , varus deformity, rotational deformity (rare), tibiotalar slant, , delayed union (rare), and leg-length inequality (extremely rare). [ ] Initially, these fractures

2014 eMedicine Surgery

19. Proximal Humerus Fractures (Diagnosis)

fracture in 460 BCE and treated it with traction. In 1869, to improve treatment, Krocher classified fractures of the proximal humerus. In 1934, Codman developed a classification that divided the proximal humerus into four parts on the basis of epiphyseal lines. In 1970, Neer's classification expanded on the four-part concept and included anatomic, biomechanical, and treatment principles, providing clinicians with a useful framework to diagnose and treat patients with these fractures. [ ] Successful (...) are associated with neurovascular injuries; 8% result in permanent motor loss. The axillary nerve is the nerve most commonly injured. The fracture pattern most commonly associated with axillary nerve injury is an anterior fracture dislocation with a displaced greater tuberosity. Loss of sensation over the lateral deltoid should alert the examiner to possible axillary nerve injury. Isometric contraction of the deltoid should also be tested. The suprascapular, radial, and musculocutaneous nerves also

2014 eMedicine Surgery

20. Phalangeal Fractures (Diagnosis)

avulse a fragment of bone. Tuft fractures are commonly associated with injury to the overlying nail bed. Distal interphalangeal joint The head of the middle phalanx consists of two condyles that articulate with the base of the distal phalanx. With an axial load, one or both of the condyles may fracture. A closely adherent volar plate provides significant stability. Radial and ulnar collateral ligaments provide resistance to stresses in the coronal plane. Middle phalanx Sublimis tendons insert along (...) the hand and wrist. J Hand Surg Am . 2011 Apr. 36(4):610-6. . Yong FC, Tan SH, Tow BP, Teoh LC. Trapezoid rotational bone graft osteotomy for metacarpal and phalangeal fracture malunion. J Hand Surg Eur Vol . 2007 Jun. 32(3):282-8. . Reyes BA, Ho CA. The High Risk of Infection With Delayed Treatment of Open Seymour Fractures: Salter-Harris I/II or Juxta-epiphyseal Fractures of the Distal Phalanx With Associated Nailbed Laceration. J Pediatr Orthop . 2017 Jun. 37 (4):247-253. . Ridley TJ, Freking W

2014 eMedicine Surgery

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