Case Study: Fixation Of a Distal Radius Fracture Patient History : This is an 85 year-old, right hand dominant female who sustained a ground level fall on an outstretched hand. The forearm consists of two bones, the radius and the ulna, with the ulna is located on the pinky side and the radius on your thumb side. There is usually a fracture in the ulna and the top (head) of the radius is dislocated. Sinikumpu, J.J., et al., Nonoperatively treated forearm shaft fractures in children show good long-term recovery. Plating of the distal radius 1. Forearm - Radius and Ulnar Shaft Fractures Key Points: ... Reinhardt, K.R., et al., Comparison of intramedullary nailing to plating for both-bone forearm fractures in older children. J Pediatr Orthop, 2008. It consists of the carpus, distal ulna and distal radius. radius and ulna in adults. Forearm supination also allows access to the volar surface of the radius and helps to delineate the ulnar-sided flexors from the radial-sided extensors and the BR. In addition, plate positioning and converging screw angulation target distal fragments of the ulnar head and neck for more stable fracture fixation. Treatment is surgical open reduction and internal fixation with compression plating of both the ulna and radius fractures. Principles of plate fixation: Larsen L J, Roush J K & McLaughlin R M (1999) Bone plate fixation of distal radius and ulna fractures in small- and miniature-breed dogs. Geleazzi fracture is fracture of the distal 1/3 of the radius shaft plus disruption of the distal radioulnar joint (DRUJ). Science: Epidemiology demographics highest incidence in men between age 10 and 20 ; women over age of 60; Pathophysiology mechanism of injury direct trauma The wrist is a multi-articular joint. The amount of variance is measured on xray and is usually millimeters. The inclusion criteria included: fractures of the distal 1/3 of the radius and ulna and repair with open reduction and internal fixation utilizing an LCP plate (straight or notched head T-plate). In most cases, this type of fracture occurs in the growth plate of the radius … Both bones forearm fractures are most commonly treated by placing a metal plate and screws on both the radius and ulna bones. 28(4): p. 403-9. This is a very severe injury and requires urgent care. Sardinas J C & Montavon P M (1997) Use of a medial bone plate for repair of radius and ulna fractures in dogs and cats: a report of 22 cases. Internal fixation involves use of compression plating (3.5-mm dynamic compression plate) with or without bone grafting. These bones must each be approached through a separate incision, therefore you will have two incisions on your forearm. Positive ulnar variance is used to describe a forearm where the distal ulna is no longer in line with the distal radius, resulting in the ulnar being longer. Also called a "physeal" fracture, this fracture occurs at or across the growth plate. J Am Anim Hosp Assoc 35 (3), 243-250 PubMed. (For the record, a negative ulnar variance occurs when the ulna is shorter). Fractures of the distal radius are the most common fractures in the human body. The PT insertion at the midshaft to distal one third of the forearm must be partially elevated prior to plate placement (Figure 2, B and C). Plating of the Distal Radius Arvind D. Nana, MD, Atul Joshi, MD, and David M. Lichtman, MD Abstract Distal radius fractures constitute up to 15% of all extremity fractures.1 Patients include both active elderly individuals and younger persons in- … Growth plate fracture. Fracture in the proximal ulna, you will use a posterior plate which will act as a tension band plate (it will resist the distractive forces across the fracture). In recent years, great changes have taken place both in the treatment options of the distal radius and … Fractures of the forearm can occur at different levels: near the wrist at the farthest (distal) end of the bone, in the middle of the forearm or near the elbow at …
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