By David J. Slutsky MD FRCS
Famous specialists from worldwide deliver you “cutting-edge assistance at the remedy of distal radius fractures and carpal accidents. sensible and entire, you’ll locate precise insurance of the remedy and motives of ulnar sided wrist soreness, in addition to the newest arthroscopic and mini-invasive suggestions for the fixation of either distal radius fractures and scaphoid fractures. The elementary layout positive aspects sensible information, pearls, and capability pitfalls to aid optimize results. better of all, intraoperative video clips of forty four strategies on hand on DVD and on-line make this an excellent multimedia advisor for the remedy of those not easy fractures.
- Uses actual instances to demonstrate diagnostic decision-making, nonsurgical and surgical administration and care, and results size for quite a few advanced distal radius fractures, in addition to forty four videos-over hours-of strategies all at the DVD and website.
- Includes the fully-searchable textual content on-line for speedy and simple entry to the knowledge you need.
- Covers distal radius fractures from imaging and class to the recent locking plate designs, rising nonplate possible choices comparable to intramedullary and T-pin fixation, and more moderen nonbridging exterior fixators for intra-articular fractures to supply you with the most recent advancements within the field.
- Presents fabric in a concise, useful layout for a terrific overview earlier than surgery.
- Provides a visible demonstrate of intraoperative methods via full-color photographs and photographs.
- Features extra chapters-Role of complicated Imaging in Distal Radius Fractures, Patient-focused Wrist consequence tool, Biomechanics and Biology of Plate Fixation of Distal Radius Fractures, Micronail, Rehabilitation Following Distal Radius Fractures: a biomechanical/procedure particular technique, Use of Thermal Shrinkage - Biology and purposes, Arthroscopic Thermal Shrinkage for Scapholunate Ligament accidents, Rehabilitation following Carpal harm, Reconstruction of the Distal Radius side through a unfastened Vascularized Ostechondral Graft-online for much more value.
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Additional resources for Fractures and Injuries of the Distal Radius and Carpus: The Cutting Edge
Example text
In many cases, apposition of the volar cortex at a single fracture line between the proximal and distal fragment provides a stable fulcrum on which to hinge the reduction. In this situation, the amount of dorsal comminution and metaphyseal impaction is the primary determinant of the degree of dorsal instability. Although ligamentous damage to the DRUJ also may be present, often DRUJ stability is restored simply by reduction of the distal fragment. Although supination of the distal fragment relative to the proximal fragment is typically present, this deformity is difficult to assess radiographically.
Rotational deformities are difficult to assess radiographically. In contrast to dorsal bending injuries, in which the volar cortex can often be used as a fulcrum for balancing the dorsal instability pattern against the strong pull of the flexor tendons, the deform- CHAPTER 3 Radiographic Evaluation and Classification of Distal Radius Fractures 27 FIGURE 3-15 Dorsal Bending Personality. This dorsally angulated extra-articular fracture shows loss of radial inclination, dorsal tilt of the articular surface, and ulnarpositive variance from loss of length.
On the lateral view, a nonuniform joint interval or increased AP distance suggests disruption and discontinuity across the lunate facet. Depression of the teardrop angle and subluxation of the central rotational axis of the capitate may alter the approach to treatment. In addition to an awareness of the essential radiographic landmarks and parameters, radiographic evaluation of distal radius fractures requires an understanding of the basic patterns of injuries to appreciate the anatomy of the injury and the mechanical basis of instability.