Distal Radius Fractures

Closed Reduction and Immobilization of Displaced Distal Radius Fractures

Key Points Despite the popularity of surgical treatment, most displaced distal radius fractures (DRFs) are initially managed with closed reduction and immobilization. Radiological outcomes were not significantly different between mechanical reduction using finger-trap traction and manual reduction. Compared to procedural…

Advanced Imaging in Distal Radius Fractures

Key Points CT scan can allow for improved identification of intraarticular fracture fragments in distal radius fractures. Use of CT scan for preoperative planning can allow for improved guidance of fracture fragment fixation intraoperatively. Utilization of CT in association with…

Radiographic Parameters of Distal Radius Fractures

Key Points 1. Radiographs are essential for evaluation and treatment of distal radius fractures. 2. Complete radiographic assessment requires proper technique and all projections necessary to fully evaluate the injury. 3. Interpretation of distal radius fracture radiographs requires more than…

Biomechanics of Distal Radius Fractures

Key Points The ideal classification meets three objectives: to describe the lesion, to guide treatment choice, and to predict the functional outcome. An example of such is the Patient Accident Fracture (PAF) classification as it allows an exhaustive analysis that…

Surgical Anatomy of the Distal Radius

Key Points – The precise knowledge of the evolution of the anatomy of the radius is essential to understand the main points of the treatment decision and the surgical principles. – General anatomy of the distal radius subdivides it in…

Epidemiology of Distal Radius Fractures

Key Points Distal radius fractures primarily affect children, young adults, and the elderly. The incidence of distal radius fractures is increasing worldwide. Understanding the epidemiology of distal radius fractures helps guide treatment. Panel 1: Case Scenario A 65-year-old, right hand…

Principles of Evidence-Based Management of Distal Radius Fractures

Key Points Evidence-based management requires combination of the best evidence with patient values and provider preferences to make treatment decisions. The practice of evidence-based management involves question formulation, acquisition of related literature, appraisal of study quality, and the appropriate application…