Indications Initially described by Burke and Singer as an alternative to wrist-spanning external fixation, dorsal bridge plate fixation has proven to be a versatile option for the management of fractures of the distal radius. Bridge plate fixation is most frequently…
Introduction The last two decades have seen the introduction of new implants and techniques revolutionize the capacity to successfully stabilize displaced and unstable distal radius fractures. The advent and sweeping adoption of volar locked plating in the new millennium quickly…
Indications Open reduction with internal fixation has become the preferred treatment for most unstable intra-articular and periarticular fractures; however, there is no consensus regarding optimal treatment algorithms and predicted outcomes with various surgical options. Like any fixation technique, each has…
Introduction It is important to try and achieve as close as an anatomic reduction of the articular surface as possible, especially in a young patient, in the management of intra-articular distal radius fractures to reduce the chance of posttraumatic radiocarpal…
Introduction Distal radius fractures are the most common upper extremity fracture in patients in the United States, accounting for 0.7%–2.5% of emergency department visits. , Worldwide, the incidence of distal radius fractures has increased over the past 40–50 years, almost…
Indications Surgical indications for both bones forearm fractures include the following: (1) nondisplaced or minimally displaced both bones forearm fractures with a propensity for instability (comminution, initial displacement prior to reduction, and polytrauma patients) and (2) significantly displaced or angulated…
Indications The primary indication to reconstruct the interosseous membrane (IOM) is a longitudinal radioulnar dissociation also known as an Essex-Lopresti injury (ELI). An ELI is an injury triad involving fracture of the radial head, rupture of the interosseous ligaments, and…
History Although the eponym for forearm longitudinal instability is known as Essex-Lopresti, Dr. Peter Essex-Lopresti was not the first person who reported the injury. It was first described by Brockman in 1931. Curr and Coe later reported on a case…
Introduction A Monteggia fracture-dislocation, defined as a proximal ulna fracture with a concurrent proximal radioulnar joint dislocation, is a rare but complex injury of the forearm and elbow. Monteggia fracture-dislocations account for 1%–2% of forearm fractures and are commonly secondary…
Indications Anterior olecranon fracture-dislocation of the elbow (also referred to as transolecranon fracture-dislocation) is characterized by disruption of the trochlear notch, loss of radiocapitellar alignment, maintenance of some apposition of the articular surfaces, intact collateral ligaments, and a normal radioulnar…