A distal radius fracture, also known as wrist fracture, is a break of the part of the radius bone .. For torus fractures, a splint may be sufficient and casting may be avoided. The position of the wrist in cast is usually slight flexion and ulnar deviation. Torus fractures, or buckle fractures, are extremely common injuries in children. The word torus is derived from the Latin word ‘Tori’ meaning. English Translation, Synonyms, Definitions and Usage Examples of Spanish Word ‘fractura torus’.
|Published (Last):||4 June 2009|
|PDF File Size:||13.66 Mb|
|ePub File Size:||13.46 Mb|
|Price:||Free* [*Free Regsitration Required]|
Rib fracture Sternal fracture. Manipulative reduction and immobilization were thought to be appropriate for metaphyseal unstable fractures. In most cases a fracture of the radial styloid process is part of a comminutive intraarticular fracture.
Notice the oblique course on the lateral view. The Journal of hand surgery. Check for errors and try again. Symptoms include pain in the area and can start from overuse in that specific bone. Articular incongruity is the most important factor in the development of posttraumatic osteoarthritis of the wrist.
Apparent volar tilt of the surface of the distal radius, as measured on the lateral view, increases with supination and decreases with pronation of the wrist 5. The subluxation has to be reduced with closed or operative treatment to avoid chronic instability and arthosis.
The characteristics of distal radius fractures are influenced by the torjs of the hand frwctura the time of impact, the type of surface at point of contact, the speed of the impact, and the strength of the bone.
Die-punch fracture A die-punch fracture is a depression fracture of the lunate fossa of the distal radius. The cause for this condition is unknown. In children, the outcome of distal radius fracture treatment in casts is usually very successful with healing and return to normal function expected. Many authors suggest that distal radial fractures be reduced anatomically, but the real question is ‘what is acceptable and what is not? Scaphoid Rolando Bennett’s Boxer’s Busch’s.
These include bowing, torus, greenstick and stress factures.
Please help improve this article by adding citations to reliable sources. Initially, a backslab or a sugar tong splint is applied to allow swelling to expand and subsequently a cast is applied. The radial inclination ranges between 21 and 25 degrees.
These are shear type fractures of the distal articular surface of the radius with translation of the distal radial fragment and the carpus. Chauffeur’s fracture An isolated fracture of the radial styloid process is also called a Hutchinson’s or chauffeur’s fracture.
Wrist – Fractures
Also known as a buckle fracture, this is an impaction fracture in which the cortex around all or part of the circumference of the bone is buckled. Torus is derived from latin torimeaning a swelling or frctura. If the fracture is still undisplaced, cast and splint can be applied for three weeks.
This means that the wrist, elbow and shoulder are all in the transverse plane, perpendicular to the x-ray beam.
Rockwood and Green’s Fractures in Adults 8th ed. After closed reduction the position of the dorsal rim is better, but this still is an unstable situation. These scoring systems measures the ability of a person to perform a task, pain score, presence of toruus and numbness, the effect on activities of daily living, and self-image.
Dislocation of the radiocarpal joint is the hallmark of Barton’s fractures. On the left sagittal reconstructions of 1mm axial CT slices. Posteroanterior view of the distal forearm is normal. InAbraham Colles described the characteristics of distal end radius fracture. Avulsion fracture Chalkstick fracture Greenstick fracture Open fracture Pathologic fracture Spiral fracture. However, he also suggested that toruss displacement of the wrist was due to the ulnar fracture.
Closed Reduction The initial treatment for most radius fractures is closed reduction and plaster immobilization. Treatment is often directed to restore normal anatomy to avoid the possibility of malunion, which may cause decreased strength in the hand and wrist.
Buckle Fractures (for Parents)
On the left a detailed AP view of the same patient as above. Structures at risk include the triangular fibrocartilage torux and the scapholunate ligament. Shorter immobilization is associated with better recovery when compared to prolonged immobilization.
Occasionally, fractures may not be seen on X-rays immediately after the injury. Malreduced distal radius fracture demonstrating the deformity in the wrist.