$colles fracture closed$

$colles fracture closed$

Of > 1 mm had 250% increased risk of DRUJ DJD Incongruity was the main factor in the development of radiographicĭJD and was frequently associated with pain and stiffness clinically

3/12 patients with 2 mm stepoff had post-traumatic.

4/4 patients with > 2 mm stepoff had DJD.

retrospective study of 16 patients, mean follow-up.

Of the distal end of the radius in young adults, and scrollī Bradway, Amadio, and Cooney (1989, JBJS)

any radiographic stepoff (22 of 24): 91% radiographic.

$colles fracture closed$

stepoff > 2 mm (8 of 8): 100% radiographic.retrospective study of 43 fractures with intraarticularĭisplacement, with mean follow-up of 6.7 years.limitations of both studies: pressure sensitiveįilm can alter joint characteristics, is quasi-static, does notĪccount for shear forces that occur during rotation of wrist, cannot.results: scaphoid fossa depression of 1 mm caused.results: lunate fossa depression of 3 mm caused.results: carpal alignment shifts and lunate flexion.results: increases in contact stresses with stepoff.method: cadaver study of contact stresses with.No > than 0° dorsal tilt or no > than 20° volar tilt Significant correlation with DJD and dorsal tilt retrospective review of 76 patients, 26-36 years.statistically significant correlation between.32 patients with Colles' fracture managed with.as little as 10° dorsal tilt patients much more likely to have pain, stiffness,.30 patients with Colles' fracture, four year follow-up.statistical significant correlation with function.With closed reduction, cast immobilization prospective study of 61 consecutive patients treated.Of which was dependant on the dorsal tilt significant improvement in function, the extent.resolution of midcarpal instability with corrective.average dorsal tilt of 23, but occurred with as.retrospective review of 13 patients with midcarpal.no threshold data given or distractable from data.dorsal angle had greatest effect on functional.results: pronation and supination decreased significantly.Sensor system, malunion simulated osteotomy in 10° increments method: six cadavers, motion tracked by motion.Pressure areas and the load were more concentrated results: >25° volar tilt or >15° dorsal tilt caused a shift in the scaphoid and lunate high.method: five cadavers, pressure-sensitive film,.The area of maximum load, moved load more dorsally, and loadī Pogue, Viegas, Patterson, et al. results: 10° dorsal tilt caused a statistically significant change in.method: six cadavers, pressure-sensitive film,.Four differentīut interrelated characteristics have been examined. With respect to what 'anatomical' really means. Is a review of the scientific literature, both laboratory and clinical, Means, to the frustration to the student of distal radial fractures. Reduced anatomically, but few of them define what 'anatomical' Many authors suggest that distal radial fractures be

$colles fracture closed$

The highlighted summary sections are still those advocated by most authorities. San Diego, September, 1996, and at the International Distal Radius FractureĬonference, San Francisco, May 8-10, 1998. The last literature citations were added on 12/30/99, and there have not been any changes in the thresholds for reduction in the literature up to May, 2006. Nelson, MD This paper is based on a presentation given at the AAOS Summer Institute, Indications for Reduction in Distal Radius Fractures David L.

$colles fracture closed$

Colles fracture closed