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Current Concepts in the Treatment of Distal Radius Fractures, An Issue of Hand Clinics - E-Book

Current Concepts in the Treatment of Distal Radius Fractures, An Issue of Hand Clinics - E-Book

Kevin C. Chung

(2012)

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Book Details

Abstract

The distal radius is one of the most common fracture sites reported. There are a wide variety of therapeutic options available to treat this injury, but little data to determine which strategies provide the best long term functional outcomes. This volume utilizes the technical expertise from experts based around the world to provide a deep understanding of the current trends and evidence concerning this prevalent injury.

Table of Contents

Section Title Page Action Price
Front Cover Cover
Current Concepts in\rthe Treatment of Distal\rRadius Fractures i
Copyright Page ii
Table of Contents v
Dedication xiii
Contributors iii
Preface xi
Chapter 1. The Evolution of Distal Radius Fracture Management: A Historical Treatise 105
ERA OF NAIVETE´ (PRE-1895) 105
ERA OF INVENTION (1895–1965) 106
ERA OF REFINEMENT (1965 THROUGH PRESENT) 108
SUMMARY 109
REFERENCES 109
Chapter 2. The Epidemiology of Distal Radius Fractures 113
POPULATION INCIDENCE 113
PEDIATRIC INCIDENCE 114
INCIDENCE IN YOUNG ADULTS 116
INCIDENCE IN THE ELDERLY 117
PEDIATRIC OUTCOMES 118
OUTCOMES IN YOUNG ADULTS 118
OUTCOMES IN THE ELDERLY 119
SUMMARY 121
REFERENCES 122
Chapter 3. Common Myths and Evidence in the Management of Distal Radius Fractures 127
Chapter 4. Management of Distal Radius Fractures from the North American Perspective 135
OPERATIVE VERSUS NONOPERATIVE TREATMENT 135
WHICH OPERATIVE INTERVENTION 137
TREATMENT IN THE ELDERLY POPULATION 140
POSTOPERATIVE TREATMENT 141
SUMMARY AND PRIORITIES FOR FUTURE RESEARCH 141
REFERENCES 142
Chapter 5. Extra-Articular Fractures of the Distal Radius—A European View Point 145
WHAT DETERMINES OUTCOME 145
SUMMARY 148
REFERENCES 149
Chapter 6. An Asian Perspective on the Management of Distal Radius Fractures 151
DEFINING ASIA 151
EPIDEMIOLOGY 152
SCOPE FOR IMPROVEMENT 154
REFERENCES 155
Chapter 7. Anatomy and Biomechanics of the Distal Radioulnar Joint 157
BONY ANATOMY 157
SOFT TISSUE INTRINSIC STABILIZERS 159
SOFT TISSUE EXTRINSIC STABILIZERS 161
SUMMARY 162
REFERENCES 162
Chapter 8. How to Measure Outcomes of Distal Radius Fracture Treatment 165
GENERAL PATIENT-REPORTED SUBJECTIVEOUTCOMES 165
EXTREMITY-SPECIFIC PATIENT-REPORTED SUBJECTIVE OUTCOMES 167
PHYSICAL EXAMINATION MEASURES OF OUTCOME 170
RADIOGRAPHIC MEASUREMENTS OF OUTCOMES OF DISTAL RADIUS FRACTURES 170
EVIDENCE-BASED COMPARISONS OF OUTCOME MEASURES 172
SUMMARY 172
REFERENCES 172
Chapter 9. Treatment Strategies of Distal Radius Fractures 177
TREATMENT STRATEGIES FOR DISTAL RADIUS FRACTURES 178
INTERNAL FIXATION 180
SUMMARY 182
REFERENCES 182
Chapter 10. Avoiding and Treating Perioperative Complications of Distal Radius Fractures 185
TENDON INJURY 185
INADEQUATE INITIAL OR PROGRESSIVE LOSS OF REDUCTION 188
INTRA-ARTICULAR SCREW PLACEMENT 189
NERVE INJURY 190
COMPLEX REGIONAL PAIN SYNDROME 192
INFECTION 193
COMPARTMENT SYNDROME 194
SUMMARY 194
REFERENCES 194
Chapter 11. Management of the Distal Radioulnar Joint and Ulnar Styloid Fracture 199
KEYWORDS 199
INTRODUCTION 199
ARTICULAR STEP-OFF AT THE SIGMOID NOTCH 200
EXTRA-ARTICULAR MALUNION 201
TFCC INJURY 201
ASSOCIATED ULNAR STYLOID FRACTURES 202
TREATMENT 203
SUMMARY 204
ACKNOWLEDGMENTS 204
REFERENCES 204
Chapter 12. Management of Malunions of the Distal Radius 207
KEYWORDS 207
DEFINITION AND CLASSIFICATION 207
INCIDENCE 209
ETIOLOGY, INJURY PATTERNS, PATHOGENESIS 209
INDICATIONS 209
TIMING 210
TREATMENT OF DORSALLY DISPLACED MALUNIONS (COLLES FRACTURES) 211
TREATMENT OF VOLARLY DISPLACED MALUNIONS (SMITH FRACTURES) 212
TREATMENT OF INTRA-ARTICULAR MALUNIONS 212
OUTCOMES OF MALUNION RECONSTRUCTION 213
SUMMARY 215
REFERENCES 215
Chapter 13. The Use of Bone Grafts and Substitutes in the Treatment of Distal Radius Fractures 217
BONE GRAFT PROPERTIES 217
TYPES OF BONE GRAFTS 218
IMPLICATIONS ON CURRENT PRACTICE 220
REFERENCES 221
Chapter 14. Management of Soft-Tissue Injuries in Distal Radius Fractures 225
SOFT-TISSUE INJURIES ASSOCIATED WITH DISTAL RADIUS FRACTURES 225
SUMMARY 231
REFERENCES 231
Chapter 15. Recovery After Fracture of the Distal Radius 235
DISABILITY AND IMPAIRMENT 235
TECHNIQUES FOR REDUCING IMPAIRMENT 236
TECHNIQUES FOR REDUCING DISABILITY 239
SUMMARY 240
REFERENCES 240
Chapter 16. Future Treatment and Research Directions in Distal Radius Fracture 245
EPIDEMIOLOGY 245
RISK FACTORS 245
FRACTURE ASSESSMENT 246
TREATMENT 246
ECONOMICS 247
REFERENCES 247
Index 249