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Distal radius fractures : current concepts

https://libcat.nshealth.ca/en/permalink/provcat33868
Leiv M. Hove, Tommy Lindau, Per Hølmer, editors. --Heidelberg: Springer , c2014.
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Distal radial fractures are still puzzling us 200 years after Colles' classic description. Despite the advent of various new imaging techniques, including 3D CT, the availability of diagnostic adjuncts such as arthroscopy, and treatment options that include more than 30 different volar locking plates, the rate of unsatisfactorytreatment resultsremains very high. Furthermore, while we are aware of more associated injuries, such as carpal ligament tears and injuries to the radioulnar ligament (TF…
Available Online
View e-Book
Other Authors
Hove, Leiv M.
Lindau, Tommy
Hølmer, Per
Responsibility
Leiv M. Hove, Tommy Lindau, Per Hølmer, editors
Place of Publication
Heidelberg
Publisher
Springer
Date of Publication
c2014
Physical Description
1 online resource (xiv, 421 pages)
ISBN
9783642546044 (electronic bk.)
9783642546037
Subjects (MeSH)
Radius Fractures - diagnosis
Radius Fractures - therapy
Radius - injuries
Subjects (LCSH)
Surgical Orthopedics
Conservative Orthopedics
Traumatic Surgery
Radius (Anatomy) - Fractures
Fractures - Complications
Abstract
Distal radial fractures are still puzzling us 200 years after Colles' classic description. Despite the advent of various new imaging techniques, including 3D CT, the availability of diagnostic adjuncts such as arthroscopy, and treatment options that include more than 30 different volar locking plates, the rate of unsatisfactorytreatment resultsremains very high. Furthermore, while we are aware of more associated injuries, such as carpal ligament tears and injuries to the radioulnar ligament (TFCC), there is still intense debate on the relevance of these injuries. This textbook aims to provide the reader with a complete understanding of distal radius fractures, their inherent problems, and how to manage them successfully. It is written by widely published experts from a part of the globe where distal radius fractures are very common, especially during the winter months. Clear guidance is provided on diagnostic imaging, classification, and assessment of fracture instability. The complete spectrum of operative and nonoperative treatment options are then clearly explained with the aid of step-by-step illustrations. Extensive information is also provided on complications and their treatment.
Contents
Part I. Introduction -- Distal Radius Fractures: What Is the Problem? -- A Historical Review of the Distal Radius Fracture -- Anatomy of the Wrist -- Biomechanics and Kinematics of the Wrist -- Epidemiology -- Distal Radius Fractures and Osteoporosis -- Outcome Assessment After Distal Radius Fractures -- Medicolegal Aspects of Distal Radius Fractures -- Part II. Diagnosis -- Imaging -- Classification Distal Radius Fractures -- How to Assess Fracture Instability -- Part III. Treatment -- Pharmacologic Treatment of Distal Radial Fractures -- Flow Chart for Treatment: A Standardized Treatment Program as an Aid in Primary Treatment of Distal Radius Fractures -- The Clinical Dilemma: Nonoperative or Operative Treatment -- Clinical Diagnosis, Closed Reduction, and Plaster -- Closed Re-reduction: Is It an Alternative -- Closed Reduction and External Fixation of Unstable Distal Radius Fractures -- Closed Reduction and Percutaneous Pinning -- Closed Reduction and Intramedullary Fixation of Distal Radius Fractures -- Closed Reduction and External Fixation or Open Reduction and Volar Internal Fixation: The Clinical Dilemma -- Combined External Fixation and Internal Fixation -- Open Reduction and Volar Plating: Surgical Guide -- When Fixed-Angle Volar Plates Are Not Enough: Alternative Fixation Methods in Problem Fractures -- Die-Punch Fractures: Open and Arthroscopy-Assisted Fixation -- Arthroscopy in Distal Radius Fractures -- Associated Injuries in Distal Radius Fractures -- Radial Styloid Fractures and Associated Carpal Injuries -- Acute Injuries Around the Distal Ulna -- Bone Substitutes, Grafts and Cement -- The Elderly Osteoporotic Patient -- Rehabilitation -- Part IV. Complications and Their Treatment -- Complications: An Overview -- Nerve Entrapments and Nerve Injuries in Distal Radius Fractures -- Tendon Complications of Distal Radial Fractures -- Complex Regional Pain Syndrome -- Compartment Syndrome of the Forearm -- Extra-articular Malunion of the Radius; Osteotomy of the Radius -- Ulnar Shortening Osteotomy After Distal Radius Fracture -- Intra-articular Malunion -- Distal Radius Fractures and Secondary Carpal Dysfunction -- Secondary Osteoarthrosis: Partial or Total Arthrodesis Versus Wrist Arthroplasty -- Secondary DRU Joint Problems Instability, Nonunion Styloid, and Ulnocarpal Abutment -- Salvage Procedures to the DRU Joint -- Wrist Denervation -- Part V. Miscellaneous -- Associated Fractures of the Distal Ulna -- Galeazzi's Fracture and Essex-Lopresti Injuries: Dislocation Fractures of the Forearm -- Distal Radius Fractures in Children.
Format
e-Book
Location
Online
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