Review
Emergency Medicine
Jakob Ottenhoff, Matthew Kongkatong, Mathew Hewitt, Jefferson Phillips, Christopher Thom
Summary: This article reviews the clinical utility of point-of-care ultrasound (POCUS) in the diagnosis of distal forearm fractures, as well as the performance of ultrasound-guided analgesia delivery and reduction technique. Studies have shown that ultrasound is sensitive and specific for distal radius fractures and can detect soft tissue injuries missed by conventional radiography. POCUS can also be used for ultrasound-guided hematoma blocks and assessment of bone fragment realignment, enhancing treatment success.
JOURNAL OF EMERGENCY MEDICINE
(2022)
Article
Orthopedics
Nicole M. Stevens, Christian Pean, Zoe Norris, Nirmal Tejwani
Summary: This study compared the effects of a traditional sugar-tong splint and a clamshell splint on the acute management of distal radius fractures. The results showed no significant differences in short-term functional outcomes, reduction loss, or rates of surgery between the two splint types.
JOURNAL OF ORTHOPAEDIC TRAUMA
(2022)
Article
Orthopedics
Britt Barvelink, Max Reijman, Niels W. L. Schep, Vanessa Brown, Gerald A. Kraan, Taco Gosens, Suzanne Polinder, Erwin Ista, Jan A. N. Verhaar, Joost W. Colaris, Ninka Slebioda
Summary: This study evaluates whether a splint or a circumferential cast is most optimal to prevent fracture redisplacement in adult patients with a reduced DRF. The CAST study will provide evidence whether the type of cast immobilization is of influence on fracture redisplacement in distal radius fractures. Extensive follow-up during one year concerning radiographic, functional and patient reported outcomes will give a broad view on DRF recovery.
BMC MUSCULOSKELETAL DISORDERS
(2021)
Article
Emergency Medicine
Ali Lari, Ali Jarragh, Mohammad Alherz, Abdullah Nouri, Mousa Behbehani, Naser Alnusif
Summary: CPB demonstrated superior analgesic efficacy compared to HB during fracture reduction, with no documented complications in either technique.
EUROPEAN JOURNAL OF TRAUMA AND EMERGENCY SURGERY
(2023)
Article
Medicine, General & Internal
Il-Jung Park, Yoo Joon Sur, Jongmin Kim, Jin Hwa Jeon, Ho Youn Park
Summary: Bipolar fractures involving distal radius and radial head are rare injuries that require consideration of both wrist and elbow. Treatment options vary depending on the specific case, with surgical intervention or conservative treatment being viable options. Preserving radial length during surgery is important for optimizing patient outcomes.
Article
Multidisciplinary Sciences
Byoung Gu Lee, Seung Hoo Lee
Summary: We evaluated the feasibility of a juxta-articular-type volar distal radius plate for the surgical treatment of marginal distal radius fractures. The study included 20 cases of marginal distal radius fractures treated with the ARIX Wrist System between July 2020 and July 2022. The results showed favorable clinical outcomes and no implant-related complications in East Asian patients.
Article
Surgery
Guangwei Wang, Liwei Huo, Yidong Xu, Gerong Dai, Zhong Yang, Jianwei Hu, Weinian Liu
Summary: This study investigated the clinical efficacy of closed manipulation combined with splinting in the treatment of displaced distal radial and ulnar fractures in children. The results showed that treatment by manual repositioning with external splinting achieved satisfactory results with simple operation, low cost, short hospital stay, and few complications, which is suitable to be promoted in primary hospitals.
FRONTIERS IN SURGERY
(2023)
Article
Medicine, General & Internal
Christopher S. Burch, Christopher G. Stevens
Summary: Hematoma blocks are a simple, safe, and effective technique for providing anesthesia and reducing distal radius fractures. However, rare complications can occur, as illustrated by a case where a patient experienced short-term systemic neurologic complications after a hematoma block in the wrist due to systemic absorption of lidocaine.
CUREUS JOURNAL OF MEDICAL SCIENCE
(2023)
Article
Emergency Medicine
Benjamin Lucas, Roland Lippisch, Gerald Pliske, Stefan Piatek, Felix Walcher
Summary: Distal radius fractures rank as the third most common fractures in Germany. The decision between conservative and surgical treatment should be based on a careful assessment of instability criteria and the degree of articular involvement. Emergency operation indications should be ruled out. Stable fractures or multimorbid patients with poor general condition are suitable for conservative treatment. Successful treatment involves precise reduction and stable retention in a plaster splint. Biplanar radiography is necessary to monitor fractures until swelling subsides and the plaster splint is changed to a circular cast after approximately 11 days. The total duration of immobilization is 4 weeks. Physiotherapy and ergotherapy, including adjacent joints, begin after 2 weeks and extend to the wrist after removal of the circular cast.
Article
Medicine, General & Internal
Melih Bagir, Akif Mirioglu, Mustafa Tekin, Omer Sunkar Bicer, Cenk Ozkan
Summary: The study compared the effectiveness of hematoma block and sedoanalgesia in closed reduction of fractures. Results showed that the hematoma block group had shorter hospitalization time, lower pain scores, and lower cost per patient compared to the sedoanalgesia group.
CUKUROVA MEDICAL JOURNAL
(2021)
Article
Emergency Medicine
Robert T. Stenberg, Bhanu Wahi-Singh, Pia Wahi-Singh, Andrew Hill, Erin L. Simon
Summary: Peripheral nerve blocks, specifically transversus abdominis plane (TAP) blocks, have recently been explored in emergency medicine for managing abdominal pain. This case report discusses the successful use of an ultrasound-guided TAP block in a patient with severe abdominal pain from a rectus sheath hematoma, resulting in complete pain resolution.
AMERICAN JOURNAL OF EMERGENCY MEDICINE
(2023)
Article
Medicine, General & Internal
Jun Li, Guangyue Zhao, Weiliang Zhang
Summary: This report presents a case of a 42-year-old male construction worker who suffered from a comminuted lunate fracture combined with distal radius fracture and scaphoid fracture, caused by being crushed by an excavator bucket. The patient achieved favorable rehabilitation outcomes and regained his ability to work after surgical treatment and rehabilitation training at the 3rd and 6th month post-surgery respectively.
Article
Endocrinology & Metabolism
H. -S. Jung, S. Jang, H. -Y. Chung, S. Y. Park, H. -Y. Kim, Y. -C. Ha, Y. -K. Lee, J. -H. Nho
Summary: A better understanding of the features of subsequent fractures after distal radius fracture (DRF) is important for the prevention of further osteoporotic fractures. This study in South Korea found that the cumulative incidence of subsequent osteoporotic fractures increased over time and that the mortality rates of subsequent DRFs were lower than those of first-time DRFs, with women having higher risk of subsequent fractures.
OSTEOPOROSIS INTERNATIONAL
(2021)
Article
Orthopedics
Mi Er A. Li Mu Mu Er Ti Zha, Zhi Jian Sun, Ting Li, Re Zi Ya Ai Mai Ti, Gang Fu, Dong Chen Yao, Xiang Yu
Summary: This study analyzed the effect of compliance with the ERAS protocol on clinical outcomes following surgery for distal radius fractures (DRF). The results showed that high compliance with the ERAS protocol was associated with better postoperative function levels, shorter discharge time, and lower pain scores, without increasing complications or hospital costs.
JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH
(2023)
Article
Orthopedics
Jiro Ando, Tsuneari Takahashi, Ryusuke Ae, Takashi Ajiki, Tomohiro Matsumura, Wataru Sasao, Masahiko Abe, Katsushi Takeshita
Summary: This study analyzed the clinical information of patients diagnosed with distal radius fracture (DRF) in a hospital in Hokkaido, Japan. The incidence of DRF showed a significant decreasing trend among female patients, and the most common cause of injury was a simple fall in patients over 15 years old and sports injuries in patients under 15 years old. The high incidence of DRF can be attributed to population aging.
BMC MUSCULOSKELETAL DISORDERS
(2023)
Article
Orthopedics
Taylor P. Stauffer, Kevin F. Purcell, Christian Pean, Malcolm DeBaun, Michael Bolognesi, Sean Ryan, Danielle Chun, Thorsten Seyler
ORTHOPEDIC CLINICS OF NORTH AMERICA
(2024)
Article
Orthopedics
Austin F. Smith, Mark A. Frankle, Kevin J. Cronin
ORTHOPEDIC CLINICS OF NORTH AMERICA
(2024)
Article
Orthopedics
Zachary Aberman, James Germano, Giles R. Scuderi
ORTHOPEDIC CLINICS OF NORTH AMERICA
(2024)
Article
Orthopedics
Andreas Fontalis, Shanil Hansjee, Dia Eldean Giebaly, Fabio Mancino, Ricci Plastow, Fares S. Haddad
ORTHOPEDIC CLINICS OF NORTH AMERICA
(2024)
Article
Orthopedics
Nathan Redlich, Daniel Gelvez, Katherine Dong, Matthew Darlow, Jestin Williams, Berje Shammassian, Amit K. Bhandutia
ORTHOPEDIC CLINICS OF NORTH AMERICA
(2024)
Article
Orthopedics
Jared A. Bell, Nicholas F. James, Benjamin M. Mauck, James H. Calandruccio, William J. Weller
ORTHOPEDIC CLINICS OF NORTH AMERICA
(2024)
Article
Orthopedics
Sydney M. Hodgeson, Tatsuya Soeno, Simon C. Mears, Jeffrey B. Stambough, C. Lowry Barnes, Benjamin M. Stronach
ORTHOPEDIC CLINICS OF NORTH AMERICA
(2024)
Article
Orthopedics
Sterling Kramer, Liz Ford, Jed Walsh
ORTHOPEDIC CLINICS OF NORTH AMERICA
(2024)
Article
Orthopedics
Ian G. Hasegawa, Joshua L. Gary
ORTHOPEDIC CLINICS OF NORTH AMERICA
(2024)
Article
Orthopedics
Nicholas M. Brown, Nithya Lingampalli, Michael D. Hellman
ORTHOPEDIC CLINICS OF NORTH AMERICA
(2024)