Welcome to Scribd. Sign in or start your free trial to enjoy unlimited e-books, audiobooks & documents.Find out more
Download
Standard view
Full view
of .
Look up keyword
Like this
1Activity
0 of .
Results for:
No results containing your search query
P. 1
Radial fracture radiological images

Radial fracture radiological images

Ratings: (0)|Views: 85|Likes:
Published by 4gen_0

More info:

Published by: 4gen_0 on Jul 08, 2010
Copyright:Attribution Non-commercial

Availability:

Read on Scribd mobile: iPhone, iPad and Android.
download as TXT, PDF, TXT or read online from Scribd
See more
See less

11/14/2013

pdf

text

original

Radio distal
Radio distal
Tadashi Tanaka, Chiba, Japan Rami Mosheiff - Israel
Radio distal
Objectives

- Pathology - Overview - Radiological Assessment - Classification - Treatment -

Treatment algorithm - Surgical Techniques - Complications - Summary
Radio distal
Distal radius fractures

The most common fracture in all ages
Distal radius fractures simple
spectrum
complex fracture dislocations
Distal radius fractures simple
- High energy - the youngest population - Shortening and collapse - carpal insta

bility
Complex fractures
Distal radius fractures simple
- Minimally displaced - extra-articular Fractures - Fractures impacted stable
Complex fractures
Radio distal
Distal radius fracture

The most common bone lesion in all ages Associated injuries - ligament injury EL
(scapholunate) - LG ligament (lunate-hamate) i - Injury to the triangular fibro

cartilage (FCT) - Fracture of the scaphoid
Radio distal
Radiologic evaluation - recall the normal anatomy
2 April 3
11) 2) 3) 4)

Scale Scale palmar radial ulnar length discrepancy radial
::::
half 11 ° (1-21) → 23 ° mid-dorsal scales (13-30), average 10 mm 0 ± 2 mm (compa
red with the healthy side)

Radio distal
Radiological Assessment
May 6
5) Radial displacement (compared with the healthy side) 6) articular congruence

(step)
Radio distal
Eponymous descriptions - are not useful

Driver driver injury when operating the handle Colles Impacted by Barton dorsal

lunate (Sheck)
Smith
Barton (inverted) palmar
Die-punch
Radio distal
Colles Fracture
"One consolation only Remains, That the limb will, at Some remote period, enjoy

perfect freedom in all ITS motion, and be Completely exempt from pain. The Defor
mity, however, undiminished Will Remain Through Life. "
"There is only the consolation that the member, at some later time, recover mobi

lity without pain.
Abraham Colles, 1814
However, the deformity will remain a lifetime. "
The prognostic significance of joint involvement was noted by Gartland (1951)
Radio distal
Müller AO classification

2Bone
3-Type A Type B Type C

:::
Extra-articular articulate articulated partial complete
Distal segment
Type
Type B
Type C

Radio distal
ulna Type A Extra-articular
radio
A1

simple
A2
A3

multifrag.
Partial Articular Type B
sagittal
frontal
B1
B2

edge
B3
dorsal (Barton)
palmar (inverted-B))
simple articular Articular Type C complete
C1
C2
multifrag joint.
C3
simple
metaphyseal
multifrag.
Radio distal
Melone Classification 1993 - Identify the types of injuries caused by impaction

- Observe four components
Radio distal
The concept of the three columns

Column radius distal radial middle column of the distal radius
Column ulnar (ulnar)

You're Reading a Free Preview

Download
scribd
/*********** DO NOT ALTER ANYTHING BELOW THIS LINE ! ************/ var s_code=s.t();if(s_code)document.write(s_code)//-->