By David J. Slutsky MD FRCS
Well-known specialists from all over the world convey you “cutting-edge advice at the remedy of distal radius fractures and carpal accidents. sensible and accomplished, you’ll locate distinct assurance of the remedy and motives of ulnar sided wrist ache, in addition to the newest arthroscopic and mini-invasive thoughts for the fixation of either distal radius fractures and scaphoid fractures. The easy structure gains useful suggestions, pearls, and capability pitfalls to aid optimize results. better of all, intraoperative movies of forty four options on hand on DVD and on-line make this a superb multimedia consultant for the remedy of those difficult fractures.
- Uses genuine instances to demonstrate diagnostic decision-making, nonsurgical and surgical administration and care, and results dimension for various complicated distal radius fractures, in addition to forty four videos-over hours-of techniques all at the DVD and website.
- Includes the fully-searchable textual content on-line for fast and straightforward entry to the data you need.
- Covers distal radius fractures from imaging and type to the hot locking plate designs, rising nonplate possible choices resembling intramedullary and T-pin fixation, and more recent nonbridging exterior fixators for intra-articular fractures to supply you with the most recent advancements within the field.
- Presents fabric in a concise, sensible layout for a terrific assessment earlier than surgery.
- Provides a visible reveal of intraoperative approaches via full-color photos and photographs.
- Features extra chapters-Role of complex Imaging in Distal Radius Fractures, Patient-focused Wrist consequence device, Biomechanics and Biology of Plate Fixation of Distal Radius Fractures, Micronail, Rehabilitation Following Distal Radius Fractures: a biomechanical/procedure particular technique, Use of Thermal Shrinkage - Biology and functions, Arthroscopic Thermal Shrinkage for Scapholunate Ligament accidents, Rehabilitation following Carpal damage, Reconstruction of the Distal Radius side through a loose Vascularized Ostechondral Graft-online for much more value.
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Additional info for Fractures and Injuries of the Distal Radius and Carpus: The Cutting Edge
Sample text
Andersen DJ, Blair WF, et al: Classification of distal radius fractures: an analysis of interobserver reliability and intraobserver reproducibility. J Hand Surg [Am] 1996; 21:574-582. 18. Flinkkilä T, Nikkola-Sihto A, et al: Poor interobserver reliability of AO classification of fractures of the distal radius. J Bone Joint Surg Br 1998; 80:670-672. 19. Kreder H, Hanel D, et al: Consistency of AO fracture classification for the distal radius. J Bone Joint Surg Br 1996; 78:726-731. 20. Biyani A, Simison A, et al: Fractures of the distal radius and ulna.
Later classification systems, such as the Melone13 and Mayo14 classifications, have underscored the importance of basic fragmentation patterns of the articular surface. More recently, the AO15 and Fernandez/Jupiter16 classifications have proposed grouping patterns by the mechanism of injury. The AO system broadly divides fractures into bending, shear, and axial loading categories, with the Fernandez/Jupiter system adding carpal avulsions and high-energy trauma as additional categories. 17-19 The fragment-specific classification system is based on the observation that fracture lines in distal radius fractures generally 26 PART 2 Anatomy, Imaging, and Outcomes Radial column Dorsal wall Ulnar corner TABLE 3-1 Distal Radius Fracture Personalities Mechanism Personality Shear Dorsal shear Volar shear Bending Dorsal bending Volar bending Bending + axial Three-part articular Axial Comminuted articular Comminuted articular with volar rim dorsiflexion Volar rim Intra-articular FIGURE 3-14 Fragment-Specific Classification.
3-2). In a normal wrist, the carpal facet horizon is inclined at an angle of about 10 degrees to a perpendicular of a line extended from the longitudinal axis of the radius. The carpal facet horizon is a radiographic landmark that is produced by the x-ray beam as it crosses a portion of the curved arc of dense subchondral bone that is tangential to the axis of the beam. Because a normal distal radius has a volar tilt of 5 to 8 degrees, under normal circumstances, the volar portion of the subchondral plate is the part of the articular surface that is parallel to the x-ray beam.
