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Distal Radius Fractures

Distal Radius Fractures Book
Author : Leiv M. Hove,Tommy Lindau,Per Hølmer
Publisher : Springer
Release : 2014-07-14
ISBN : 3642546048
Language : En, Es, Fr & De

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Book Description :

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. Both students and experienced practitioners will find this book to be an enlightening, practice-oriented reference on the management of these challenging fractures.

Fractures and Injuries of the Distal Radius and Carpus

Fractures and Injuries of the Distal Radius and Carpus Book
Author : David J. Slutsky,A. Lee Osterman
Publisher : Elsevier Health Sciences
Release : 2009
ISBN : 1416040838
Language : En, Es, Fr & De

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Book Description :

Recognized experts from around the world offer guidance on the treatment of distal radius fractures and carpal injuries. Practical and comprehensive, this user-friendly format features practical tips and potential pitfalls to optimize outcomes. The DVD contains videos of 44 techniques.

Fractures of the Distal Radius

Fractures of the Distal Radius Book
Author : Harris Gellman,Michael J. Botte
Publisher : Amer Academy of Orthopaedic
Release : 1998
ISBN :
Language : En, Es, Fr & De

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Book Description :

A concise review of the evaluation and management of distal radius fractures. The contributors discuss the pros and cons of closed reduction and casting, external fixation, and open reduction and internal fixation. The management of malunions and of alterations in carpal mechanisms due to distal radius fractures are covered. In addition, the various classification methods and their prognostic value are described.

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 Book
Author : Kevin C. Chung
Publisher : Elsevier Health Sciences
Release : 2012-06-08
ISBN : 1455745618
Language : En, Es, Fr & De

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Book Description :

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.

Atlas of Distal Radius Fractures

Atlas of Distal Radius Fractures Book
Author : Francisco del Piñal
Publisher : Thieme
Release : 2018-05-11
ISBN : 1626238839
Language : En, Es, Fr & De

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Book Description :

Written by one of the world's foremost authorities, this beautifully illustrated surgical atlas is a case-based presentation of the management of distal radius fractures. Each chapter offers a comprehensive guide to the diagnosis and treatment of a specific fracture, including possible complications and how to prevent them, using detailed photographs and illustrations. The cases are accompanied by high-quality operative video to complete the surgical picture. Special emphasis throughout focuses on avoiding pitfalls and using special techniques to optimize outcomes. Key Highlights Nearly 700 illustrations and intraoperative photographs guide the reader through procedures. Operative video for all chapters, narrated by the author, including detailed explanations and rationale for each maneuver. A focus on the "how" of surgical technique (rather than the "why") keeps attention on the necessary steps, tools, and procedures to address a specific type of fracture. Real cases, presented from beginning to end, cover all of the difficult aspects of fracture management. Francisco del Piñal is considered to be among the world's best hand surgeons. His contributions in arthroscopic surgery techniques for wrist fractures are endorsed and used internationally. This book, written for hand surgeons, orthopaedic surgeons, and plastic surgeons, provides essential insight to specialists and subspecialists alike.

Arthroscopic Management of Distal Radius Fractures

Arthroscopic Management of Distal Radius Fractures Book
Author : Francisco del Piñal,Riccardo Luchetti,Christophe Mathoulin
Publisher : Springer Science & Business Media
Release : 2010-04-27
ISBN : 9783642053542
Language : En, Es, Fr & De

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Book Description :

Seeing is believing. This is the title of a new campaign promoted by the International Agency for Prevention of Blindness to raise funds to help tackle avoidable loss of sight in poorly developed countries, truly an admirable initiative. This book could have used a similar leitmotiv: if you see what happens inside of a joint, you will be able to believe in your patient’s symptoms. But it would not be right. Arthroscopy is not out there just to make a diagnosis; it was not developed just to certify that the patient’s complaints are based on something physical. Arthroscopy was introduced to help patients, to make our treatments more reliable, to have better control of our p- cedures. It is merely a tool, indeed, but a marvelous one which nobody should und- score among all surgical options we have when it comes to solving wrist trauma. Seeing is understanding. This could be another leitmotiv for these authors’ c- paign to get more hand surgeons to incorporate arthroscopy in their practices. Certainly, mastering these newly developed techniques help understanding the patient’s problems. But again, that statement would also be misleading for not always what we see through the scope is the real cause of dysfunction. The enemy may be outside of the capsular enclosure. Indeed, arthroscopy provides lots of useful inf- mation, but the surgeon need not accept biased interpretations of the patient’s pr- lem based only on what appears on the screen.

Distal Radius Fractures

Distal Radius Fractures Book
Author : Jesse B. Jupiter, MD,Michael Chammas, MD, PhD
Publisher :
Release : 2021-03
ISBN : 9780323757645
Language : En, Es, Fr & De

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Book Description :

Edited and authored by leading international experts, Distal Radius Fractures: Evidence-Based Management provides a state-of-the-art overview of diagnosis and management based on today's best practices. Each chapter focuses on one key issue, offering a challenging case and then questioning the reader in an engaging fashion to provide the best available evidence on each topic. Practical and easy to read, this innovative text is a useful resource for all residents, physicians and surgeons who manage fractures. Combines current best practices with the knowledge and experience of a global team of expert contributing authors, with a focus on practical use in applying the evidence. Covers need-to-know topics such as anatomy and biomechanics, diagnostic management, acute fracture management, management of pediatric and elderly fractures, and more. Includes valuable case scenarios, technical tips and tricks, and pearls and pitfalls. Features high-quality illustrations including CT scans, x-rays, and clinical photographs. Consolidates the latest evidence on distal radius fractures into one convenient resource. Enhanced eBook version included with purchase, which allows you to access all of the text, figures, and references from the book on a variety of devices.

Research Methodology in Distal Radius Fracture Care

Research Methodology in Distal Radius Fracture Care Book
Author : Ydo Vincent Kleinlugtenbelt
Publisher :
Release : 2017
ISBN : 9789462337145
Language : En, Es, Fr & De

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Book Description :

"The clinical practice guideline for distal radius fractures (DRF) has 29 recommendations; however, none of these recommendations were given a "strong" rating owing to limited strength of the evidence. Therefore, determining effective evidence-based treatment of patients with DRFs is crucial. To conduct best evidence clinical trials, and to properly compare results, there must be a consensus on the use of inclusion criteria and of outcome measures. This thesis aimed to investigate a critical component of the methodology used in DRF research, which might help us to improve the quality of future research. We therefore focused on an underappreciated aspect of methodology: assessment tools used for diagnosis and trial eligibility in patients with DRFs, and the quality of patient-reported outcome measures (PROMs). It appeared that the used classification systems have serious limitations and in our systematic review we found limited to no evidence for any of the measurement properties of the PROMs. This led us to perform a study following the COSMIN standards to ensure high methodological quality. Based on our results we now have strong evidence that both the PRWE and the DASH questionnaires have good content validity and are reliable and internally consistent instruments for the assessment of patients with distal radius fractures. Furthermore, we showed that spectrum bias has significant influence on the intra-observer agreement of distal radius fracture treatment plans. Finally, we show that is prudent to look more closely at methodological limitations of published research, especially the underappreciated and under-recognized methodological limitations discussed in this thesis."--Samenvatting auteur.

Fractures of the Distal Radius

Fractures of the Distal Radius Book
Author : Diego L. Fernandez,Jesse B. Jupiter
Publisher : Springer Science & Business Media
Release : 2002-06-15
ISBN : 9780387951959
Language : En, Es, Fr & De

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Book Description :

As the incidence of distal radius fractures increases, so too does the importance of this classic volume. Fully revised and expanded, with new illustrations and radiographs and new chapters on the distal radioulnar joint, late complications and future fracture techniques, no orthopaedic surgeon can be without this comprehensive and complete guide to the treatment of what are remarkably complex injuries.

Optimizing Physical Function Following Distal Radius Fracture

Optimizing Physical Function Following Distal Radius Fracture Book
Author : Siamak Bashardoust Tajali
Publisher :
Release : 2012
ISBN :
Language : En, Es, Fr & De

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Book Description :

Distal Radius Fracture (DRF) is one of the most frequent of all human bone fractures. Wrist and/or finger range of motion (ROM) and grip strength are standard outcome measures used by clinicians to evaluate recovery after a hand injury. ROM is considered to be an important component of joint mobility and relates to measures of functional impairment and disability. Impaired wrist and hand ROM are related to a decrease in grip strength, grasp ability, fine manipulation, and hand function. The relationship between ROM and other physical impairments as they relate to patient-rated outcomes after DRF have not been well identified. The thesis includes three studies. The first study (Chapter 2) is a systematic review and meta analysis of existing literature on the effects of laser irradiation on bone regeneration, suggesting that low power laser can enhance biomechanical indicators of bone during fracture healing in animal models. The second study (Chapter 3) explores the intra-rater, inter-rater, and inter-instrument reliability and construct validity of two digital electro goniometers to measure active wrist and active/passive index finger ROM in patients with limited wrist and/or hand. The results of this study demonstrate that digital goniometry is highly reliable for all measures across occasions, raters and instruments. The moderate correlation between individual joint motions and patient-rated self-reported function suggests that joint motion impairments contribute to functional disability. The third study (Chapter 4) has a specific focus on the relationship between physical impairment outcome measures and patient-rated wrist pain and function in early and late stages after distal radius fracture. Wrist flexion, extension, supination, pronation, grip strength, age and gender, were found to contribute significantly with wrist pain and function. Good wrist arc of motions (close to normal) and moderate grip strength must be recovered to have optimal wrist functional outcomes after distal radius fracture. The thesis concludes with a discussion of the next steps required toward understanding effective mechanisms to promote bone healing and earlier function after DRF, which may lead to more effective patient-centered treatment protocols.

Recovery of Grip Strength and Hand Dexterity After Distal Radius Fracture A Two year Prospective Cohort Study

Recovery of Grip Strength and Hand Dexterity After Distal Radius Fracture  A Two year Prospective Cohort Study Book
Author : N.A
Publisher :
Release :
ISBN :
Language : En, Es, Fr & De

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Book Description :

Introduction Clinicians often evaluate deficits after an injury by comparing the injured and uninjured side. It is important to understand what deficits occur in hand function after distal radius fracture, how they change over time and their clinical relevance. The purpose of this study was to evaluate the differences in grip strength and hand dexterity between the injured and uninjured hands of patients two years following distal radius fracture. Methods Patients with distal radius fracture were recruited in a specialized hand clinic. Grip strength and hand dexterity were examined bilaterally with a Jamar hand-held dynamometer and with the NK dexterity device at 3, 6, 12 and 24 months’ post-injury respectively. Generalized linear modeling was performed, with age and sex as covariates to assess changes over time, and between sides. Results Patients (n = 154) exhibited mean differences of grip strength between injured and uninjured side at 3 months’ (12.09 kg) and 6 months’ (7.47 kg) follow-up. The associated deficit standardized response means (SRM) were 1.30 and 0.73, respectively. At 2-years follow-up the mean deficit on the injured side was 2.30 kg with SRM = 0.22. One hundred and eleven patients who completed dexterity testing demonstrated small to trivial side to side differences across all time points. Conclusions There were clinically important differences in grip strength between the injured and uninjured hands in patients with a distal radius fracture at 3 and 6 months’ follow-up. However, at 12 and 24 months, grip strength differences were small and of uncertain clinical importance. Trivial to small differences in hand dexterity can be expected between the injured and uninjured hand by 2 years after distal radius fracture.

Hand Secrets

Hand Secrets Book
Author : Peter J. L. Jebson, MD,Morton L. Kasdan, MD, FACS
Publisher : Elsevier Health Sciences
Release : 2006-04-07
ISBN : 9781560536239
Language : En, Es, Fr & De

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Book Description :

The Secrets Series® is breaking new ground again. This volume in the very popular Secrets Series® is back in an exciting, updated, and completely redesigned 3rd Edition. A new, two-color page layout, a more portable size, and a list of the "Top 100 Secrets" in hand surgery help readers to better meet the challenges they face today. Readers will still find all of the features they rely on the Secret Series® for-a question- and -answer format, lists, mnemonics, tables, and an informal tone that make reference fast and easy. No matter what questions arise, in practice or while preparing for the hand surgery boards, this 3rd Edition has the answers-in print and online. Uses bulleted lists, tables, short answers, and a highly detailed index to expedite reference. Features pearls, tips, memory aids, and "secrets" from the experts. Covers all of today's most common conditions and their treatment. Presents a list of the "Top 100 Secrets" to keep in mind during residency and practice. Features a new, more compact trim size (5 1/4" x 8 1/2") for enhanced portability. Makes information easier to find with a new, two-color page layout and "Key Points" boxes. Identifies useful websites to facilitate obtaining additional information on a specific topic, and provides live links in online version.

Radius Fracture New Insights for the Healthcare Professional 2011 Edition

Radius Fracture  New Insights for the Healthcare Professional  2011 Edition Book
Author : N.A
Publisher : ScholarlyEditions
Release : 2012-01-09
ISBN : 1464918511
Language : En, Es, Fr & De

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Book Description :

Radius Fracture: New Insights for the Healthcare Professional: 2011 Edition is a ScholarlyPaper™ that delivers timely, authoritative, and intensively focused information about Radius Fracture in a compact format. The editors have built Radius Fracture: New Insights for the Healthcare Professional: 2011 Edition on the vast information databases of ScholarlyNews.™ You can expect the information about Radius Fracture in this eBook to be deeper than what you can access anywhere else, as well as consistently reliable, authoritative, informed, and relevant. The content of Radius Fracture: New Insights for the Healthcare Professional: 2011 Edition has been produced by the world’s leading scientists, engineers, analysts, research institutions, and companies. All of the content is from peer-reviewed sources, and all of it is written, assembled, and edited by the editors at ScholarlyEditions™ and available exclusively from us. You now have a source you can cite with authority, confidence, and credibility. More information is available at http://www.ScholarlyEditions.com/.

Ultrasonographic Movement of the Flexor Pollicis Longus Tendon Before and After Removal of a Volar Plate for the Distal Radius Fracture

Ultrasonographic Movement of the Flexor Pollicis Longus Tendon Before and After Removal of a Volar Plate for the Distal Radius Fracture Book
Author : N.A
Publisher :
Release : 2018
ISBN :
Language : En, Es, Fr & De

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Book Description :

Introduction: The purpose of this study was to compare the movement of the flexor pollicis longus (FPL) tendon on the distal radius during wrist and finger motions before and after removal of a volar plate in patients with distal radius fractures using transverse ultrasound and to evaluate the kinematic effects on the FPL by the removal. Methods: Twenty-five patients with distal radius fracture were evaluated quantitatively by transverse ultrasound using coordinates for the movement of the FPL on the distal radius during wrist and finger motions before and after the plate removal. Results: At all wrist positions, during finger motion, the FPL moved significantly more palmarly away from the radius after plate removal compared to before. However, the FPL was still situated more dorsoulnarly compared with unaffected side. Moreover, the FPL moved significantly most dorsally both before and after removal at the wrist dorsal flexion position with finger flexion. Conclusions: These findings suggested that any adhesion between the FPL and the pronator quadratus (PQ) muscle was released by removing the plate and that the FPL would approach original tendon movement. Additionally, it is speculated that any remaining atrophy and fibrosis of the PQ may be the reason for more dorsoulnar location of the FPL in the affected side compared with the unaffected one. This ultrasound evaluation may be useful in further understanding the FPL kinematics on the distal radius, and in appropriate treatment of the distal radius fracture with plate fixation for preventing FPL rupture.

Orthopedic Secrets

Orthopedic Secrets Book
Author : David E. Brown,Randall D. Neumann
Publisher : Elsevier Health Sciences
Release : 2004
ISBN : 9781560535416
Language : En, Es, Fr & De

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Book Description :

Suitable for clinicians as a refresher or for students as a review for oral exams, this title covers virtually every area of orthopedics in its approximately 100 chapters.

Experimental Verification of Finite Element Computer Modeling of Distal Radius Locking Bridge Plate for Treatment of Distal Radius Fracture

Experimental Verification of Finite Element Computer Modeling of Distal Radius Locking Bridge Plate for Treatment of Distal Radius Fracture Book
Author : Spencer Honadel
Publisher :
Release : 2019
ISBN :
Language : En, Es, Fr & De

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Book Description :

This study aims to produce experimental data on the mechanical properties and modes of failure of a distal radius locking bridge plate in simulated distal radius fracture (DRF), both independently and screwed to synthetic bone, loaded in a similar loading configuration as reported in patients. These data will be used to validate a finite element analysis (FEA) model of the same fracture fixation construct under similar loading conditions in future studies. Two biomechanical in-vitro experiments were performed using composite radius and fused hand Sawbones to represent patient anatomy. The plate is installed by a registered orthopedic surgeon using a surgical guide provided by the manufacturer. After plate installation, a one-centimeter gap is osteotomized in the metaphysis region and replaced with rubber. A static loading test in a cantilever arrangement was performed on this assembly, as well as on an isolated plate, held in a custom-made jig in which the sample was fixed proximally. The isolated plate showed plastic deformation at 46.5 Newtons, and the assembly deformed at between 65 and 90 Newtons. Plastic deformation is measured using strain and force gages. These tests measure data at one sample per second, and the rate of change of this data can be studied as a correspondence to spring constant. These values can be compared to show consistency and are elucidated below. Confidence in these results is verified by mathematical modeling which approximates the isolated plate as a simply supported beam. In the case of this simplified model, the isolated plate would deform at 27 N. This is a ballpark approximation that shows that measurements are on the right order of magnitude. These data collected give evidence that the experimental setup gives repeatable results in multiple iterations, which are usable for finite element analysis to be conducted in the future.