Distal radius fractures - Revision history

Rossdonaldson1: /* Evaluation */

2022-04-26T20:46:33Z

Evaluation

← Older revision		Revision as of 20:46, 26 April 2022
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	[[File:Collesfracture.jpg\|thumb\|[[Colles' fracture]], one type of distal radius fracture.]]		[[File:Collesfracture.jpg\|thumb\|[[Colles' fracture]], one type of distal radius fracture.]]
	[[File:Radiograph_of_Barton's_fracture.jpg\|thumb\|Volar [[Barton's fracture]], one type of distal radius fracture.]]		[[File:Radiograph_of_Barton's_fracture.jpg\|thumb\|Volar [[Barton's fracture]], one type of distal radius fracture.]]
			[[File:Displaced distal radius fracture.jpg\|thumb\|Displaced, intra-articular distal radius fracture.]]
	===Workup===		===Workup===
	*Forearm x-ray AP and lateral		*Forearm x-ray AP and lateral

2022-04-26T20:44:26Z

Evaluation

← Older revision		Revision as of 20:44, 26 April 2022
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	==Evaluation==		==Evaluation==
	[[File:Collesfracture.jpg\|thumb\|[[Colles' fracture]], one type of distal radius fracture.]]		[[File:Collesfracture.jpg\|thumb\|[[Colles' fracture]], one type of distal radius fracture.]]
			[[File:Radiograph_of_Barton's_fracture.jpg\|thumb\|Volar [[Barton's fracture]], one type of distal radius fracture.]]
	===Workup===		===Workup===
	*Forearm x-ray AP and lateral		*Forearm x-ray AP and lateral

2022-04-26T20:42:52Z

Clinical Features

← Older revision		Revision as of 20:42, 26 April 2022
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	==Clinical Features==		==Clinical Features==
			[[File:Dinner fork Deformity.jpg\|thumb\|Classic "dinner fork" deformity.]]
	[[File:Distalradiusfracture.jpg\|thumb\|Distal radius fracture demonstrating the deformity in the wrist.]]		[[File:Distalradiusfracture.jpg\|thumb\|Distal radius fracture demonstrating the deformity in the wrist.]]
	*Commonly from a fall on an outstretched wrist that is dorsiflexed		*Commonly from a fall on an outstretched wrist that is dorsiflexed

2022-04-26T20:28:01Z

Evaluation

← Older revision		Revision as of 20:28, 26 April 2022
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	==Evaluation==		==Evaluation==
			[[File:Collesfracture.jpg\|thumb\|[[Colles' fracture]], one type of distal radius fracture.]]
	===Workup===		===Workup===
	*Forearm x-ray AP and lateral		*Forearm x-ray AP and lateral

2022-04-26T18:26:03Z

SplintingOlive View Medical Center Upper Arm Extremity Splint Recommendations 2022

← Older revision		Revision as of 18:26, 26 April 2022
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	**[[Sugar tong splint]]		**[[Sugar tong splint]]
	*Reduction not attempted or failed		*Reduction not attempted or failed
	**Volar short arm splint		**[[Volar short arm splint]]
	***If severe pain with pronation/supination, then [[sugar tong splint]]		***If severe pain with pronation/supination, then [[sugar tong splint]]

2022-04-26T18:25:37Z

Splinting

← Older revision		Revision as of 18:25, 26 April 2022
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	***Intra-articular displacement or step-off > 2mm		***Intra-articular displacement or step-off > 2mm

	===Splinting===		===Splinting<ref>Olive View Medical Center Upper Arm Extremity Splint Recommendations 2022</ref>===
	*Reduction performed		*Reduction performed
	**[[Sugar tong splint]]		**[[Sugar tong splint]]

2022-04-26T18:24:11Z

Management

← Older revision		Revision as of 18:24, 26 April 2022
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	***Dorsal tilt > 10°, or		***Dorsal tilt > 10°, or
	***Intra-articular displacement or step-off > 2mm		***Intra-articular displacement or step-off > 2mm

			===Splinting===
			*Reduction performed
			**[[Sugar tong splint]]
			*Reduction not attempted or failed
			**Volar short arm splint
			***If severe pain with pronation/supination, then [[sugar tong splint]]

	==Disposition==		==Disposition==

2022-04-26T18:20:25Z

← Older revision		Revision as of 18:20, 26 April 2022
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	*Goal:		*Goal:
	**Always target optimal (anatomic) fracture reduction		**Always target optimal (anatomic) fracture reduction
	**~~Acceptable healing parameters:~~		**Operative fixation is recommended for fractures with post-reduction<ref>AAOS OrthoGuidelines. Treatment of Distal Radius Fractures. http://www.orthoguidelines.org/topic?id=1003</ref>:
			***Radial shortening > 3mm
	Operative fixation is recommended for fractures with post-reduction ~~radial shortening > 3mm, dorsal tilt > 10°, or intra-articular displacement or step-off > 2mm~~<ref>AAOS OrthoGuidelines. Treatment of Distal Radius Fractures. http://www.orthoguidelines.org/topic?id=1003</ref>		***Dorsal tilt > 10°, or
			***Intra-articular displacement or step-off > 2mm

	==Disposition==		==Disposition==

2021-11-18T00:47:46Z

← Older revision		Revision as of 00:47, 18 November 2021
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	==Background==		==Background==
			{{Forearm anatomy}}
	*Definition: Fracture at the metaphysis or the articulation of the distal radius		*Definition: Fracture at the metaphysis or the articulation of the distal radius
	*One of the most common fractures seen in the ED (1/6th of all fractures treated)		*One of the most common fractures seen in the ED (1/6th of all fractures treated)

2019-09-18T04:26:08Z

Evaluation

← Older revision		Revision as of 04:26, 18 September 2019
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	==Evaluation==		==Evaluation==
			===Workup===
			*Forearm x-ray AP and lateral

			===Diagnosis===
			*Typically from plain forearm x-rays

	==Management==		==Management==