A distal radius fracture, also known as wrist fracture, is a break of the part of the radius bone .. For torus fractures, a splint may be sufficient and casting may be avoided. The position of the wrist in cast is usually slight flexion and ulnar deviation. Torus fractures, or buckle fractures, are extremely common injuries in children. The word torus is derived from the Latin word ‘Tori’ meaning. English Translation, Synonyms, Definitions and Usage Examples of Spanish Word ‘fractura torus’.
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This sign is often better seen on the lateral film figure 2. For those with low demand, cast and splint can be applied for two gorus. After closed reduction and at follow up after one week, there is an acceptable tilt. Posteroanterior view of the forearm shows the typical appearance of torus fracture with buckling of the cortex white arrows of the distal metaphysis of radius and ulna.
This type is the most common.
The Journal of hand surgery. Comminuted intraarticular fracture of the distal radius Volar rim maintains relationship with the carpus and both are displaced proximally blue arrow Fracture of radial styloid process with loss of radial inclination yellow arrow. Retrieved 15 February Fractures are either displaced or nondisplaced. InMalgaigne described the mechanism of injury for distal end radius fractures which can be caused by falling on the outstretched hand or on the back of the hand, and also the consequences if the hand fracture is not treated adequately.
Pediatric fractures can be classified as complete and incomplete: A torus is the convex portion of the upper part of the base of a Greek column figure 1and resembles the appearance of the fravtura buckling seen in the “column” of bone which has been fractured rorus the pattern discussed in this article.
There is loss of radial inclination and radial shortening, dorsal tilt and an articular step-off. Initially, a backslab or a sugar tong splint is applied to allow swelling to expand and subsequently a cast is applied. Please help improve this article by adding citations to reliable sources. Colles fractures are seen more frequently with advancing age and in women with osteoporosis.
Displacement can be dorsal, volar, radial or proximal. However, several studies suggest this approach is largely ineffective in patients with high functional demand, and in this case, more stable fixation techniques should be used.
If the anatomy bony alignment is not properly restored, function may remain poor fractyra after healing. Radial length or height Radial length is measured on the PA radiograph as the distance between one line perpendicular to the long axis of the radius passing through the distal tip of the radial styloid.
Fractures and cartilage injuries Sx2— These attempt fixation rigid enough to allow almost immediate mobility, in an effort to minimize stiffness and improve ultimate function; no improved final outcome from early mobilization prior to 6 weeks after surgical fixation has been shown.
Magnetic resonance imaging in orthopeadics and sports medicine. A change of 10 degrees rotation between two consecutive control lateral radiographs is not uncommon during clinical follow-up and results in 5 degrees change in apparent tilt. Closed reduction is frequently unsuccessful when the fracture has an oblique course or when the fracture is comminutive.
We will discuss the following: Maisonneuve fracture Le Fort tous of ankle Bosworth fracture.
PA view should be taken with the wrist and elbow at shoulder height. Impairment is the abnormal physical function, such as lack of forearm rotation.
In tors, with the advent of X-rays, the visualisation of the distal radius fracture become more apparent. Despite these risks with nonoperative treatment, more recent systematic reviews suggest that when indicated, nonsurgical management in the elderly population may lead to similar functional outcomes as surgical approaches.
Inpercutaneous pinning was first used. Average age of occurrence is between 57 and 66 years. If the fracture is displaced, then manipulative reduction or surgical stabilisation is required.
Note the transverse bands of increased radiodensity hollow arrows indicating osseus impaction. Location One of the most important characteristics is whether a fracture is extraarticular or intraarticular.
The cause for fratura condition is unknown.
EURORAD – Radiologic Teaching Files
It is wise to include both the wrist and elbow to rule out dislocation of the proximal and distal radio-ulnar joints. In many cases there is also a subtle proximal displacement of lunate, seen as a break in carpal arc I. Complications associated with plating include tendon irritation or rupture and the need for plate removal. Figure 1 Figure 1. Just calling this fracture a Colles’ fracture would be insufficient.
A large proportion of these fractures occur in elderly people who may have eb requirement for strenuous use of their wrists. The wrist may be radially deviated due to shortening of the radius bone. Mesozoic Vertebrate Life, edited by Tanke, D. The final result will be malfunction, radiocarpal and distal radioulnar osteoarthritis.
Bumper fracture Segond fracture Gosselin fracture Toddler’s fracture Pilon fracture Plafond fracture Tillaux fracture. Displaced fractures of the base are usually associated with TFC tears and can be associated with instability of the distal radioulnar joint DRUJ.
Some residual deformity is common, but this often remodels as the child grows. Correction rn be undertaken if the wrist radiology falls outside the acceptable limits: