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At least 973 records · Page 54Linked to original sources
PubMed1986

[Horizontal cubito-radial pinning in fractures of the distal radius including a postero-internal fragment].

The authors describe 68 articular fractures of the lower end of the radius in which a postero-medial accessory fragment was displaced. They have made a study of the anatomy and fibrous connections of the fragment and conclude that this fragment is best maintained reduced by a transverse pin passed from the ulna towards the radius. They attach great importance in such fractures to injury to the triangular radio-ulnar ligament and to inferior radio-ulnar dislocation.

Adult↗
PubMed1986

Giant-cell tumors in the distal end of the radius. Treatment by resection and fibular autograft interpositional arthrodesis.

Eighteen giant-cell tumors in the distal end of the radius were treated by block resection and arthrodesis of the wrist utilizing a fibular autograft. The mean length of follow-up was 7.1 years. Local recurrence occurred in five patients, and one patient died of pulmonary metastases. In five patients, non-union developed between the graft and the radius. Three patients sustained a fracture of the graft. No patient had a pseudarthrosis. The average grip strength was 40 per cent of that of the unaffected hand. Pain was absent or slight. No patient required an amputation.

Adolescent↗
PubMed1987

The prevention and treatment of complications from fractures of the distal radius and ulna.

Almost one third of fractures of the distal radius are associated with some complication, either bony or soft tissue. Proper reduction and appropriate stabilization of the fracture are necessary to prevent many of these complications, particularly those involving the articular end of the radius. Although closed treatment is usually satisfactory, an open reduction and internal fixation of the fracture often is indicated in younger patients.

Arthritis↗
PubMed1985

Giant cell tumor of the proximal radius.

Giant cell tumor of bones are usually located in the long tubular bones and rarely located in the proximal end of the radius. This is a case report of a giant cell tumor in the proximal radius in a 35-year-old woman treated successfully with curettage and bank bone graft.

Adult↗
PubMed1979

[Treatment of fractures of the radius head].

Conservative treatment of fractures of the distal radius often results in malunion. The reasons are discussed. The method of the percutaneous Kirschner wire transfixation for stabilization of the fracture is described. We have seen good results with this method and employ it because of its easy performance and safety. 32 patients with different kind of fractures of the distal radius were treated thus with satisfactory results. Advantages and disadvantages of the Kirschner-wire method are discussed.

Aged↗
PubMed1980

[Surgical treatment of distal fractures of the radius (author's transl)].

We report 25 follow-up-examinations of 26 patients with operated fractures of the distal radius. After explanation of the op. indications by means of the preoperative x-ray-result the used operation-procedures and results are shown with regard to exact x-ray-anatomic position and function. Instable osteosynthesis should only be used in cases without violation of the joint or in cases with only 2-3 fragments. Decisive advantages of a single procedure of stable osteosynthesis cannot yet be demonstrated. But the relatively good functional results and the possibility of early mobilisation of T-plate-osteosynthesis justify a wider application, even if exact roentgenological anatomic position could not always be achieved. In conclusion operative procedures should be taken only in irreducible and prognostic disadvantageous fractures of the distal radius because even by operative procedures the late results of severe injuries of the wrist joint can only be slightly improved.

Adolescent↗
PubMed1978

[Experiences with percutaneous K-wire osteosynthesis in distal radius fractures].

Follow-up controls were made on 300 patients whose fractures of the distal radius were treated by a primary operative fixation with percutaneous K-wire. This group showed significantly better results than a control group of 300 patients given conservative management. We recommend a primary percutaneous K-wire osteosynthesis as treatment of choice for the management of distal radius fractures.

Adolescent↗
PubMedDate not supplied

Fractures of the distal end of the radius. An historical account.

From the time of Hippocrates to the beginning of the nineteenth century, fractures of the distal end of the radius were mistaken for dislocations of the wrist. Clinical observations, anatomic dissections, and experiments on cadavers dispelled this error. It was not, however, until after the discovery of roentgenograms that the variety and complexity of these common injuries could be appreciated. From the large group of fractures of the distal end of the radius, three distinct varieties can be distinguished rather easily, and to them the eponyms of Colles (Pouteau-Colles), Smith, and Barton have been applied. The remainder, which consist of a substantial number, do not fit into any specific category and must be described individually.

Colles' Fracture↗
PubMed1984

[What is the value of stable osteosynthesis of the distal radius?].

127 or 4% of the fractures of the distal radius seen in our department between 1968 and 1979 have been treated by internal fixation. 85 of these wrists could be reviewed after an average of 4.8 years. 70% of the fractures were multifragmentary and 87% involved the joint surface. In this difficult group correct length of the radius was restored in two thirds, and physiological angles of the joint in one third of the cases. In spite of frequent limitation of motion of the wrist joint, 80% of the patients were satisfied with the result. Careful selection of cases for internal fixation is necessary. It is indicated mainly in the Smith type fractures but may be replaced by percutaneous K-wire pinning, the external fixator or a delayed osteotomy.

Bone Plates↗
PubMed1984

Chondrosarcoma in the radius of a horse.

An aged Thoroughbred stallion was examined because of progressive lameness, carpal swelling, and weight loss. Radiography revealed a destructive lesion in the caudomedial, distal portion of the radius. Chondrosarcoma was diagnosed by tumor-core biopsy. Gross and histologic evaluation of the neoplasm after necropsy revealed a locally invasive chondrosarcoma at the distal end of the radius that infiltrated the radiocarpal joint capsule and invaded the carpal bones. The malignant nature of this tumor was evident by its invasiveness and histologic features of cell pleomorphism and presence of mitotic figures.

Animals↗
PubMedDate not supplied

[The relative length of the radius and ulna at the wrist joint].

The average relative length of radius and ulna on the wrist joint was measured. The 922 examined joints (637 patients) were divided into groups corresponding to age. Up to the age of 50 the relative length of the both forearm bones is the same. Then the ulna surpasses the length of the radius a little. The maximum difference amounts to 1 mm. We support the cause in a decrease of cartilage thickness of caput radii and capitulum humeri which is greater than a simultaneous decrease of cartilage thickness in humero-ulnar joint. In senility the small difference disappears again. The standard deviation is rather considerable, it means a great individual fluctuation. Besides we have examined the elevation of processus styloideus radii et ulnae and their distance. This values were very constant.

Adolescent↗
PubMed1983

[Conservative and surgical treatment of radius fractures loco classico].

More and more distal fractures of the radius are treated surgically, thereby decreasing the treatment time and quickly restoring use of the arm. The rarely seen compound fractures of the radius and those involving circulation problems or loss of feeling in the hand will be treated as emergency cases. The most frequently used treatment is osteosynthesis using pins. In cases of Smith fracture, with young patients or corrective surgery the preferred method is osteosynthesis using metal plates. If, because of extensive fragmentation, a non-operative treatment would certainly lead to dislocation, or a secondary dislocation due to a non-operative treatment has already taken place, the surgical treatment should be discussed. Dislocated intraarticular fractures are increasingly being treated immediately surgically.

Adolescent↗
PubMedDate not supplied

Stress fracture of the radius following a fracture of the ulna diaphysis.

A 70-year-old woman incurred a stress fracture of the radius following a fracture of the ulna. The patient had osteomalacia secondary to a Billroth II procedure. The primary reasons for the development of osteomalacia following a Billroth II procedure are: decreased transit time through the gut, which causes less Vitamin D and calcium absorption, and bypassing of the duodenum, where calcium absorption is highest. After treatment of the osteomalacia with calcium and Vitamin D, the fracture healed uneventfully. The present case report emphasizes the need to identify and treat diseases associated with fractures. Patients with severe osteomalacia and ulnar shaft fractures should have the forearm immobilized because motion at the fracture site may lead to a stress fracture of the radius.

Aged↗
PubMedDate not supplied

Pseudarthrosis of the radius associated with neurofibromatosis. A case report.

A seven-year-old-boy with neurofibromatosis developed pseudarthrosis of the radius. After treatment by external electrical stimulation of the forearm failed, the pseudarthrosis was excised and the proximal and distal ends of the radius were osteotomized. The bone segments were reversed to correct the deformity and to place bone adjacent to the pseudarthrosis in contact with normal bone. This operation has not been described previously for this condition and, as in all previous reports, failed to produce union. Surprisingly, the excised pseudarthrosis showed no histologic evidence of neurofibroma or impaired osteoblastic function. The surrounding soft tissues may play an important role in the establishment and maintenance of the condition.

Child↗
PubMed1983

Internal fixation of fractures of the head of the radius.

In a group of 25 patients with a displaced fracture of the head of the radius (which otherwise would have been treated by resection) operative reduction and internal fixation were carried out. The results, after a follow-up ranging from six months to over two years after operation, were excellent in 17 (no pain and no restriction of movement) and fair to good in eight patients (no pain and restriction of less than 20 degrees). None of the patients had a bad result. The advantages of this technique, which conserves the length of the radius, are discussed.

Adult↗
PubMed1981

Malignant giant-cell tumor of the distal end of the radius treated by a free vascularized fibular transplant.

Five patients with a malignant giant-cell tumor involving the distal end of the radius were treated successfully by wide resection and reconstruction of the radius with a vascularized fibular transplant. This technique has the great advantage of early bone union at the host-graft junction and enables the patient to regain limb function early, with preservation of near-normal appearance of the limb.

Adult↗
PubMed1981

[External fixation of comminuted fractures of the distal extremity of the radius : technical details (author's transl)].

Experience gained by the authors in the use of external metacarpo-radial fixation for compound fractures of the lower extremity of the radius has led to their proposal of a technique that is less aggressive to the soft tissues. They employ a systematic approach to the radius and second metacarpal, followed by the use of atraumatic plates applied by means of a simple screw.

Fracture Fixation↗