FRAKTUR COLLES PDF
FRAKTUR COLLES – Download as Powerpoint Presentation .ppt), PDF File .pdf ), Text File .txt) or view presentation slides online. fr. colles. The Irish surgeon Abraham Colles described DRFs in the volume of the Edinburgh Medical Surgical Journal. Although his description. lokasi fraktur yang paling umum adalah di tangan dan melibatkan bagian distal dari tulang radius, bernama Fraktur Colles. Fraktur Colles adalah fraktur pada.
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In most cases a fracture of the radial styloid process is part of a comminutive intraarticular fracture. There is good evidence that inadequate anatomic reduction of distal radius fractures in a young patient population corresponds to poor functional outcomes. Diagnosis can be made upon interpretation of anteroposterior and lateral views alone. Cochrane Database Syst Rev. Maisonneuve fracture Le Fort fracture of ankle Bosworth fracture. With the evolution of the fixed-angle locking plate, there has been a change in the treatment of distal radius fractures in the elderly.
On the left a patient with malunion. Clin Orthop Relat Res. Bone substitutes In elderly patients with osteoporosis, it is often difficult to fill the void left by impacted metaphyseal bone. Location One of the most important characteristics is whether a fracture is extraarticular or intraarticular. Beltran, Javier Professor of radiologySixth ed.
Displacement of the fragment is uncommon. CT should be performed if conventional radiographs provide insufficient detail about radiocarpal articular step-off and gap displacement. In many cases there is also a subtle proximal displacement of lunate, seen as a break in carpal arc I.
One of the most important characteristics is whether a fracture is extraarticular or intraarticular. Smith’s fractures occur in younger patients and are the result of high energy trauma on the volar flexed wrist. An isolated fracture of the radial styloid process is also called a Hutchinson’s or chauffeur’s fracture. Loading Stack – 0 images remaining. On the left a patient with a dorsal Barton’s fracture shown before. Shoulder, elbow and wrist are again in one plane, i.
This led the authors to conclude there was little benefit to closed fraktir in the very old and frail, dependent or demented patient.
Conservative treatment in intra-articular fractures of the distal radius: Description of the fracture characteristics 5 Desciption of the frakutr used fracture eponyms Most popular classification systems. Rib fracture Sternal fracture. Lowering the arm makes the radius cross the ulna and become relatively shorter resulting in improper measurement of the length of the radius.
A Colles’ fracture frakhur a type of fracture of the distal forearm in which the broken end of the radius is bent backwards.
The results showed superior anatomical and functional results in the group treated with Kapandji wiring.
Stabilization and treatment of Colles’ fractures in elderly patients
On the frakfur, numerous studies have in fact found that radiographic outcomes see Figure 1 do not correlate to clinical outcomes. This did not correlate with an improved functional outcome. Fracture instability refers to the tendency of a fracture to displace after manipulation to an anatomic position. On the left a volar-type Barton’s fracture.
Vertical distance between a line drawn parallel to the proximal surface of the lunate facet of the distal radius e and fraktr line parallel to the articular surface of the ulnar head f. This means that the wrist, elbow and shoulder are all in the transverse plane, perpendicular to the x-ray beam. So look for signs of instability in all Colles’ fractures, especially:. Trends frakur the United States in the treatment of distal radial fractures in the elderly.
In another prospective cohort study, acceptable radiographic reduction was not associated with better self-reported functional outcomes SF and DASH or increased satisfaction at 6 months in a cohort of 74 elderly patients with conservatively treated distal radius fractures.
Colles fraktur – Wikipedia
Notice the oblique course on the lateral view. Cervical fracture Jefferson fracture Hangman’s fracture Flexion teardrop fracture Clay-shoveler fracture Burst fracture Compression fracture Chance fracture Holdsworth fracture. The radial tilt represents the angle between fdaktur line along the distal radial articular surface and the line perpendicular to the longitudinal axis of the radius at the joint margin.
First the arm is placed under traction to unlock the fragments. Distal radius fractures in osteoporotic bone have greatly diminished stability; there is often bone impaction and fracture fragmentation. Bone grafts and bone substitutes for treating distal radial fractures in adults. On the left a post-operative image of a Salter-Harris II fracture, which is held in place with two pins after closed reduction.
The blue arrow indicates the depressed fragment of the lunate fossa. Repeat Xrays are recommended at one, two, and six weeks to verify proper healing. These fractures have a great tendency for redislocation and malunion.
Dislocation of the radiocarpal joint is the hallmark of Barton’s fractures.
External fixation of fractures of the distal radius has been in use since the s. Frakhur are a number of options for stabilization and treatment of these fractures. Notice that you can easily overlook such a fracture.
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This classification is popular, since it addresses the mechanism of injury and the consequent treatment options. Ulnar styloid process fracture An ulnar styloid process fracture is usually associated with radial fractures and rarely isolated. Although in most cases closed reduction is attempted, surgical intervention is required when there is failure to obtain or maintain closed reduction. In a study involving women aged over 50 years, frakutr suffered distal radius fractures from low-energy trauma, measures of fracture displacement were compared with bone colls density.
Clinical Interventions in Aging.