Acute Distal Radioulnar Joint Instability
Key Points • All fractures of the distal radius should be evaluated with a physical exam to test for concurrent instability at the distal radioulnar joint. • Radiographs that show…
Galeazzi Fracture Dislocations
Key Points • Recognition of a Galeazzi pattern of injury is essential, as failure to recognize the distal radioulnar joint (DRUJ) injury can lead to permanent impairment. • The primary…
Bone Graft (Substitutes) in Distal Radius Fractures
Key Points • The use of bone grafts or bone graft substitutes for treatment of comminuted distal radius fractures is dictated by tradition, training, and personal experience. • The use…
Simultaneous Fractures of the Distal Radius and Scaphoid
Key Points • Simultaneous distal radius and scaphoid fractures are rare. If diagnosed, rule out or confirm if they are part of a trans-styloid, trans-scaphoid perilunate fracture dislocation (greater arc)…
Arthroscopic-Assisted Treatment of Distal Radius Fractures
Key Points • Arthroscopic assistance allows direct visualization and correction of the reduction of intraarticular distal articular radius fractures • A high percentage of concomitant scapholunate interosseous ligament (SLIL) and…
Extra-Articular Distal Radius Fractures With Metaphyseal Comminution
Key Points • The mainstay treatment for displaced extra-articular distal radius fractures with limited metaphyseal comminution is closed reduction and plaster immobilization. However, not all patients benefit. • Carpal alignment…
Comminuted Articular Distal Radius Fractures
Key Points • A number of treatment strategies exist for successful management of complex intraarticular distal radius fractures including: immobilization, external fixation, open reduction, and volar or fragment-specific plating as…
Volar, Dorsal, and/or Radial Plating
Key Points • Volar plating is the workhorse of internal fixation for unstable distal radius fractures (DRFs) • Dorsal plate technology has improved, decreasing associated hardware-related complications • Combination plating…
Minimally Invasive Plate Osteosynthesis of Distal Radius Fractures
Key Points • The minimally invasive approach of the flexor carpi radialis can be used for volar plate fixation of distal radius fractures. • The upsides of this technique are…
Surgical Versus Conservative Interventions for Displaced Distal Radius Fractures
Key Points • Treatment is based on radiographical fracture pattern, bone quality, and functional demand. • Evidence suggests that functional recovery may be faster in volar locking plating compared to…
