Fractures that occurred in the metaphysical section of the distal radius bone is common in women aged over 50 years, because the process of aging and osteoporosis.
Clinical Symptoms
These fractures usually occur when someone falls to the rivet on the palm of the hand with forearm pronation instate ( facing down) . This situation (dorsiflexion of the hand and radial deviation of) uniqueness of the location and haracteristics od domesti cause of this fracture. On physical examination, it was obvious a change in shape that resembles a fork, known as "dinner fork Deformity". There is swelling in the wrist and pain on movement or emphasis. The limited movement of the wrist joints also show the existence of this fracture.
Management
* In an undisplaced fracture type, can be immobilized by using the "below-elbow cast" for 4 weeks
* The type of fracture is displaced:
o Conducted a closed reduction
o immobilisation, may be by way of:
+ Plaster cast, for 3 weeks
+ Three quarters of the slab
+ External fixation, which can be used in a very unstable fractures and in people aged over 60 years
Supplementary Examination
On examination of plain area fracture, fracture can be seen the characteristic picture of this fracture, namely:
* a transverse fracture line, 2 cm distal to the radius
* ulnar styloid processus usually avulsi
* Usually there are only two fragments of bone fracture, but in certain circumstances may occur many faults, called kominutif
It can be seen there are two types of these fractures, namely:
* Stable, which is marked by a fault line there is only one transverse
* Not stable, there are many fault lines (kominutif) and "crushing" of the cancellous bone
Complication
* Ice-finger
* shoulder stiffness
* Malunion (one connects)
* Subluxation of the residual radioulnar joint
* Sudeck's reflex sympathetic dystrophy
* Late rupture of the tendon of the extensor pollicis longus
Clinical Symptoms
These fractures usually occur when someone falls to the rivet on the palm of the hand with forearm pronation instate ( facing down) . This situation (dorsiflexion of the hand and radial deviation of) uniqueness of the location and haracteristics od domesti cause of this fracture. On physical examination, it was obvious a change in shape that resembles a fork, known as "dinner fork Deformity". There is swelling in the wrist and pain on movement or emphasis. The limited movement of the wrist joints also show the existence of this fracture.
Management
* In an undisplaced fracture type, can be immobilized by using the "below-elbow cast" for 4 weeks
* The type of fracture is displaced:
o Conducted a closed reduction
o immobilisation, may be by way of:
+ Plaster cast, for 3 weeks
+ Three quarters of the slab
+ External fixation, which can be used in a very unstable fractures and in people aged over 60 years
Supplementary Examination
On examination of plain area fracture, fracture can be seen the characteristic picture of this fracture, namely:
* a transverse fracture line, 2 cm distal to the radius
* ulnar styloid processus usually avulsi
* Usually there are only two fragments of bone fracture, but in certain circumstances may occur many faults, called kominutif
It can be seen there are two types of these fractures, namely:
* Stable, which is marked by a fault line there is only one transverse
* Not stable, there are many fault lines (kominutif) and "crushing" of the cancellous bone
Complication
* Ice-finger
* shoulder stiffness
* Malunion (one connects)
* Subluxation of the residual radioulnar joint
* Sudeck's reflex sympathetic dystrophy
* Late rupture of the tendon of the extensor pollicis longus
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