Laceration to flexor digitorum superficialis (FDS) tendon. The injury was: Open distal radius and distal ulnar fractures. Recent studies of distal radius fracture treated using a volar locking plate have generally reported that neither the presence nor the size of concomitant ulnar styloid fracture has an effect on clinical outcome. 135K Settlement for Open Distal Radius Fracture (Car Accident) A passenger got a 135,000 settlement for an open distal radius fracture after another car crashed into the car that she was in. Although approximately 50-70% of ulnar styloid process fractures result in nonunion if they are not treated by an operative method, they tend to be asymptomatic. Approximately 50% of distal radius fractures are combined with ulnar styloid process fracture. The operative method for distal ulnar fracture includes internal fixation using a K-wire, intramedullary nail, or plates and salvage procedures including ulnar head resection or Sauve-Kapandji procedure. However, when the distal ulnar fracture shows malalignment or instability, an operative method should be used. When the distal ulnar fracture is stable after fixation of the distal radius fracture, the distal ulnar fracture can be managed with cast immobilization. It adversely affects the wrist and hand function by interfering with the mechanical advantage of the extrinsic hand musculature., Closed reduction and Plaster of Paris (POP) immobilization often leads to collapse of the radius and subluxation of DRUJ.Approximately 5-6% of distal radius fractures have a concomitant distal ulnar fracture, this incidence is more frequent in osteoporotic elderly patients. The early method of closed reduction and cast immobilization has resulted in malunion, joint stiffness, and deformity. Unsp fracture of the lower end of right radius, init Closed fracture of distal end of right radius Right radius (forearm bone) fracture. Many confounding variables exist, all of which are somewhat controversial: the level to which the anatomy is restored, the quality of the bone, the emergence of new techniques and devices, the experience and ability of the surgeon, and outcomes in older populations. Showing 1-25: ICD-10-CM Diagnosis Code S52.501A convert to ICD-9-CM Unspecified fracture of the lower end of right radius, initial encounter for closed fracture. Since the last few decades, more than 1000 peer-reviewed studies have been published on the subject, yet there is no consensus on which treatment is superior. The first description of distal radius fractures was brought to attention in English literature by Abraham Colles after publishing his views 'On the fractures of the carpal extremity of the radius' in 1814.Īlthough distal radial fractures account for 20% of all fractures treated in emergency departments, many are not 'completely exempt from pain' after treatment. The true nature of distal radial injury was described by Petit, Pouteau, and Colles, prior to whom it was believed that the injury was a carpal or distal radio-ulnar joint (DRUJ) dislocation. The history of distal radius fractures reflects the evolution of the understanding of many conditions in orthopedic trauma. Conclusion: The closed reduction and percutaneous K-wire fixation is a least invasive, safer, and effective method to maintain the reduction, prevent radial collapse during healing, and maintain the stability of the distal radio-ulnar joint even when the fracture is grossly comminuted, intra-articular, or unstable. Complications observed were malunion (n = 2), subluxation of the inferior radio-ulnar joint (n = 2), Sudeck's osteodystrophy (n = 1), and posttraumatic arthritis of the wrist (n = 2). Results: Excellent results were seen in 85%, good in 11.25%, and fair in 4.75% of the cases. Patients were evaluated at 6-month follow-up and functionally by Sarmiento's modification of Lindstrom criteria and Gartland and Werley's criteria. Materials and Methods: A prospective study on eighty patients of comminuted intra-articular fracture of the lower end of the radius, between 30 and 65 years of age, irrespective of sex, treated by closed reduction and ulno-carpal stabilization maintaining ligamentotaxis and distal radius percutaneous K-wires fixation and a well-molded above-elbow Plaster of Paris cast for 4 weeks followed by removal of K-wire and below-elbow cast for 2 weeks, has been presented. Stabilization of ulno-carpal articulation is an effective method to prevent radial collapse and other complications associated with external fixator during healing, and hence this study has been designed to get a solution with good outcome and minimal complication. Several treatment modalities have been described with their own merits and demerits. Agrawalīackground: Distal radial fractures account for up to 20% of all fractures treated in emergency departments, many are not 'completely exempt from pain' after treatment.
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