COMPARATIVE STUDY BETWEEN DIFF'ERENT METHODS Of MANAGEMENT OF FRACTHRES OF THE DISTAL RADIUS
Hesham Foad Mohamed Ezzat;
Abstract
Of all the fractures that affect the upper extrimity the distal radial fracture is among the must common . It has been estimated to account for upwards of one - sixth of all fractures seen and
•treated in emergency rooms . (Owen R. A., eta/, 1982).
The type , direction , and amount of displacement are the most important factors in deciding on treatment . The distal end of the radius is biconcave and tilted in two planes. In the
. saggital plane there is a slope with an average of 12 degrees palmar tilt and in the frontal plane there is an ulnar inclin tion ..
. at an average angle of 23 degrees . (Seitz w., 1996). 'i;:t •
The radius and ulna are not of equal length . " Ulnar variance " refers to the relative length of the ulna and radius
-. as determined on wrist roentogenogram .(Epnar R. A. , et al, 1982)
Ulnar variance ranges from + 6 mm to - 8 mm with a mean of- 0.6 mm . ( Sander.mn P. I, et at, 1997)
Most distal radial fractures occurs in two distinct age groups between 6 and 10 years and between 60 and 69 years . Among the patients 60 years of age and older , women outnumbered men seven folds . ( Bengner U. , and .Tofmell 0. , 1985)
Bast-d upon the specific mechanism of injury, the types of the
distal radius fractures have been divided into five major groups :
Type I : Bending fractures of the metaphysis . Type II : Shearing fracture of the joint surface . Type III : Compression fracture of the joint surface . Type IV :Avulsion fractures.
Type V : Combined fractures ( types I , II , Ill , and IV ) .
•treated in emergency rooms . (Owen R. A., eta/, 1982).
The type , direction , and amount of displacement are the most important factors in deciding on treatment . The distal end of the radius is biconcave and tilted in two planes. In the
. saggital plane there is a slope with an average of 12 degrees palmar tilt and in the frontal plane there is an ulnar inclin tion ..
. at an average angle of 23 degrees . (Seitz w., 1996). 'i;:t •
The radius and ulna are not of equal length . " Ulnar variance " refers to the relative length of the ulna and radius
-. as determined on wrist roentogenogram .(Epnar R. A. , et al, 1982)
Ulnar variance ranges from + 6 mm to - 8 mm with a mean of- 0.6 mm . ( Sander.mn P. I, et at, 1997)
Most distal radial fractures occurs in two distinct age groups between 6 and 10 years and between 60 and 69 years . Among the patients 60 years of age and older , women outnumbered men seven folds . ( Bengner U. , and .Tofmell 0. , 1985)
Bast-d upon the specific mechanism of injury, the types of the
distal radius fractures have been divided into five major groups :
Type I : Bending fractures of the metaphysis . Type II : Shearing fracture of the joint surface . Type III : Compression fracture of the joint surface . Type IV :Avulsion fractures.
Type V : Combined fractures ( types I , II , Ill , and IV ) .
Other data
| Title | COMPARATIVE STUDY BETWEEN DIFF'ERENT METHODS Of MANAGEMENT OF FRACTHRES OF THE DISTAL RADIUS | Other Titles | دراسة مقارنة بين الطرق المختلفة فى علاج كسور الجزء الأبعد من عظمة الكعبرة | Authors | Hesham Foad Mohamed Ezzat | Issue Date | 2000 |
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