A distal radius fracture, also known as wrist fracture, is a break of the part of the radius bone .. For torus fractures, a splint may be sufficient and casting may be avoided. The position of the wrist in cast is usually slight flexion and ulnar deviation. Torus fractures, or buckle fractures, are extremely common injuries in children. The word torus is derived from the Latin word ‘Tori’ meaning. English Translation, Synonyms, Definitions and Usage Examples of Spanish Word ‘fractura torus’.
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Notice that you can easily overlook such a fracture.
These fractures, although less common, often require surgery in active, healthy patients to address displacement of both the joint and the metaphysis.
Fractures are either displaced or nondisplaced. Removable splints result in better outcomes than casting gractura children with torus fractures of the distal radius. Clinical History Pain of the right distal forearm after a fall. This type is the most common.
Case 1 Case 1. A torus is the convex portion of the upper part of the base of a Greek column figure 1and resembles the appearance of the cortical buckling seen in the “column” of bone which has been fractured in the pattern discussed in this article.
However, several studies fractira this approach fradtura largely ineffective in patients with high functional demand, and in this case, more stable fixation techniques should be used.
If the anatomy bony alignment is not properly restored, function may remain poor even after healing. Greenstick fractures are found in the fossil remains of Lucy torks, the most famous specimen of Australopithecus afarensisdiscovered in Ethiopia in Cervical fracture Jefferson fracture Hangman’s fracture Flexion teardrop fracture Clay-shoveler fracture Burst fracture Compression fracture Chance fracture Holdsworth fracture.
Case Torus fracture: Radiographic finding is a definite cortical bulge usually occurring at the metaphysis, two to four centimeters from the distal growth plate figure 1. However, neutral and fracrura position may not affect the stability of the fracture.
Views Read Edit View history. Patients with low functional demand of their wrists can be treated successfully with nonsurgical management; however, in more active and fit patients with fractures that are reducible by closed means, nonbridging external fixation is preferred, as it has less serious complications when compared to other surgical options.
A—extra-articular, B—partial articular, and C—complete articular which can further subdivided into nine main groups and 27 subgroups depending on the degree of communication and direction of displacement.
Greenstick fracture – Wikipedia
Torus fracture identified more easily on the lateral view. However, he also suggested that volar displacement of the wrist was due to the ulnar fracture. There are many classification systems for distal radius fracture.
Risk of injury increases in those with osteoporosis. Configuration Always mention whether the fracture is transverse good prognosisoblique or comminuted multifragmented.
Unsourced material may be challenged and removed. Extension into the radiocarpal joint and the distal radioulnar joint Displacement of the articular fragments blue arrow Radial shortening and loss of radial inclination resulting in distal ulna abutting the lunate yellow arrow Fracture of ulnar styloid Just calling this fracture a Colles’ fracture would be insufficient.
Instability Instability is defined as a high risk of secondary displacement after initial adequate reduction.
If the fractures are unlikely to be reduced by closed means, open reduction with internal plate fixation is preferred. On the left an extraarticular Smith’s fracture with palmar and radial angulation and displacement. Distal radius fractures are often associated with distal radial ulnar joint DRUJ injuries, and the American Academy of Orthopaedic Surgeons recommends that postreduction lateral wrist X-rays should be obtained in all patients with distal radius fractures in order to preclude DRUJ injuries or dislocations.
Sometimes a cast may be applied, but often a splint is all that is required with a period of rest and immobilisation. Imaging Findings The patient complained of swelling and distal forearm pain after a fall on his right outstreched wrist and hand.
As per a standard fracture, the area may be swollen and either red or torux.
Magnetic resonance MR imaging is of benefit when concomitant injuries of ligaments and triangular fibrocartilage complex TFCC are suspected or if a fracture is suspected but not demonstrated on routine radiographs. In clinical practice however frequently eponyms like Colles’ and Barton’s are used. J Fam Pract link – Pubmed citation. Radial inclination or angle Radial inclination represents the angle between one line connecting the radial styloid tip and the ulnar aspect of the distal radius and a second line perpendicular to the longitudinal axis of the radius.
Activities with a high risk of falling are risk factors. Avulsion fracture Chalkstick fracture Greenstick fracture Open fracture Pathologic fracture Spiral fracture. Treatment is often directed to restore normal anatomy to avoid the possibility of malunion, which may cause decreased strength in the hand and wrist.
It is a type of distal radius fracture. A Colles fracture as seen on X-ray: Two newer treatment are fragment-specific fixation and fixed-angle volar plating. Treatment is with casting for six weeks or surgery. On the left another patient after unsuccessful treatment. If the rorus is displaced, then manipulative reduction or surgical stabilisation is required. Journal of hand fractua Where the fracture is undisplaced and stable, nonoperative treatment involves immobilization.
Description of the fracture characteristics 5 Desciption of the commonly used fracture eponyms Most popular classification systems. A Colles’ fracture is a fracture of the distal metaphysis of the radius with dorsal angulation and displacement leading to a ‘silver fork deformity’.