Complications of Distal Radius Fractures

Turner, Robert G.; Faber, Kenneth J.; Athwal, George S.

doi:10.1016/j.hcl.2009.08.005

Cited by 43 publications

(54 citation statements)

References 58 publications

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“…When the reduction is not maintained, early followup also can allow the surgeon to recommend surgery before formation of a soft callus, which would complicate an otherwise straightforward surgery. Complications associated with distal radius fractures can occur at any time during the healing process and include posttraumatic arthritis (7%-65%), loss of reduction (10%-20%), nerve injuries or neurologic complications (0%-17%), infection (4%-9%), tendon rupture (0%-5%), and delayed union, nonunion, and malunion (0.7%-4%) [6,14].…”

Section: Introductionmentioning

confidence: 99%

Who Is Lost to Followup?: A Study of Patients with Distal Radius Fractures

Tejwani

Takemoto

Nayak

et al. 2010

Clinical Orthopaedics &Amp; Related Research

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Distal radius fractures are the most common upper extremity fracture, representing one-sixth of all fractures treated in emergency departments nationwide. Beyond the initial reduction and immobilization of these fractures, providing proper followup to ensure maintenance of the reduction and identify complications is necessary for optimal recovery of forearm and wrist functions. We sought to identify the clinical and demographic factors that characterize patients with distal radius fractures who do not return for followup and to assess the underlying causes for their poor followup rates. Compared with patients who were compliant with followup, those lost to followup had lower Physical and Mental Health scores on the SF-36 forms, more often were treated nonoperatively, and more likely had not surpassed secondary education. However, we found no difference between these two groups based on age, gender, mechanism of injury, marital status, or hand dominance. Early identification of patients who potentially are noncompliant can result in additional measures being taken to ensure the patient's return to the treating hospital and physicians. This in turn will prevent complications attributable to lack of followup and allow more accurate assessment of results, thereby improving patient outcomes.

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Section: Introductionmentioning

confidence: 99%

Who Is Lost to Followup?: A Study of Patients with Distal Radius Fractures

Tejwani

Takemoto

Nayak

et al. 2010

Clinical Orthopaedics &Amp; Related Research

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“…The reported complication rate after distal radius fractures varies quite considerably. Some give a variation of 6-80% in the literature [1]. Complications frequently encountered after operative treatment of distal radius fractures include tendon and nerve injuries, inadequate reduction with subsidence and collapse, inadequate placement of hardware, complex regional pain syndrome (CRPS), nerve compression syndromes and compartment syndrome [2].…”

Section: Discussionmentioning

confidence: 99%

Brodie’s Abscess 7 Years after External Fixation of a Displaced Distal Radius Fracture: A Case Report and Review of the Literature

Lindau¹,

Oestreich²

2015

MOJOR

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This case report and review of the literature present a rare long-term complication after a closed displaced distal radius fracture operated on with closed reduction and external fixation (EF). There were no early problems except a malunion without impairment. Seven years later the patient presented with a Brodie's abscess; i.e. deep osteomyelitis at one of the previous EF pin sites. Brodie's osteomyelitis often has a subtle and atypical presentation. X-rays may demonstrate an intraosseous bone lesion. Diagnosis is often made through MRI and/or nuclear bone scans. Standard treatment is operative excision of the lesion with curettage, insertion of antibiotic beads and appropriate antibiotics based upon curettage of the cyst and microbiological findings. We followed these principals and had an excellent outcome.

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“…27,28 Inadequate stabilization of the fracture, overdistraction, and other medical factors including diabetes, alcoholism and smoking likely to play a role in the development of delayed union. 25,29 None of the aforementioned factors involved in the development of delayed union, suggest that either external fixation or volar plating would provide an advantage in avoiding this complication.…”

Section: Discussionmentioning

confidence: 99%

“…[1][2][3] For decades, the primary treatment method for distal radial fractures was with plaster cast, but this treatment modality frequently leads to early loss of reduction and poor functional outcome, 4,5 with intraarticular fractures being at particularly high-risk. 6 With operative fixation, patients may require shorter periods of immobilization and may be able to return to normal activities sooner.…”

Section: Introductionmentioning

confidence: 99%