Late Compression Neuropathies after Colles?? Fractures

Aro, Hannu T.; Koivunen, Terhi; Katevuo, K.; Nieminen, S; Aho, A. J.

doi:10.1097/00003086-198808000-00027

Cited by 45 publications

(43 citation statements)

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“…In our series two patients had complications. In several studies, compression of the median nerve was common (3,16). In our series, all patients with severe injuries had the carpal tunnel opened.…”

Section: Discussionmentioning

confidence: 55%

Experience with the AO ?-plate for displaced intra-articular fractures of the distal radius

Krukhaug

Hove

2004

Scandinavian Journal of Plastic and Reconstructive Surgery and

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We have used open reduction and internal fixation (ORIF) with the AO pi-plate in 32 displaced, intra-articular fractures of the distal radius. The indication was a displaced intra-articular fracture with a step-off of more than 1 mm and a gap between fragments of more than 3 mm, judged from the primary computed tomograms (CT). All fractures were classified as AO type C3. Twenty-nine patients were followed-up after a mean of 23 (9-46) months. The dorsal tilt, the radial length, the radial inclination, the articular step-off, and the intra-articular gap between fragments were substantially improved postoperatively. All the patients had excellent or good extra-articular and intra-articular alignment. Two patients had reduced extension power of the first finger. Seventeen patients had Disability of the arm, shoulder, and hand (DASH) scores of less than 10 points, five had scores between 11 and 20, three between 21 and 30, three between 31 and 40, and one patient had a score of 65 points. Complications occurred in two patients: one had a painful amputation neuroma of the superficial radial nerve, and one developed adhesions of the flexor tendons of the second and third fingers because the screws were too long and had penetrated the tendon sheaths. We conclude that the AO pi-plate is an excellent option for the most comminuted fractures of the distal radius.

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Section: Discussionmentioning

confidence: 55%

Experience with the AO ?-plate for displaced intra-articular fractures of the distal radius

Krukhaug

Hove

2004

Scandinavian Journal of Plastic and Reconstructive Surgery and

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“…Since this device restricts all fixation to the radius, the hand is left free and early active motion of the wrist is possible. Thus, problems reported with forced and prolonged immobilization in flexion, mainly carpal tunnel syndrome with median nerve compression leading to reflex sympathetic dystrophy, are prevented [13,14,37,40]. None of our patients experienced symptoms that could be attributed to this condition.…”

Section: Discussionmentioning

confidence: 66%

Hybrid external fixation of unstable distal radius fractures: initial experience

Grala

Kierzynka

Machyńska-Bućko

2005

J Orthopaed Traumatol

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External fixation of unstable fractures of the distal radius has been associated with many technical problems and complications. Hybrid external fixation has not been used in the clinical setting for distal radius fractures, but in theory this concept seemed reasonable. Our report of the first three cases of unstable Colles fractures describes the operative technique, as well as intraoperative hints and postoperative findings. The operation is fairly easy, mainly due to the possibility of intraoperative three-dimensional manipulation of the distal fragment. Postoperative stability was good, as no redisplacement was noted. The patients' acceptance of the device was high. In the postoperative period, one patient developed superficial infection at the Kirschner wire-skin interface that resolved with local care and systemic antibiotics; the fixator was removed after 6 weeks while in the other, noncomplicated cases the hybrid external fixator was kept for 8 weeks. In one case, signs of overdistraction of bone ends were detected on the postoperative radiograph, but painless postoperative adjustments of the fixator restored normal anatomy with no further complications. For valuable conclusions we are currently studying incoming cases in a prospective fashion.

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“…The incidence of this complication has been estimated at 0.5-22% (Aro et al, 1988;Bacorn and Kurtzke, 1953;Heim et al, 2002;Lindstrom, 1959;Stark, 1987;Young and Rayan, 2000).…”

Section: Article In Pressmentioning

confidence: 99%

Peripheral Nerve Compression Neuropathy after Fractures of the Distal Radius

Bienek

Kusz

Cieliński

2006

Journal of Hand Surgery

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Sixty patients with unilateral distal radius fractures were managed conservatively. Clinical assessment included objective and subjective evaluations of the outcome of treatment. Radiographic evaluation included fracture classification using the AO/ASIF system and measurement of volar tilt, radial inclination and radial height shortening at the end of treatment. Clinical signs of carpal tunnel syndrome were confirmed electrodiagnostically in 12 patients (20%) during the recovery period. Each patient had electrodiagnostic studies of both upper limbs performed to confirm the diagnosis. The mean time between injury and the onset of symptoms was 10 months (range 6.5 weeks-27 months). A statistically significant correlation between the final clinical results of treatment and post-traumatic median nerve compression neuropathy was found, but the occurrence of the neuropathy correlated with neither fracture type nor with the final radiographic findings. No clinical signs of ulnar or radial nerve compression occurred in this study.

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Late Compression Neuropathies after Colles?? Fractures

Cited by 45 publications

References 0 publications

Experience with the AO ?-plate for displaced intra-articular fractures of the distal radius

Experience with the AO ?-plate for displaced intra-articular fractures of the distal radius

Hybrid external fixation of unstable distal radius fractures: initial experience

Peripheral Nerve Compression Neuropathy after Fractures of the Distal Radius

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