Reinsertion of the pronator quadratus is not performed since it has been shown that there are no advantages of pronator quadratus repair.", During this procedure the pronator quadratus is detached to accurately reduce and internally fixate the plate on the distal radius. The radiograph at the outpatient clinic shows redisplacement of the fracture and the patient and surgeon decide to go for open reduction and volar plate fixation. Moreover, a specially designed calculator is unable to accurately predict which fractures have a high probability of secondary displacement. The chance of redisplacement of the displaced distal radius fractures during conservative treatment is up to 60%, and up to 40% of patients undergo subsequent surgery. After one week the patient undergoes another wrist radiograph, in order to confirm if the fracture is still adequately reduced. The fracture of the ulnar styloid process is left untreated since we know that this concomitant fracture does not result in worse functional outcomes. Although the VIPER study shows that operatively-treated patients with an acceptably reduced extra-articular distal radius fracture have better functional outcomes after one year than non-operatively treated patients, the current guideline advocates non-operative treatment. The fracture is reduced by closed means with an acceptable reduction. The AWR smart phone application recommends to make a wrist radiograph, which shows a displaced extra-articular distal radius fracture with a concomitant ulnar styloid process fracture. He visits an Emergency Department, were the AWR are implemented. Reinsertion of the pronator quadratus is not performed since it has been shown that there are no advantages of pronator quadratus repair.Ībstract = "A 57-year old male falls on the outstretched wrist during sports. A 57-year old male falls on the outstretched wrist during sports.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |