BookLeiv M. Hove, Tommy Lindau, Per Hølmer, editors.
Summary: Distal radial fractures are still puzzling us 200 years after Colles' classic description. Despite the advent of various new imaging techniques, including 3D CT, the availability of diagnostic adjuncts such as arthroscopy, and treatment options that include more than 30 different volar locking plates, the rate of unsatisfactorytreatment resultsremains very high. Furthermore, while we are aware of more associated injuries, such as carpal ligament tears and injuries to the radioulnar ligament (TFCC), there is still intense debate on the relevance of these injuries. This textbook aims to provide the reader with a complete understanding of distal radius fractures, their inherent problems, and how to manage them successfully. It is written by widely published experts from a part of the globe where distal radius fractures are very common, especially during the winter months. Clear guidance is provided on diagnostic imaging, classification, and assessment of fracture instability. The complete spectrum of operative and nonoperative treatment options are then clearly explained with the aid of step-by-step illustrations. Extensive information is also provided on complications and their treatment. Both students and experienced practitioners will find this book to be an enlightening, practice-oriented reference on the management of these challenging fractures.
Contents:
Distal Radius Fractures: What Is the Problem?
A Historical Review of the Distal Radius Fracture
Anatomy of the Wrist
Biomechanics and Kinematics of the Wrist
Epidemiology
Distal Radius Fractures and Osteoporosis
Outcome Assessment After Distal Radius Fractures
Medicolegal Aspects of Distal Radius Fractures
Imaging
Classification Distal Radius Fractures
How to Assess Fracture Instability
Pharmacologic Treatment of Distal Radial Fractures
Flow Chart for Treatment: A Standardized Treatment Program as an Aid in Primary Treatment of Distal Radius Fractures
The Clinical Dilemma: Nonoperative or Operative Treatment
Clinical Diagnosis, Closed Reduction, and Plaster
Closed Re-reduction: Is It an Alternative
Closed Reduction and External Fixation of Unstable Distal Radius Fractures
Closed Reduction and Percutaneous Pinning
Closed Reduction and Intramedullary Fixation of Distal Radius Fractures
Closed Reduction and External Fixation or Open Reduction and Volar Internal Fixation: The Clinical Dilemma
Combined External Fixation and Internal Fixation
Open Reduction and Volar Plating: Surgical Guide
When Fixed-Angle Volar Plates Are Not Enough: Alternative Fixation Methods in Problem Fractures
Die-Punch Fractures: Open and Arthroscopy-Assisted Fixation
Arthroscopy in Distal Radius Fractures
Associated Injuries in Distal Radius Fractures
Radial Styloid Fractures and Associated Carpal Injuries
Acute Injuries Around the Distal Ulna
Bone Substitutes, Grafts and Cement
The Elderly Osteoporotic Patient
Rehabilitation
Complications: An Overview
Nerve Entrapments and Nerve Injuries in Distal Radius Fractures
Tendon Complications of Distal Radial Fractures
Complex Regional Pain Syndrome
Compartment Syndrome of the Forearm
Extra-articular Malunion of the Radius; Osteotomy of the Radius
Ulnar Shortening Osteotomy After Distal Radius Fracture
Intra-articular Malunion
Distal Radius Fractures and Secondary Carpal Dysfunction
Secondary Osteoarthrosis: Partial or Total Arthrodesis Versus Wrist Arthroplasty
Secondary DRU Joint Problems Instability, Nonunion Styloid, and Ulnocarpal Abutment
Salvage Procedures to the DRU Joint
Wrist Denervation
Associated Fractures of the Distal Ulna
Galeazzi's Fracture and Essex-Lopresti Injuries: Dislocation Fractures of the Forearm
Distal Radius Fractures in Children.