The medical history (history of the patient) represents an important component in the diagnosis of radius fracture (fracture of the radius).Family historySocial historyCurrent history/systemic history (somatic and psychological complaints). Are you experiencing pain? Where is the pain localized? Did you fall? What was the accident process (e.g., wrist position during the fall)? Vegetative anamnesis incl. … Radius Fracture: Medical History
Congenital malformations, deformities, and chromosomal abnormalities (Q00-Q99). Norm variants/deformities Musculoskeletal system and connective tissue (M00-M99). Osteoarthritis of the wrist Injuries, poisonings and other consequences of external causes (S00-T98). Pathologic fracture – bone fracture that occurs without force in a diseased bone. Bruise Scaphoid fracture (scaphoid fracture) Distorsion (twisting) Luxation (dislocation) in the carpal region Tendovaginosis … Radius Fracture: Or something else? Differential Diagnosis
The following are the most important diseases or complications that may be contributed to by a radius fracture (radius fracture): Skin and subcutaneous (L00-L99). Hypertrophic scarring (bulging scars). Infectious and parasitic diseases (A00-B99). Infection of the wound Musculoskeletal system and connective tissue (M00-M99) Osteoarthritis Pseudarthrosis (false joint) Psyche – nervous system (F00-F99; G00-G99) Complex regional … Radius Fracture: Complications
Historical classification Barton fracture – intraarticular (“into the joint cavity”) two-fragment fracture (two fracture fragments); in this case, the dorsal (back) edge of the distal radius (radius near the wrist) is involved, sometimes with dislocation (dislocation) of the radio-carpal joint (joint between the radius and the carpus) Chauffeur’s fracture – radial wedge fracture (avulsion of … Radius Fracture: Classification
General therapeutic measures Reduction in dislocated fractures. Supportive dressing (plaster, softcast) for: Stable extra-articular (“located outside the joint capsule of a joint”) fractures. Non-displaced or low-displaced (displaced) intraarticular (“located within the joint capsule of a joint”) fractures General or local contraindications (contraindications) to surgery. Note: Early mobilization after conservatively treated distal radius fractures resulted in … Radius Fracture: Therapy
A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; further: Inspection (viewing): Soft tissue damage: bruise marks, hematoma (bruise), abrasion, wounds in the fracture area (open fracture). Malposition Previous damage, scars Palpation (palpation), as far as possible: Pressure pain: Over the … Radius Fracture: Examination
Laboratory diagnosis – taking into account age and concomitant diseases – is required only if surgical action is to be taken.
Obligatory medical device diagnostics. Radiographs of the wrist with forearm on the hand board anterior-posterior (ap; ray path from anterior to posterior) and lateral (lateral) with comparison of the opposite side (with shoulder abduction of 90°, elbow flexed in middle position). Fracture sonography (ultrasound of bone fractures) to visualize pathologies (“pathological changes”) visible on the … Radius Fracture: Diagnostic Tests
1st order Osteosynthesis – surgical procedure to treat fractures (broken bones) and other bone injuries (e.g., epiphysiolysis) to quickly restore full function. This is done by implants (by means of insertion of force carriers such as screws or plates). Osteosynthesis is indicated in the following conditions: Established indications Unstable fracture Dislocated intra-articular radius fracture – … Radius Fracture: Surgical Therapy
Prevention measures General accident prevention Physical and mental training, mobility In sports appropriate protective clothing (eg wrist protection when inline skating). Weather adapted footwear, if necessary walking aids Age-appropriate home furnishings Osteoporosis prophylaxis Therapy of fall-causing diseases
The following symptoms and complaints may indicate a radius (spoke) fracture: Pain in the forearm, wrist Malalignment of the bones
Pathogenesis (development of disease) Radius fracture is usually caused by a fall on the outstretched palm (extension fracture; Colles fracture) or flexed hand (flexion fracture; Smith fracture). In this regard, high-energy trauma can be distinguished in young individuals (< 40 years of age) from older individuals with low-energy trauma. In this case, the entire force … Radius Fracture: Causes
