Synonyms Radius = spoke bone of the forearm Broken spoke Radius break Radial base fracture Radiusextension fracture Radial flexion fracture Wrist fracture Colles fracture Smith Fracture Definition Distal radius fractures are distal fractures of the radius bone and are usually the result of a fall on the wrist. Spoke fracture is the second most common … Spoke fracture, radius fracture, wrist fracture
Symptoms and complaints To the physician, the classic picture of a distal radius fracture (commercial fracture) is as follows: The affected wrist is presented by the patient in a relieving posture, an independent movement in the wrist no longer takes place (Funktio laesa). On closer examination, the wrist is swollen and, in the case of … Symptoms and complaints | Spoke fracture, radius fracture, wrist fracture
Healing with perspective prognosis The prognosis for healing depends crucially on the fracture shape of the radius fracture, the fracture care and the follow-up treatment (physiotherapy). Good results can only be expected if it is possible to adjust the fracture continuously and to create stable conditions in the fracture area. Otherwise, false joint formation (insufficient … Healing with perspective prognosis | Spoke fracture, radius fracture, wrist fracture
Note You are here in the sub-theme Symptoms of spoke breakage. You can find general information on this topic under Spoke breakage or under Spoke breakage duration. Therapy of wrist fracture Fractures near the wristSpoke fractures can generally be treated conservatively or surgically. The decision is made on the basis of the X-ray image. In … Therapy of a fracture of the spoke and wrist
Conservative therapy At the beginning of each therapy, the fracture is repositioned, followed by fracture stabilization. Simple, non-displaced (non-displaced) fractures do not need to be set up. This type of fracture can easily be treated in a plaster cast for 6 weeks. Most pediatric radius fractures fall under this category (approx. 3 weeks of plaster … Conservative therapy | Therapy of a fracture of the spoke and wrist
Surgical therapy All unstable fractures and those with accompanying vascular and nerve injuries must be treated surgically. The same applies to fractures where no satisfactory fracture repair is possible. Before any operation, the patient must be informed about the type of procedure, alternatives, risks and chances of success and give his or her written consent. … Surgical therapy | Therapy of a fracture of the spoke and wrist
Prognosis The prognosis of a scapholunar dissociation cannot be given in general terms, but must be made dependent on the respective extent and concomitant injuries. It is important to notice the injury early. If the diagnosis is made immediately, the injury can heal stably and sustainably within 6 weeks with conservative therapy and consistent immobilization. … Prognosis | Scapholunar dissociationSLD
Synonyms in a broader sense Scapholunary dissociation, scaphoid dislocation, ligament injury of the carpus, distal radius fracture, hand injury Definition In scapholunar dissociationSLD, external force is used to injure the ligaments in the carpal area between the scaphoid bone (Os scaphoideum, formerly Os naviculare) and the lunate bone (Os lunatum). Cause Scapholunar dissociationSLD is the … Scapholunar dissociationSLD
Diagnosis The first measure is the clinical examination of the wrist. There should be specific tests (Watson’s shift test) to determine whether SLD can be diagnosed with certainty. As a further measure, an x-ray of the wrist will be performed in two planes. A third degree scapholunar dissociationSLD can be diagnosed by the extended distance … Diagnosis | Scapholunar dissociationSLD
Therapy Like all fractures, the scaphoid fracture can be treated conservatively in a plaster cast or by surgery. The indication for a conservative approach are non-displaced scaphoid fractures. Due to the very slow healing of the fracture, the duration of the plaster therapy is extremely long. For the first 6 weeks an upper arm plaster … Therapy of a scaphoid fracture
Prognosis The prognosis is favorable with operative and conservative therapy. Nevertheless, there are therapy failures in both forms of therapy, i.e. bone fractures do not heal. An untreated scaphoid fracture generally ends in the formation of a false joint (pseudarthrosis), which can be painless and can only cause problems years after the fall. It should … Prognosis | Therapy of a scaphoid fracture
Introduction A scaphoid fracture is the fracture of one of the carpal bones, which topographically forms the ball of the hand. The healing of a scaphoid fracture is often difficult because this small bone is fed by a relatively poor blood supply. Thus, the scaphoid is not supplied from the middle of the body, but … Healing of a scaphoid fracture
