![]() Reduction without the use of fluoroscopy demonstrated noninferiority when compared with fluoroscopy-assisted reduction in the emergency department for closed adult DRFs.ĭistal radius fractures emergency department mini-c-arm outcomes reduction. 53) or postreduction alignment of unstable fractures ( P =. You can expect the pain from the bone to get much better almost right after the. In addition, no significant difference between the groups was observed in any postreduction radiographic parameters ( P >. Your doctor fixed a broken (fractured) bone without surgery. According to accepted radiographic guidelines, nonsurgical treatment was indicated for 62% of patients in group 1 and 56% of patients in group 2 ( P =. Reduction attempts were noted and pre- and postreduction posteroanterior and lateral radiographs were reviewed for fracture stability.Įighty-four patients underwent reduction without fluoroscopy (group 1), and 90 patients underwent reduction with the aid of fluoroscopy (group 2). All patients underwent closed reduction and immobilization with or without fluoroscopic assistance. Hospital medical records and radiographic images of all patients who presented with DRFs between April to June 2009 and April to June 2013 were reviewed. We hypothesized that fluoroscopy-assisted reduction would not improve radiographic alignment or decrease the need for surgery. When evaluated further, 17 (47.2) patients underwent treatment for <6 weeks while 15. However acute and long-term postoperative complications in skeletally immature patients, such as growth arrest, posttraumatic degenerative arthrosis, and stiffness, are not well known because literature on this topic is lacking.This study compared the radiological outcomes of adult closed distal radius fractures (DRFs) reduction with and without fluoroscopy. Over 83 (30 patients) of the fractures were closed fractures. ![]() Evidence on the benefits of ORIF continues to increase based on positive initial outcomes and few intraoperative associated complications. The patient had full function without pain or limitations.Īdditional research on radial head fractures in skeletally immature patients is necessary. At final follow-up, which occurred 10 months postoperatively, the fracture had healed and the patient almost had full range of motion. The wires were surgically removed 6 weeks postoperatively under general anesthesia, and the patient subsequently underwent aggressive physical therapy. The fracture fragments were secured with the use of three buried, 0.045-in (1.14-mm) Kirschner wires, and a cast was applied. The other fracture was a complex Salter-Harris type IV fracture of the anteromedial radial head face, which was flipped 180° into the posterolateral aspect of the elbow. One of the fractures involved the radial head and was minimally displaced and not well visualized on imaging studies. Intraoperative findings confirmed two fractures. The patient was diagnosed with an intra-articular radial head fracture with an entrapped, displaced fragment. Advanced imaging studies revealed that the fragment, which was 7 × 8 × 2 mm in size, was from the radial head. Radiographs demonstrated a fat pad sign and a small ossific fragment in the posterolateral elbow. Her left elbow was painful, swollen, and had blocks to extension and rotation. This video discusses the case presentation of a 6-year-old girl with a displaced left radial head fracture that was sustained during a fall from the monkey bars. ![]() Closed reduction often leads to poor results, including 180° degree malalignment of the fracture fragment. 1 The incidence of distal radius fractures is increasing across all age groups globally as is the utilization of open reduction and internal fixation (ORIF) for the treatment of this fracture. ORIF is necessary for anatomic reduction. Distal radius fractures are the most common upper extremity fractures and occur with a frequency of 16.2 per 10,000 people. Complications may be associated with open reduction and internal fixation (ORIF) in skeletally immature patients. Unfortunately, poor prognosis and complications are associated with intra-articular displaced radial head fractures because of immature physeal closure and annular ligament disruption. Intra-articular displaced radial head fractures are extremely rare in skeletally immature patients, who require MRI and/or CT for correct diagnosis.
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