Distinctive metaphyseal chondrodysplasia with severe distal radius and ulna involvement (upper extremity mesomelia) and normal height

2003 ◽  
Vol 122A (2) ◽  
pp. 159-163 ◽  
Author(s):  
Andrea Camera ◽  
Gianni Camera
Keyword(s):  
Upper Extremity ◽  
Distal Radius ◽  
Normal Height ◽  
Metaphyseal Chondrodysplasia

Outcomes and complications of operative versus non-operative management of distal radius fractures in adults under 65 years of age

2020 ◽  
pp. 175319342094131
Author(s):  
Brent R. DeGeorge ◽  
Holly K. Van Houten ◽  
Raphael Mwangi ◽  
Lindsey R Sangaralingham ◽  
Sanjeev Kakar
Keyword(s):  
Upper Extremity ◽  
Distal Radius ◽  
Complication Rate ◽  
Operative Management ◽  
Distal Radius Fractures ◽  
Complication Rates ◽  
Radius Fractures ◽  
Specific Complication ◽  
Secondary Procedures ◽  
Non Operative Management

To compare the outcomes of non-operative versus operative treatment for distal radius fractures in patients aged from 18 to 64 years, we performed a retrospective analysis using the OptumLabs® Data Warehouse using International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) diagnosis codes of distal radius fracture. Of the 34,184 distal radius fractures analysed, 11,731 (34%) underwent operative management. Short-term complications within 90 days of fracture identified an overall complication rate of 16.6 per 1000 fractures and the 1-year upper extremity-specific complication rate was 287 per 1000 fractures. Overall, post-injury stiffness was the most common 1-year upper extremity-specific complication and was associated with operative management (202.8 vs. 123.4 per 1000 fractures, operative vs. non-operative, p < 0.01). Secondary procedures were significantly more common following non-operative management (8.7% vs. 43%, operative vs. non-operative, p < 0.01) with carpal tunnel release representing the most common secondary procedure. Operative management of distal radius fractures resulted in significantly fewer secondary procedures at the expense of increased overall 1-year complication rates, specifically stiffness. Level of evidence: III

Metaphyseal chondrodysplasia, upper limb mesomelia and normal height (mesomelic dysplasia camera type): Second report in a Mexican patient

2008 ◽  
Vol 146A (4) ◽  
pp. 479-483
Author(s):  
L.E. Becerra-Solano ◽  
G. Castañeda-Cisneros ◽  
R. Bañuelos-Acosta ◽  
J. Sánchez-Corona ◽  
J.E. García-Ortiz
Keyword(s):  
Upper Limb ◽  
Normal Height ◽  
Metaphyseal Chondrodysplasia ◽  
Mesomelic Dysplasia ◽  
Mexican Patient

scholarly journals Assessment of Forearm Rotational Control Using 4 Upper Extremity Immobilization Constructs

Hand ◽  
2017 ◽  
Vol 13 (2) ◽  
pp. 202-208
Author(s):  
Ayesha M. Rahman ◽  
Nicole Montero-Lopez ◽  
Richard M. Hinds ◽  
Michael Gottschalk ◽  
Eitan Melamed ◽  
...  
Keyword(s):  
Upper Extremity ◽  
Distal Radius ◽  
Distal Radioulnar Joint ◽  
Fluoroscopic Guidance ◽  
Digital Photographs ◽  
Radioulnar Joint ◽  
Metacarpal Fractures ◽  
Additional Stability ◽  
K Wires ◽  
Immobilization Techniques

Background: Forearm immobilization techniques are commonly used to manage distal radius, scaphoid, and metacarpal fractures. The purpose of our study was to compare the degree of rotational immobilization provided by a sugar-tong splint (STS), short arm cast (SAC), Munster cast (MC), and long arm cast (LAC) at the level of the distal radioulnar joint (DRUJ), carpus, and metacarpals. Methods: Seven cadaveric upper extremity specimens were mounted to a custom jig with the ulnohumeral joint fixated in 90° of flexion. Supination and pronation were unrestricted. K-wires were placed in the distal radius, scaphoid, and metacarpals using fluoroscopic guidance to measure the total arc of rotation referenced to the ulnar ex-fix pin. Baseline measurements followed by sequential immobilization with well-molded STS, SAC, MC, and LAC were obtained with 1.25, 2.5, and 3.75 ft-lb of supination and pronation force directed through the metacarpal K-wire. Each condition was tested 3 times. Digital photographs were taken perpendicular to the ulnar axis to analyze the total arc of motion. Results: The most effective constructs from least to greatest allowed rotational arcs were LAC, MC, SAC, and STS. Above-elbow constructs (MC, LAC) demonstrated superior immobilization compared with below-elbow constructs (SAC) ( P < .001). Circumferential constructs (SAC, MC, LAC) were superior to the noncircumferential construct (STS) ( P < .001). There were no significant differences between the MC and LAC in all conditions tested. Conclusions: Both circumferential and proximally extended immobilization independently improved rotational control of the wrist. However, extending immobilization proximal to the epicondyles did not confer additional stability.

scholarly journals Hand Surgeons and Orthopedic Trauma Surgeons Call Coverage of Acute Upper Extremity Injuries: Where Should the Line Be Drawn?

Hand ◽  
2017 ◽  
Vol 13 (1) ◽  
pp. 114-117
Author(s):  
Matthew B. Cantlon ◽  
Andrew J. Miller ◽  
Asif M. Ilyas
Keyword(s):  
Upper Extremity ◽  
Distal Radius ◽  
American Association ◽  
Hand Surgery ◽  
Orthopedic Trauma ◽  
Online Questionnaire ◽  
Hand Surgeon ◽  
Radiocarpal Joint ◽  
Extremity Injuries ◽  
Trauma Surgeons

Background: There is a lack of consensus as to which subspecialty service should cover acute upper extremity injuries in the emergency department (ED). The purpose of the present study is to understand how upper extremity injuries are currently triaged to specialists and to assess the current opinion among hand and orthopedic trauma specialists as to how these injuries should be best triaged based on injury location and severity. Methods: The American Association for Hand Surgery (AAHS) membership and Orthopaedic Trauma Association (OTA) membership were surveyed using a 28-item online questionnaire. Results: A total of 103 responses from the AAHS and 114 responses from the OTA were received. Nearly 50% of the respondents report no formal anatomic line as to how upper extremity injuries are triaged to specialists from the ED. Approximately 57% of the AAHS respondents feel that hand call should begin at the distal radius or proximal, while 71% of the OTA respondents feel that hand call should begin at the radiocarpal joint or distal. There was increasing agreement that more complex injuries be assigned to the hand surgeon. Conclusions: There is agreement that proximal to the elbow, the trauma consultant should be called, and distal to the distal radius, the hand consultant should be called. However, there is a lack of agreement as to who should be responsible for call between the elbow and the hand. To optimize patient care, better allocate consultant resources, and minimize conflict between consultants, establishing anatomic guidelines for consultation should be considered.

scholarly journals Distal radius fractures: Systematic review

2013 ◽  
Vol 60 (2) ◽  
pp. 29-32 ◽  
Author(s):  
Suzana Milutinovic ◽  
Sladjana Andjelkovic ◽  
Tomislav Palibrk ◽  
Slavisa Zagorac ◽  
Marko Bumbasirevic
Keyword(s):  
Upper Extremity ◽  
Distal Radius ◽  
Modern Society ◽  
Bimodal Distribution ◽  
Clinical Results ◽  
Distal Radius Fractures ◽  
Mineral Density ◽  
Radius Fractures ◽  
Male Population ◽  
Female Population

Distal radius fractures are an increasingly prevalent upper extremity injury, especially among elderly patients. They represent approximately 3% of all upper extremity injures. Severity of these fractures is directly related to bone mineral density of the patient, and clinical results are dependent on this parameter as well. There is a bimodal distribution of these injuries, with a peak between 18 to 25 years of age, predominantly male population and a second peak in the elderly, older than 65 years, predominantly female population. Early reports of fractures of the distal radius considered these fractures to be group of injuries with a relatively good prognosis irrespective of the treatment given. When it comes to complex fractures, regardless of the method applied, major or minor functional invalidity persists. With that in mind fractures of the distal radius are medical, social and economic problems of modern society.

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