By Leiv M. Hove, Tommy Lindau, Per Hølmer
This textbook goals to supply the reader with an entire knowing of distal radius fractures, their inherent difficulties, and the way to control them effectively. it truly is written through generally released specialists from part of the globe the place distal radius fractures are quite common, particularly throughout the iciness months. transparent tips is supplied on diagnostic imaging, class, and overview of fracture instability. the entire spectrum of operative and nonoperative healing procedures are then sincerely defined because of step by step illustrations. broad info can also be supplied on issues and their therapy. either scholars and skilled practitioners will locate this booklet to be an enlightening, practice-oriented reference at the administration of those hard fractures.
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This textbook goals to supply the reader with an entire knowing of distal radius fractures, their inherent difficulties, and the way to regulate them effectively. it truly is written via largely released specialists from part of the globe the place distal radius fractures are quite common, in particular through the iciness months.
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Additional info for Distal Radius Fractures: Current Concepts
T. -G. Hagert • The dorsal cortex can be thought of as being composed of two surfaces, one radial and one ulnar to the Lister’s tubercle. On a straight lateral radiogram, the ulnar part is not visualised as the Lister’s tubercle forms the dorsal contour. • Lister’s tubercle acts as a fulcrum for the extensor pollicis longus (EPL). • The dorsal cortex is thin, which leads to comminution when fractured and a high risk of dorsal tilt of the distal fragment. • The volar side of the radius, which is covered by the pronator quadratus (PQ), is flat and makes a smooth curve that is concave from proximal to distal.
For example, in cases of significant scaphoid-lunate dissociation, the lunate tends to dislocate, resulting in a significantly increased load on the scaphoid. 4 Kinematics As an axial force acts across the wrist, the carpus tends to slide in the volar direction on the articular surface of the distal radius, which is inclined in the palmar/ulnar direction. The tendency to slide in the ulnar direction is resisted mainly by the palmar radiolunate and dorsal radiotriquetral ligaments. The volar arc of the radial concavity 4 Biomechanics and Kinematics of the Wrist Fig.
1982;7(3):298–305. Garcia-Elias M, Cooney WP, An KN, Linscheid RL, Chao EY. Wrist kinematics after limited intercarpal arthrodesis. J Hand Surg Am. 1989;14(5):791–9. 35 Hara T, Horii E, An KN, Cooney WP, Linscheid RL, Chao EY. Force distribution across wrist joint: application of pressure-sensitive conductive rubber. J Hand Surg Am. 1992;17(2):339–47. Harkonen R, Piirtomaa M, Alaranta H. Grip strength and hand position of the dynamometer in 204 Finnish adults. J Hand Surg Br. 1993;18(1):129–32.