Orthopedics Book

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Distal Radius Fracture

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  1. Signs
    1. Fracture 2 to 3 cm above the wrist joint
  2. Management
    1. See Colles Fracture management
    2. Non-displaced distal radius Fracture (torus Fracture)
      1. Immobilize in a short arm cast for 3 weeks
    3. Displaced and overlapping Distal radius Fracture
      1. Ulna Fracture also
        1. See Colles Fracture management
      2. Ulna greenstick Fracture
        1. Complete ulna Fracture for adequate reduction
        2. Manage as Colles Fracture
      3. Ulna intact or greenstick Fracture
        1. Do not re-Fracture
        2. Reduction may be quite difficult
          1. Maximally supinate wrist
          2. Digital pressure to replace the distal radius
        3. Alignment is paramount
          1. Re-align as best as possible
        4. Apposition is secondary to alignment
          1. Bayonet apposition is acceptable

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