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Related Experiment Videos

Wrist fractures.

Douglas P Hanel1, Marci D Jones, Thomas E Trumble

  • 1Department of Orthopaedics and Sports Medicine, Section of Hand and Microvascular Surgery, University of Washington, Harborview Medical Center, 325 Ninth Avenue, Seattle, WA 98104-2499, USA. dhanel@u.washington.edu

The Orthopedic Clinics of North America
|February 8, 2002
PubMed
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Achieving a well-reduced wrist fracture leads to predictable healing. Surgical decisions, particularly the choice of reduction technique, are more critical than fixation devices for successful wrist fracture outcomes.

Area of Science:

  • Orthopedic Surgery
  • Traumatology
  • Hand and Wrist Surgery

Background:

  • Wrist fractures are common injuries with significant functional implications.
  • Numerous treatment methods and fixation devices have been developed for wrist fractures.
  • Predictable outcomes depend on achieving optimal fracture reduction and healing.

Purpose of the Study:

  • To emphasize the importance of a reproducible closed reduction maneuver in assessing wrist fracture severity.
  • To highlight the critical role of surgical decision-making in achieving successful wrist fracture treatment outcomes.
  • To underscore the significance of addressing distal radioulnar joint (DRUJ) stability during fracture management.

Main Methods:

  • A well-defined and reproducible closed reduction maneuver is proposed as a key diagnostic tool.

Related Experiment Videos

  • This maneuver assesses critical fracture characteristics including articular stepoff, metaphyseal comminution, and DRUJ integrity.
  • Evaluation of the volar ulnar corner of the radius is integral to the maneuver.

    • Main Results:

    • The closed reduction maneuver effectively determines the integrity of the volar ulnar corner and identifies articular stepoff.
    • Assessment of metaphyseal comminution and distal radioulnar joint (DRUJ) stability is facilitated by this maneuver.
    • Reduction of the radius often obviates the need for direct intervention on ulnar head or styloid fractures.

    Conclusions:

    • The choice between open and closed reduction is often guided by the findings of the closed reduction maneuver.
    • Reconstruction of subluxed or dislocated DRUJ primarily involves radius reduction.
    • Successful treatment outcomes for wrist fractures are predominantly determined by the surgeon's decision-making regarding the reduction strategy, rather than the specific fixation method employed.