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Step, shift, short - a simple treatment algorithm for the initial management of distal radial fractures
Nick A Johnson1,2, Joseph J Dias1
1Academic Team of Musculoskeletal Surgery, University Hospitals of Leicester NHS Trust, Leicester, UK.
None:
Distal radial fractures are common, but questions remain regarding their optimum management. We describe a simple three-step management algorithm based around assessment and treatment of articular step, alignment, and length.
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Fractures: Bone Repair
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
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Assessment:
1. Clinical Evaluation:
History:
Assessment of radial pulse
The radial pulse, located at the wrist, is often the preferred site for assessing peripheral pulse because of its accessibility and dependability. The process of determining the radial pulse involves several steps: