distal radial fracture
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Etiology
- falls in the elderly (falling on an outstretched hand)
Radiology
Differential diagnosis
- scaphoid fracture (falling on an outstretched hand)
Management
- 4 treatment strategies[5]
- volar locking plates
- external fixation
- percutaneous pinning
- casting (orthopedic cast)
- in older patients, surgical treatment with volar-locking plates provided no advantage over nonsurgical treatment at 12 months[4]
- no differences in 24-month outcomes based on treatment
- patients with unstable distal radius fractures managed with casting can havegood outcomes despite malunion, while avoiding risks of surgery[5]
Notes
- OsteoDetect software uses artificial intelligence algorithm for aiding providers in detecting wrist fractures[2]
- artificial intelligence improves detection of wrist fracturea in the emergency department[3]
More general terms
More specific terms
- Colles' fracture (distal radius fracture)
- intra-articular distal radial fracture
- radial styloid fracture; perilunate fracture dislocation
- Smith's fracture (reverse Colle's fracture)
Additional terms
References
- ↑ Wikipedia: Distal radius fracture http://en.wikipedia.org/wiki/Distal_radius_fracture
- ↑ 2.0 2.1 FDA News Release. May 24, 2018 FDA permits marketing of artificial intelligence algorithm for aiding providers in detecting wrist fractures. https://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm608833.htm
- ↑ 3.0 3.1 Lindsey R, Daluiski A, Chopra S et al. Deep neural network improves fracture detection by clinicians. Proc Natl Acad Sci U S A 2018 Oct 22 PMID: https://www.ncbi.nlm.nih.gov/pubmed/30348771 Free Article
- ↑ 4.0 4.1 The Combined Randomised and Observational Study of Surgery for Fractures in the Distal Radius in the Elderly (CROSSFIRE) Study Group. Surgical Plating vs Closed Reduction for Fractures in the Distal Radius in Older PatientsA Randomized Clinical Trial. JAMA Surg. Published online January 13, 2021 PMID: https://www.ncbi.nlm.nih.gov/pubmed/33439250 https://jamanetwork.com/journals/jamasurgery/fullarticle/2775060
- ↑ 5.0 5.1 5.2 Chung KC, Kim HM, Malay S et al Comparison of 24-Month Outcomes After Treatment for Distal Radius Fracture. The WRIST Randomized Clinical Trial. JAMA Netw Open. 2021;4(6):e2112710. June 17 PMID: https://www.ncbi.nlm.nih.gov/pubmed/34137830 https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2781183
- ↑ 6.0 6.1 Abraham MK, Cimino-Fiallos N Falls in the Elderly: Causes, Injuries, and Prevention. Medscape. Nov 23 2022 https://reference.medscape.com/slideshow/falls-in-the-elderly-6012395