지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
초록· 키워드
오류제보하기
Distal radius fractures are a common upper extremity fracture and a considerable number of patients have a stable fracture. In the treatment of distal radius fractures, there is considerable disagreement regarding the need for a strict anatomical restoration with operation in elderly patients. Therefore, nonsurgical treatment is a still important treatment option in distal radius fractures. The radiological parameters of before or after manual reduction are important for deciding whether to perform operation or not. The radiological parameters include dorsal angulation of the articular surface, radial shortening, extent of dorsal comminution, intra-articular displacement, concomitant ulnar metaphyseal fracture, shear fracture, and fracture-dislocation of the distal radio-ulnar joint. In addition, clinical situations of patients, including age, activity level, underline disease, and recovery level, which the patients wish should be considered, comprehensively. For the duration of a splint or cast, three to four weeks are recommended in impacted or minimally displaced fractures and five to six weeks in displaced fractures. After reduction of the displaced fractures, patients should undergo a radiologicical examination every week to check the redisplacement or deformity of the fracture site until two or three weeks post trauma. Arm elevation is important for controlling fracture site swelling and finger exercises, including metacarpophalangeal joint motion, are needed to prevent hand stiffness. Active range of motion exercise of the wrist should be initiated immediately after removing the splint or cast.
목차
등록된 정보가 없습니다.
참고문헌 (37)
참고문헌 신청
Baron JA / 1996 / Basic epidemiology of fractures of the upper and lower limb among Americans over 65 years of age / Epidemiology 7:612~618
Orbay JL / 2002 / Volar fixation for dorsally displaced fractures of the distal radius: a preliminary report / J Hand Surg Am 27:205~215
Bentohami A / 2014 / Complications following volar locking plate fixation for distal radial fractures: a systematic review / J Hand Surg Eur Vol 39:745~754
Kodama N / 2014 / Acceptable parameters for alignment of distal radius fracture with conservative treatment in elderly patients / J Orthop Sci 19:292~297
Palmer AK / 1984 / Biomechanics of the distal radioulnar joint / Clin Orthop Relat Res (187):26~35
Orbay JL / 2002 / Volar fixation for dorsally displaced fractures of the distal radius: a preliminary report / J Hand Surg Am 27:205~215
Bentohami A / 2014 / Complications following volar locking plate fixation for distal radial fractures: a systematic review / J Hand Surg Eur Vol 39:745~754
Kodama N / 2014 / Acceptable parameters for alignment of distal radius fracture with conservative treatment in elderly patients / J Orthop Sci 19:292~297
Palmer AK / 1984 / Biomechanics of the distal radioulnar joint / Clin Orthop Relat Res (187):26~35
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