The partially supinated oblique PA view allows evaluation of the dorsal facet of the lunate fossa (i.e., dorsomedial facet) ( Fig. On examination, it is important to assess for any evidence of neurovascular compromise;check nerve function (see below) and limb perfusion (capillary refill time and pulses). *. Many of these problems can be prevented or mitigated by an excellent therapy program that incorporates early exercise, edema control, and instructions about the timing of activity resumption. Fractures of the distal radius represent a quarter of all fractures seen clinically. Follow-up radiographs at 1 and 2 weeks are necessary to monitor any displacement within the cast. ScienceDirect ® is a registered trademark of Elsevier B.V. ScienceDirect ® is a registered trademark of Elsevier B.V. URL: https://www.sciencedirect.com/science/article/pii/B9780323310727000105, URL: https://www.sciencedirect.com/science/article/pii/B978032303470800154X, URL: https://www.sciencedirect.com/science/article/pii/B9780123705440500446, URL: https://www.sciencedirect.com/science/article/pii/B9780124158535000327, URL: https://www.sciencedirect.com/science/article/pii/B9780702045882000255, URL: https://www.sciencedirect.com/science/article/pii/B9781416040835000585, URL: https://www.sciencedirect.com/science/article/pii/B9780323187732000093, URL: https://www.sciencedirect.com/science/article/pii/B0323033865500163, URL: https://www.sciencedirect.com/science/article/pii/B9781416040835000627, URL: https://www.sciencedirect.com/science/article/pii/B9780124170445000147, Jennifer B. If signs of instability exist at the time of pin fixation or if bone quality is very poor (and maintenance of alignment is deemed important for a given patient), consideration should be given to more stable surgical options. Click to share on Twitter (Opens in new window), Click to share on Facebook (Opens in new window), Click to share on Google+ (Opens in new window), Skeletal Trauma: Basic Science Management. dr. N.H.J. It can also happen in a car accident, a bike accident, a skiing accident or another sports activity. Uit het gesprek met de patiënten is naar voren gekomen dat goede en tijdige informatieverstrekking vanaf het begin essentieel is voor hen, zoals uitleg over de fractuur, de keuzemogelijkheden voor behandeling en de verwachte duur en het beloop van het herstel. Er werden geen significante verschillen gevonden tussen de vier groepen wat betreft bewegingsuitslag of pijn na 4 dagen follow-up (Cheing et al., 2005). zacht weefsel massage (2x/wk), 9) 15 min. In this way, earlier motion and return of function can be restored. After appropriate consultation with the attending physician, ROM and strengthening exercises for areas of the upper extremities that are not immobilized should be initiated immediately, if possible, to prevent residual stiffness in the shoulder, elbow and hand. Radiographs of the affected wrist are shown in Figure A. De patiënt vindt het belangrijk informatie te ontvangen over het te verwachten beloop van het herstel (o.a. *By definition, a Colles’ fracture also includes an avulsion fracture of the ulnar styloid, however this feature may not always be present in those described as such. It may be helpful to have as many plate designs available as possible. DRUJ dysfunction is a common complication requiring medical intervention; it also is one of the problems that most often limit the potential for therapy gains. Plate cost is a consideration in plate and plating system selection, especially in comparable situations. At approximately 10 degrees of dorsal tilt of the distal radius, the load bearing across the radiocarpal joint begins to change significantly. The initial selection of treatment options after fracture of the distal radius must be made in the context of the patient’s needs and functional requirements.