Nonunion of distal radial fractures associated with distal ulnar shaft fractures: A report of four cases

被引:40
作者
McKee, MD
Waddell, JP
Yoo, D
Richards, RR
机构
[1] UNIV TORONTO,ST MICHAELS HOSP,UPPER EXTREM RECONSTRUCT SERV,DIV ORTHOPAED,TORONTO,ON M5B 1W8,CANADA
[2] UNIV TORONTO,ST MICHAELS HOSP,ORTHOPAED TRAUMA SERV,DIV ORTHOPAED,TORONTO,ON M5B 1W8,CANADA
关键词
distal radius; nonunion; associated distal ulnar shaft fracture; wrist arthrodesis;
D O I
10.1097/00005131-199701000-00015
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Although complications following distal radial fractures are common, nonunion is rare. We report four cases of radial nonunion following distal radial fractures that occurred in elderly women after low-energy falls. The distinctive feature of these injuries was the presence of an associated distal ulnar shaft fracture. All patients had initial closed reduction and cast immobilization, which was unsuccessful. Reconstruction was complicated by deformity, disuse osteoporosis, radiocarpal stiffness, and distal radioulnar joint disruption. Wrist arthrodesis improved function and decreased pain and deformity in three patients. Metaphyseal distal radial fractures associated with distal ulnar shaft fractures represent an unstable injury pattern, and closed reduction and casting may not be adequate treatment. Once established nonunion is present, wrist arthrodesis is a useful salvage procedure.
引用
收藏
页码:49 / 53
页数:5
相关论文
共 16 条
[1]
COLLES FRACTURE - A STUDY OF 2000 CASES FROM THE NEW YORK STATE WORKMENS COMPENSATION BOARD [J].
BACORN, RW ;
KURTZKE, JF .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1953, 35-A (03) :643-658
[2]
DIAGNOSIS AND PREVENTION OF NON-UNION [J].
BRASHEAR, HR .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1965, A 47 (01) :174-&
[3]
EXTERNAL PIN FIXATION FOR UNSTABLE COLLES FRACTURES [J].
COONEY, WP ;
LINSCHEID, RL ;
DOBYNS, JH .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1979, 61 (06) :840-845
[4]
COMPLICATIONS OF COLLES FRACTURES [J].
COONEY, WP ;
DOBYNS, JH ;
LINSCHEID, RL .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1980, 62 (04) :613-619
[5]
FRYKMAN GOSTA, 1967, ACTA ORTHOP SCAND SUPPL, V108, P1
[6]
HAMADA G, 1990, J HAND SURG-BRIT, V15, P121
[7]
NONUNION OF COLLES FRACTURE - REPORT OF 2 CASES [J].
HARPER, WM ;
JONES, JM .
JOURNAL OF HAND SURGERY-BRITISH AND EUROPEAN VOLUME, 1990, 15B (01) :121-123
[8]
HUGHSTON JC, 1949, J BONE JOINT SURG AM, V39, P755
[9]
FRACTURES OF BOTH BONES OF THE FOREARM IN ADULTS [J].
KNIGHT, RA ;
PURVIS, GD .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1949, 31-A (04) :755-764
[10]
PALMER AK, 1988, OPERATIVE HAND SURGE, P991