• Title/Summary/Keyword: Distal Radius Fracture

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Acute Rupture of Extensor Pollicis Longus Tendon after Distal Radius Fracture: A Case Report (요골 원위부 골절 후 발생한 급성 장무지 신전건 파열 -1예 보고-)

  • Hwang, Jung Chul;Chung, Duke Whan
    • The Journal of Korean Orthopaedic Ultrasound Society
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    • v.4 no.1
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    • pp.24-27
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    • 2011
  • Late rupture of the extensor pollicis longus (EPL) tendon is an occasional complication following a distal radius fracture. Early rupture of the EPL tendon as a complication of distal radius fracture is rare. We report one case of early rupture of the EPL tendon after distal radius fracture.

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The Clinical Effect of Rehabilitation Protocol for Distal Radius Fracture in Korean Medicine: A Report of 3 Cases (원위 요골 골절에 대한 한방 재활치료 프로토콜 적용의 임상적 효과: 증례 보고)

  • Ha, Won-Bae;Geum, Ji-Hye;Koh, Nak-Yong;Lee, Jung-Han
    • Journal of Korean Medicine Rehabilitation
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    • v.28 no.3
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    • pp.97-106
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    • 2018
  • The objective of this study was to propose a rehabilitation protocol for distal radius fracture in Korean Medicine and to report its effectiveness. Three patients who had undergone distal radius fracture were treated using the rehabilitation protocol in Korean Medicine. We estimated the outcome evaluating physical examination findings of the wrist joint, numeric rating scale and quick the Disabilities of the Arm, Shoulder and Hand (DASH) score. After the treatment, we observed that wrist movement, numeric rating scale and quick DASH score were improved. A rehabilitation in Korean Medicine can be effectively used for distal radius fracture patients. The limitation of this study was the insufficient number of cases. Further studies are needed to design a rehabilitation protocol in Korean Medicine.

Delayed Rupture of Flexor Pollicis Longus by Plate for Fracture of the Distal Radius (요골골절에 사용된 금속판에 의한 장무지 굴곡건의 지연성 파열)

  • Hwang, So-Min;Ahn, Sung-Min;Oh, Kyoung-Seok;Kim, Jin-Hyeong;Lee, Jun-Ho
    • Archives of Plastic Surgery
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    • v.35 no.6
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    • pp.751-754
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    • 2008
  • Purpose: Delayed rupture of flexor pollicis longus as a sequelae of the plate inserted for distal radius fracture is a very rare. This is the first case reported and published in Korea. Methods: A 48 years old female patient visited hospital, complaining flexor disturbance of interphalangeal joint of left thumb, which suddenly occurred without any external wound. We found that she had received operation of fixing plate for fracture of left distal radius 10 years ago. As operational opinion, we have checked that flexor pollicis longus tendon has been ruptured with oblique ways being stimulated by extended plate to palmar side over long period. Results: Authors performed tenorrhaphy of flexor pollicis longus without tendon graft and presented a successful active flexion of the left thumb interphalangeal joint 1 year after the operation. Conclusion: If the extruded part of the end plate is observed during the operation or follow-up, it is considered to be necessary to get rid of the plate as early as possible after the fracture healing.

Risk Factors in Stability after Immobilization of the Distal Radius in Unstable Fractures in Children (소아 요골 원위부 불안정 골절의 캐스트 후 안정성에 영향을 미치는 요소)

  • Shin, Yong-Woon;Sohn, Jong Min;Park, Sang-Yoon
    • Journal of the Korean Orthopaedic Association
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    • v.56 no.3
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    • pp.215-223
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    • 2021
  • Purpose: Distal radius fractures in youth are treated conservatively in most cases, but there are some cases of redisplacement in the follow-up period after cast immobilization, even after complete reduction. This study examined the risk factors of redisplacement in reduced unstable distal radius fractures. Materials and Methods: From February 2011 to June 2018, 44 unstable distal radius fractures were managed with a closed reduction and cast immobilization. The patients were aged between 6 and 14 years. The cases of redisplacement were analyzed with the fracture characteristics (fracture obliquity, fracture level ratio, ulnar fracture combined), cast qualities (gap index, cast index, 3 point index, and radius-2nd metacarpal angle) and host factors (age, sex). Results: The mean angulation in the union was 9.2° (0°-32.8°). In the categorical grouping 29 cases were within 10° angulation, and 15 cases were more than 10°. No significant differences in the factors of the cast indices or host factors were noted. The meaningful factor was the fracture level calculated by the relative width of the fracture site divided by the sum of width of diaphysis and epiphysis (p=0.001) and combined ulnar fracture (p=0.019). Conclusion: Unstable distal radius fractures should be treated with more stubborn guidelines lest the fracture loses its anatomical alignment. In particular, in patients with less remodeling power, operative treatment would secure a better result if the fracture occurs in a more proximal location.

Ultrasonographic Diagnosis of Extensor Tenosynovitis Caused by Dorsal Screw Prominence after Volar Plate Fixation of Distal Radius Fracture: Case Report (원위 요골 골절의 수장측 금속판 고정술 후 발생한 신전건 활막염에 대한 초음파를 이용한 진단: 증례 보고)

  • Lim, Tae Kang;Kim, Sang Yeol;Kang, Hong Je;Hah, Dae Ho
    • The Journal of Korean Orthopaedic Ultrasound Society
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    • v.6 no.2
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    • pp.60-64
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    • 2013
  • After volar locking plating of distal radius fracture, complications arising from unrecognized dorsally prominent screws penetrating the extensor compartments are increasingly reported. However, standard radiography and fluoroscopy may not adequately visualize screw lengths, because of complex shape of dorsal cortex of the distal radius. We presented case of ultrasonography diagnosis of extensor tenosynovitis caused by dorsal screw prominence after volar plate fixation of distal radius fracture.

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The Clinical usefulness of the tangential projection view of Radius groove after Distal Radius Fracture operation using the T-type Plat (전방 잠금형 금속판을 이용한 요골 원위부 골절수술 후 요골구 접선방향 촬영법의 임상적 유용성)

  • Seo, Sun-Youl;Cho, Jeong-Hee;Han, Man-Seok;Kim, Tae-Hyung;Yoo, Se-Jong;Kim, Yong-Kyun;Han, Dong-Kyoon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.6
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    • pp.2760-2766
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    • 2013
  • Introduction : The projection method to check existence and nonexistence of radius groove penetration of screw after distal radius fracture operation clinical using the T-type plate and the radiation of radial groove tangential is to propose a new test. Material and Methods : On the tangential projection view of radius groove, elevation angle of distal radius is 2.5, 5, 7.5, 10 degree. and forearm and radiation detector of angle is 60, 70, 80, degree each changed. that analyzed check existence and nonexistence of radius groove penetration of screw. Results : For the image of Radial groove tangential. the case of not radius groove penetration of screw(63.95%, n=55), medial penetration of radius groove(10.47%, n=9) or lateral penetration of radius groove(25.58%, n=22) was analysis. The radius groove penetrating of screw length was a range of 0.43 ~ 2.72mm, the average was 1.06mm. the check existence and nonexistence of radius groove penetration of medial or lateral was analysis that it accurate for the image of Radial groove tangential. the radiography of radial groove is well described elevation angle of distal radius 2.5 to 7.5 degree(90% over), forearm and radiation detector of angle 70degree(80%over) Conclusion : It is elevation angle of distal radius is 5degree, forearm and radiation detector of angle 70degree recommended.

Development of the External Fixator for a Bone Fracture (골절치료용 체외고정기기 개발을 위한 연구)

  • 윤희열;한정수;한창수
    • Journal of Biomedical Engineering Research
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    • v.23 no.4
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    • pp.317-322
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    • 2002
  • In this paper, the problems of the external fixator that have developed for a distal radius fracture so far are analyzed, and accordingly, the characterizations, which must have a prototype, are arranged. C-Arm is used. This instrument makes it possible for the real play of the internal body by x-ray permeability. From this data. it is possible to induce important design factors Finally. a basic mechanism, which has to be applied, is decided, and the Solid Edge program, which uses a 3-D design tool, completes then total instrument design.

The Tangential Projection Method for Checking Existence and Nonexistence of Radius Groove Penetration of Screw after Distal Radius Fracture Operation Used the T-type Plate (T형 금속판을 이용한 요골 원위부 골절 수술 후 나사못의 요골구 관통 유무를 확인하기 위한 접선방향 촬영법)

  • Seo, Sun-Youl;Hong, Ki-Jang;Han, Man-Seok;Kim, Yong-Kyun
    • Journal of radiological science and technology
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    • v.33 no.4
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    • pp.335-340
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    • 2010
  • This paper is about a projection method to check existence of radius groove penetration of screw after distal radius fracture operation using the T-type plate. Angle of Radius groove was analyzed by fifty one CT images that contains patients' wrist and twenty cases of radius specimens. After making radius phantom by plaster, we set the screw so that it penetrated 2.4 mm depth of radius groove. Then, we projected the phantom by X-ray in change of the elevation and supination angle of distal radius by 5 degree interval on 0~30 degree. The average value of groove angle in the wrist CT images was 14.4 degree and the radius specimens was 16.3 degree. Screws penetrating radius groove of the phantom have different lengths according to elevation angle and supination angle. Consequently, in order to confirm existence and nonexistence of radius groove penetration of the screw in tangential projection after distal radius fracture operation using the T-type plate, we recommend 5 degree of elevation angle and 20 degree of supination angle.

Developemtn of the external fixator for a bone fracture (골절치료용 체외고정기기 개발을 위한 연구)

  • 윤희열
    • Proceedings of the Korean Society of Machine Tool Engineers Conference
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    • 2000.04a
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    • pp.310-315
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    • 2000
  • In this paper, the problems of the external fixator that have developed for a distal radius fracture so far are analyzed, and accordingly, the characterizations, which must have a prototype, are arranged. C-Arm is used. This instrument makes it possible for the real play of the internal body by x-ray permeability. From this data, it is possible to induce important design factors. Finally, a basic mechanism, which has to be applied, is decided, and the Solid Edge program, which used a 3-D design tool, completes then total instrument design.

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