Dorsal Metaphyseal Impaction in Volar Shear Fracture of the Distal Radius - Surgical Approach, Reduction Strategy and Fixation
Dorsal Metaphyseal Impaction in Volar Shear Fracture of the Distal Radius - Surgical Approach, Reduction Strategy and Fixation
1 month ago
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Finger PIP joint forced flexion, volar (palmar) dislocation and those with difficulty extending the PIP joint need to have their central slip or zone 3 extensor tendon tested. If a central slip lesion is overlooked, the patient will often develop a boutonniere deformity after 2-3 weeks. “Skier’s thumb” with an injury to the UCL with a radial and hyperextension force to the MCP joint, like landing on a ski pole can cause a “Stener lesion” where the UCL is displaced superficial to the adductor apo
2:15
Finger PIP joint forced flexion, volar (palmar) dislocation and those with difficulty extending the PIP joint need to have their central slip or zone 3 extensor tendon tested. If a central slip lesion is overlooked, the patient will often develop a boutonniere deformity after 2-3 weeks. “Skier’s thumb” with an injury to the UCL with a radial and hyperextension force to the MCP joint, like landing on a ski pole can cause a “Stener lesion” where the UCL is displaced superficial to the adductor apo
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Which of the following describes a volar dislocation?a. The di... | Filo
Which of the following describes a volar dislocation?a. The di... | Filo
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Orthopaedic Trauma on Instagram: "Distal radius fracture dislocation. This is a volar Bartons fracture. It’s a fracture of the volar rim. The fragment is small, but it’s enough to cause instability. You can see the lunate is following that small fragment and has fallen off the distal radius, and dislocated. ‼️ These need surgery!! Non-operative treatment is usually unsuccessful and it’s hard to reduce AND maintain reduction. You can see here even after a “reduction” the lulate is falling off. ⭐️
Orthopaedic Trauma on Instagram: "Distal radius fracture dislocation. This is a volar Bartons fracture. It’s a fracture of the volar rim. The fragment is small, but it’s enough to cause instability. You can see the lunate is following that small fragment and has fallen off the distal radius, and dislocated. ‼️ These need surgery!! Non-operative treatment is usually unsuccessful and it’s hard to reduce AND maintain reduction. You can see here even after a “reduction” the lulate is falling off. ⭐️
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