![]() "All of these factors need to be carefully considered and individualized in order to achieve the best functional outcome while also minimizing risk. "The goal of treatment is to restore the previous level of function, but the appropriate treatment may vary, depending upon the patient's age and activity level, existing medical conditions, bone quality, and amount of displacement," he says. ![]() Dennison, M.D., a hand and wrist surgeon at Mayo Clinic's campus in Rochester, Minnesota. Radiographs are compared before and after reduction to assess for acceptable alignment in the cast or splint, and additional imaging, such as CT, may be used to look for other problems, such as carpal bone injury.Īlthough surgery is often considered for displaced and unstable distal radius fractures, optimal treatment depends on several factors, according to David G. The various fracture patterns and displacement of the fragments can provide a sense of fracture stability closed reduction and immobilization are then used to help determine treatment. In older adults, a large majority of distal radius fractures result from lower energy injuries such as ground-level falls, often leading to more typical extra-articular, dorsally angulated or displaced fractures. ![]() These injuries may result in fractures with metaphyseal comminution, and can, in some cases, cause extensive damage to the joint surface, fragmentation of the metaphysis, and injury to the ulna and triangular fibrocartilage. In young people, for example, distal radius fractures are often caused by high-energy trauma that involves various combinations of bending, compression, impaction and shearing.
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