Distal Radius Fractures-What Every Hand Surgeon Should Know About Distal Radius Fractures (AM15 Instructional Course)

What Every Hand Surgeon Should Know About Distal Radius Fractures (AM15 Instructional Course)

Video Transcription

Video Summary

In this video, a panel of hand surgeons discuss the treatment options for two different distal radius fractures. The first case involves a 22-year-old female with a closed injury. The panel members discuss their approach to evaluating the x-rays and determining the stability of the fracture. They also discuss different treatment options, including percutaneous pinning, casting, and volar plate fixation. The panel acknowledges that there is no one-size-fits-all approach and that individual patient factors should be considered in determining the best treatment option. In the second case, a 61-year-old female presents with a closed injury resulting from a fall downstairs. The panel members discuss the need for additional diagnostic studies, such as a CT scan, and the benefits and limitations of volar plate fixation and dorsal plating. They also mention the use of spanning plates as a bailout option. The panel concludes that there is no definitive answer and the choice of treatment depends on the specific characteristics of the fracture and the patient. They also discuss the use of external fixation and arthroscopic-assisted reduction in certain cases. Overall, the panel provides insight into their thought process and considerations when treating distal radius fractures.

Keywords

hand surgeons

distal radius fractures

treatment options

closed injury

fracture stability

percutaneous pinning

casting

volar plate fixation

patient factors

diagnostic studies