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Triangular fibrocartilage complex tear
7%
110/1521
Open injury
1%
12/1521
Ipsilateral radial head fracture
4%
64/1521
Time to reduction
17/1521
Severity of initial displacement
86%
1305/1521
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Several factors have been associated with re-displacement following closed manipulation of a distal radius fracture: the initial displacement of the fracture (the greater the degree of displacement, particularly radial shortening), the age of the patient (older patients with osteopenic bones displace late), and the extent of metaphyseal comminution. Acceptable radiographic parameters for a healed radius in an active, healthy patient <65 years old include: radial length within 5mm of the contralateral wrist, dorsal tilt <10 degrees, intraarticular step-off of less than 2 mm, and less than 5 degree loss of radial inclination. Figure A shows a lateral view of a distal radius fracture. Ilyas and Jupiter review the classification, treatment, and operative indications for distal radius fractures in the referenced review article.
3.6
(27)
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