radius fracture 桡骨远端骨折ppt课件.pptx

?Fracture of Distal Radius;Outline;Epidemiology;Anatomy;volar radial tuberosity;PQ = Pronator Quadratus Line, or PQ LineWS = Watershed Line,X = Volar Radial TuberosityVR = Volar Radial Ridge? ?;;;;;;80% of the load is taken on the distal radius and 20% of the load is taken on the TFCC; DIC=dorsal intercarpal ligament DRC=dorsal radiocarpal ligament;;;;Radiographic Assessment;X-ray ; 正面切线位（11°）;CT;CT;MRI;Arthroscopy ;Classification ;Colles fracture is an extraarticular low energy fracture primarily sustained in the elderly, a fracture almost unique to caucasian women. ;Smith’s fracture 1847;The classic Bartons fracture describes the dorsal rim fracture subluxation, a shear-type injury. John Rhea Bartons addresses the difference between a true dislocation and this fracture: a dislocation typically has no crepitus, and once reduced tends to remain that way;Die punch;A case report ;Chauffeurs fracture;Salter-Harris Classification (1963);Frykman 1967 ;Fernandez 1996;type A extra articular type B partial articular ;Medoff Anatomy Classification (1999);Five predictors of instability;Treatment options;Treatment of Type C3 Distal Radius Fracture;Guidelines for Reduction of Distal Radial Fractures ;Functional Evaluation;Analysis of Complications;A Case Report ;?Irritation or Rupture of Volar Tendons due to Prominent Plates or Backing Out of Distal Screws;Ulnocarpal Impaction Syndrome;Nerve Injury Is Also A Possibility;Intraoperative view with the screw tip impinging on the posterior interosseous nerve;Screws into Radiocarpal Joint;Non-union;Complex Regional Pain Syndrome;;Consensus - 3;Moderate - 5;14 Inconclusive Results ;Operative treatment for patients over age 55 with distal radius fractures Locking plates in patients over the age of 55 who are treated operatively Immobilization of the elbow in patients treated with cast immobilization Using of bone graft (autograft or allograft) or bone graft s