Intra-articular fractures of the distal radius are more challenging to treat than extra-articular fractures. Optimal treatment is achieved when the pattern of injury is recognized and its component parts are adequately addressed. The importance of the final articular surface alignment has received substantial emphasis, but extra-articular alignment, the overall complexity of the injury, associa...

abstract background: with increasing knowledge concerning fractures of the distal radius, different classifications have been proposed. reliability of most of these classifications has been assessed. the fernandez classification has never been assessed for intraobserver and interobserver reliability, although this classification is commonly used. methods: five observers including one attending ...

The dominant finite-Larmour-radius (FLR) stabilization effects on interchange instability can be retained by taking into account the ion gyroviscosity or the generalized Ohm's law in an extended MHD model. However, recent simulations and theoretical calculations indicate that complete FLR stabilization of the interchange mode may not be attainable by ion gyroviscosity or the two-fluid effect al...

Malunion of a distal radius fracture may result in functional limitation and pain. Reestablishing the geometry of the metaphysis and the alignment of the articular surface, restoring the relationship at the distal radioulnar joint, and respecting the soft-tissue envelope are elements of a successful reconstruction. The author describes a systematic approach to evaluation and treatment, includin...

BACKGROUND Up to 30% of patients suffer from long-term functional restrictions following conservative treatment of distal radius fractures. Whether duration of cast immobilisation influences functional outcome remains unclear. METHODS/DESIGN The aim of the study is to evaluate whether the duration of immobilization of non or minimally displaced distal radial fractures can be safely reduced. W...

There is still debate about the proper treatment of completely displaced metaphyseal fractures of the distal radius in children. Although historically these fractures were treated by closed reduction and casting, some authors have reported that up to 25% of these injuries re-displaced early in the cast despite good initial reduction. Since 2000 we have used closed reduction and percutaneous sta...

Although distal radius fractures are in the centre of orthopedic surgeons' attention, the rate of unsatisfactory treatment results remains very high. This study evaluates the analytical approach to distal radius fracture treatment. We observed 59 patients divided into 4 groups according to a modified Fernandez classification, regarding the patomechanism of injury: 1. bending extraarticular frac...