A prospective multicenter clinical study evaluated, using the Hand20 and hand diagram, the disability, incidence, location, and predictive factors of residual wrist pain 18 months after volar locking plate fixation of distal radius fracture in 122 patients. The average Hand20 score and numeric rating scores for pain were 13.1 +/- 18.2 and 2.1 +/- 23, respectively. Fifty-seven patients indicated...

Distal radial physis closure in children can develop severe wrist deformity (radial shortening). These patients can be treated using a single-step surgery. It was carried out in the form of a corrective osteotomy adopting the volar approach, with fixed-angle volar plate fixation and bone grafting from the iliac crest. There have been few descriptions of the use of this technique in the manageme...

UNLABELLED We present new developments in the volar treatment of unstable distal radius fractures in adults. New perspectives on the anatomy of the wrist, the watershed line on the volar radius and the usefulness of the pronator fossa are presented and these help to avoid flexor and extensor tendon disturbance when using a volar approach. Other new insights on the bony anatomy of the distal end...

Locked volar plating is the most common surgical procedure to address distal radius fractures. The extended flexor carpi radialis (FCR) approach continues to be an excellent method for visualizing distal radius fractures and applying a volar plate. (See Video 1, Supplemental Digital Content 1, which discusses distal radial fracture advancements and possible complications. This video is availabl...

HYPOTHESIS The aim of the present study was to assess the technical feasibility of minimally invasive volar plate removal following distal radius fracture. MATERIAL AND METHODS Three hundred and eighty-eight plates removed from 387 patients (357 females: mean age, 50 years) were assessed retrospectively. The incision used the primary minimally invasive approach and was closed after plate remo...

The recent development of advanced high-resolution transducers has enabled the fast, easy, and dynamic ultrasonographic evaluation of small, superficial structures such as the finger. In order to best exploit these advances, it is important to understand the normal anatomy and the basic pathologies of the finger, as exemplified by the following conditions involving the dorsal, volar, and latera...

PURPOSE To review the one-year outcome after volar locking plate fixation for distal radial fractures. METHODS Records of 22 men and 40 women aged 17 to 86 (mean, 52.5) years who underwent volar locking plate fixation for distal radial fractures were reviewed. According to the Fernandez classification, the distal radial fractures were classified as type 1 (n=20), type 2 (n=24), type 3 (n=6), ...

OBJECTIVE The objective of the study was to assess the outcome of Salter- Harris type III distal radius fracture fixed using the principle of buttressing and avoiding screw insertion through the physis. MATERIALS AND METHOD Eight school going children in the age group of 11-16 years with volar Barton fractures were treated with a volar plate using the buttress principle without inserting scre...