Distale Radiusfraktur

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• 作者：R. Lippisch ; B. Lucas ; J. P. Schüttrumpf ; S. Piatek…
• 关键词：SchlüsselwörterFixateur externe ; Plattenosteosynthese ; Rehabilitation ; Röntgen ; Operation
• 刊名：Trauma und Berufskrankheit
• 出版年：2016
• 出版时间：September 2016
• 年：2016
• 卷：18
• 期：5-supp
• 页码：413-420
• 全文大小：1,223 KB
• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Traumatic Surgery
  
• 出版者：Springer Berlin / Heidelberg
• ISSN：1436-6282
• 卷排序：18

文摘

Fractures of the distal radius are the most common fracture types. Preclinically, immobilization is essential. Typical collateral injuries are injuries of the processus styloides ulnae, the triangular fibrocartilage complex, scapholunate lesions or carpal fractures. At the emergency department, the primary goal is diagnosis, reduction and immobilization with a dorsoradial splint. In addition to normal x‑ray, computed tomography, nuclear magnetic resonance imaging, and arthroscopy are important for the diagnosis of complex fractures and collateral wrist injuries. If the fracture is stable without displacement, conservative therapy with x‑ray control at specific intervals is possible. In case of primary instability or secondary displacement, surgery is indicated and, depending on the morphology, may include osteosynthesis using k‑wires, plates, screws or external fixator. Although surgery results in anatomical repositioning, there is no evidence for a better clinical outcome. However, rehabilitation is able to optimize the outcome if there is good communication between the physician and physical therapist. Rehabilitation includes early physiotherapy, massages and lymph drainage. In case of complex problems, inpatient rehabilitation treatment may be indicated.