![]() Decreased radial height and inclination result in a hand that appears radially deviated with increased prominence of the ulnar head. After fracture, change from these normative values or change compared to the opposite uninjured radius is assessed and often guides the decision to pursue operative treatment versus non-operative immobilization. Several measurements describe the normal distal radius: height (radius styloid 12-mm longer than the ulnar corner of the lunate facet), lateral tilt (11 degrees volar), inclination (22°), and length relative to the ulna (neutral variance). The distal radius has three articular facets, the scaphoid facet, lunate facet, and sigmoid notch articulating with the scaphoid, lunate, and distal ulna, respectively. We will discuss all of these components as they pertain to the treatment of distal radius fracture in athletes. The most common question for athletes, and perhaps the most difficult to answer, is predicting the timing of return to play. Currently, the most common surgical procedure for distal radius fractures in adults is volar plating with locking screws, but the specific procedure should be tailored to the individual patient. This is an important decision for athletes with stable fractures who desire to return to play but remains primarily based on the fracture severity and displacement, patient age, and the timing of the fracture relative to the sport season. Next, the determination of operative versus non-operative treatment must be made. First, the fracture must be stabilized and any secondary injuries evaluated. However, the overall principles in management remain the same. Perhaps because this group represents only 12.5% of adult distal radius fractures in adults, literature guiding their treatment is limited. ![]() The incidence of distal radius fracture is heightened in sports that risk high energy falls onto the hand or direct impact to the hand or wrist. Athletes in particular have better bone quality when compared to age-matched controls, but they typically sustain fractures after higher impact falls than those in the more sedentary population. The athlete presenting with a distal radius fracture tends to be both younger and healthier than the average patient presenting with a distal radius fracture. Distal radius fracture in young patients usually occurs in the setting of play or sports and accounts for 23% of all sports-related fractures in adolescents. In the older adult, osteoporosis and poor postural stability are associated with these fractures after falls onto an outstretched hand. ĭistal radius fractures occur in a bimodal distribution with the highest frequency in youths under the age of 18 and a secondary peak in adults over 50 years old. Worldwide, the incidence of distal radius fractures has increased over the past 40–50 years, almost doubling in certain populations. Bone densitometry.Distal radius fractures are the most common upper extremity fracture in patients in the USA, accounting for 0.7–2.5% of emergency department visits. The pediatric polytrauma patient: current concepts. Buckle fractures of the distal radius in children. Fractures in children.īen-yakov M, Boutis K. Short arm cast: Casting immobilization series for primary care. Garcia-rodriguez JA, Longino PD, Johnston I. Outcomes of long-arm casting versus double-sugar-tong splinting of acute pediatric distal forearm fractures. Levy J, Ernat J, Song D, Cook JB, Judd D, Shaha S. ![]() Buckling down on torus fractures: has evolving evidence affected practice?. Williams BA, Alvarado CA, Montoya-williams DC, Matthias RC, Blakemore LC. Epidemiology of Pediatric Fractures Presenting to Emergency Departments in the United States. Naranje SM, Erali RA, Warner WC Jr, Sawyer JR, Kelly DM. Greenstick Fractures.Īmerican Academy of Pediatrics.
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