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$Distal radius fracture classification$

$distal radius fracture classification$

#Distal radius fracture classification driver#

Objetivos: Descrição do método de Classificação IDEAL - para as fraturas da extremidade distal do rádio. Keywords - Distal Radius Fractures Classification Systems Description Further studies are under development to support these properties. The evidence of its scientific plausibility will be settled with the assessment of the classification reliability and its capacity to aid in therapeutical decisions and as a tool to predict prognosis. Conclusion: IDEAL classification staging rationale was presented, which is based on the best available evidence. Group III - complex and instable fractures, poor outcome is expected. Prognosis depends on surgeons' success after method choice. Group I - Stable fractures, good prognosis Group II - potentially unstable fractures, commonly treated by surgical methods. For each feature a score is attributed for grouping purposes.

$distal radius fracture classification$

In this method, we classify the fracture in patients first consultation, in which we collect demographical (age and trauma energy) and radiographic characteristics ( fracture deviation, articular fracture, and associated lesions). Methods: IDEAL classification system is based on the most important literature evidences about clinical and radiographic characteristics that influence in the treatment and prognosis for patients that suffered from a distal radius fractures. It is interesting to note that the word chauffeur comes from the French for "someone who warms" the car engine.ABSTRACTObjectives: To describe the new IDEAL method from classifying distal radius fractures.

#Distal radius fracture classification driver#

It is also known as backfire fracture or lorry driver fracture 1. Its other names derive from the typical occupation of people who sustained this injury due to direct trauma from starting a car with a crank. It was originally named by British surgeon Jonathan Hutchinson (1828-1913).

ulnar styloid fracture: equates to a Frykman type IV fractureĪlthough these fractures are often undisplaced, they are relatively unstable and often benefit from percutaneous lag-screw fixation 6.

scapholunate dissociation: this is especially true when the fracture line involves the articular surface near the scapholunate interval 7.

Although often the fracture is undisplaced 5, depending on how sagittal the fracture orientation is, variable proximal migration of the fracture occurs, with an articular step which comes into contact with the scaphoid 4.Ī number of associated injuries are frequently encountered and may significantly impact on management: The fracture extends proximally in a variable oblique direction (from essentially transverse to almost sagittal) from the distal radial articular surface through the lateral cortex of the distal radius, thus separating the radial styloid from the rest of the radius 4,5. Chauffeur fractures are considered type III fractures. Along with other distal radial fractures, the AP film can also be used to classify these fractures according to the Frykman classification of distal radial fractures. Plain films usually suffice in the assessment of chauffeur fractures. The latter occurs as the scaphoid forcibly impacts upon the radial styloid and can be considered an avulsion fracture with the radiocarpal ligaments remaining attached to the radial styloid 7. The former accounts for its name trying to start an old-fashioned car with a hand crank sometimes resulted in the crank rapidly spinning backward (backfire) out of the driver's grasp and striking the back of the wrist 5. These injuries are sustained either from direct trauma typically a blow to the back of the wrist or from forced dorsiflexion and abduction.

$Distal radius fracture classification$