Tomographic Mapping of Patients with Distal Radius Fracture

Authors

  • Paulo Henrique Paladini-Filho Médico Residente em Cirurgia da Mão do Departamento de Ortopedia e Anestesiologia, Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo (USP), 14049-900 Ribeirão Preto -SP, Brasil
  • Laura Machado Barbosa Junqueira Médica Residente em Ortopedia e Traumatologia do Departamento de Ortopedia e Anestesiologia, Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo (USP), 14049-900 Ribeirão Preto -SP, Brasil
  • Marcel Teiitiro Sugohara Tanaka Médico Residente em Ortopedia e Traumatologia do Departamento de Ortopedia e Anestesiologia, Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo (USP), 14049-900 Ribeirão Preto -SP, Brasil https://orcid.org/0009-0003-1035-5075
  • Felipe Gonzales Gimenes Médico Residente em Ortopedia e Traumatologia do Departamento de Ortopedia e Anestesiologia, Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo (USP), 14049-900 Ribeirão Preto -SP, Brasil https://orcid.org/0009-0006-3645-5818
  • Alisson Augusto Muraro dos Reis Cirurgião da Mão, formado no Serviço de Cirurgia da Mão do Hospital das Clínicas, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo (USP), 14049-900 Ribeirão Preto -SP, Brasil
  • Sara Dadona Correia Serrano Médica Assistente da Divisão de Cirurgia da Mão, Microcirurgia e do Membro Superior do Complexo HC-FMRP-USP Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo (USP), 14049-900 Ribeirão Preto -SP, Brasil
  • Luis Guilherme Rosifini Alves Rezende Professor e Responsável pela Divisão de Cirurgia da Mão, Microcirurgia e Reconstrução do Membro Superior do Departamento de Ortopedia e Anestesiologia, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo (USP), 14049-900 Ribeirão Preto -SP, Brasil https://orcid.org/0000-0002-2037-0135

DOI:

https://doi.org/10.21270/archi.v13i5.6369

Keywords:

Radius Fractures, Anatomy, Tomography, Wrist Fractures

Abstract

Introduction. Fracture of the distal radius is one of the most common fractures in hospital care. It presents different patterns according to age group, sex and trauma energy, giving the epidemiological bimodal aspect. Comminuted distal radius fractures present greater complexity, modifying the management and prognosis. This study aims to perform tomographic mapping of distal radius joint fractures. Methods. A retrospective study based on medical records and imaging exams of patients submitted to surgical management for distal radius fractures in a tertiary hospital. Comminutions were divided into types according to the Medoff Classification. Results: Type 1 comminution occurred in 45.8% of cases, type 2 in 79.2%, type 3 in 16.7%, type 4 in 31.3% and type 5 comminution in 93.8% of fractures. There was a statistical difference between the female sex and comminution due to impaction in the intra-articular central fragment (p=0.009; Chi-Square test). Conclusion: the biomechanical understanding of the articular lines or lines of distal radius fractures and their deviation pattern showed a statistical difference for comminution in the central impaction fragment in women. However, our study could not explain the relationship between comminution in the radial column and involvement in the distal radioulnar joint.

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Published

2024-05-25

How to Cite

Paladini-Filho, P. H., Junqueira, L. M. B., Tanaka, M. T. S., Gimenes, F. G., Reis, A. A. M. dos, Serrano, S. D. C., & Rezende, L. G. R. A. (2024). Tomographic Mapping of Patients with Distal Radius Fracture. ARCHIVES OF HEALTH INVESTIGATION, 13(5), 1616–1621. https://doi.org/10.21270/archi.v13i5.6369

Issue

Vol. 13 No. 5 (2024)

Section

Original Articles