Orthoteers homepage Advertise on Orthoteers
Orthoteers Junior Orthoteers Orthopaedic Biomechanics Orthopaedic World Literature Society Educational Resources Image Gallery About Orthoteers Orthoteers Members search

Indications for Reduction in Distal Radius Fractures

David L. Nelson, MD

This paper is based on a presentation given at the AAOS Summer Institute, San Diego, September, 1996, and at the International Distal Radius Fracture Conference, San Francisco, May 8-10, 1998. It has last been updated on 12/30/99.

Many authors suggest that distal radial fractures be reduced anatomically, but few of them define what "anatomical" means, to the frustration to the student of distal radial fractures. This is a review of the scientific literature, both laboratory and clinical, with respect to what "anatomical" really means. Four different but interrelated characteristics have been examined.

A VOLAR TILT     [Back To Top] 


a Short, Palmer, Werner (1987, JHS)
    • method: six cadavers, pressure-sensitive film, examine loads
    • results: 10° dorsal tilt caused a statistically significant change in the area of maximum load, moved load more dorsally, and load was more concentrated
b Pogue, Viegas, Patterson, et al. (1990, JHS)
    • method: five cadavers, pressure-sensitive film, examine contact areas and pressures
    • results: >25° volar tilt or >15° dorsal tilt caused a shift in the scaphoid and lunate high pressure areas and the load were more concentrated

This is a preview of the site content. To view the full text for this site, you need to log in.
If you are having problems logging in, please refer to the login help page.

© 2005-2007 Orthoteers.co.uk - last updated by Len Funk on 05 April 2005Medical Merketing and SEO by Blue Medical 
Biomet supporting orthoteersThe British Orthopedic Association supporting OrthoteersOrthoteers is a non-profit educational resource. Click here for more details
Specific Nerve Injuries & Tendon Transfers
Acute Wrist Trauma
Advances in Distal Radius Fracture ...
Algorithm for distal Radius fractur...
Anatomy & Pathophysiology
Aphert Syndrome
Carpometacarpal arthritis of the th...
Chronic Wrist Pain
Colle's Type Fracture Manipulation
Compressive Neuropathies
Congenital Hand Disorders
Distal Radius Fractures
Dupuytren’s - Related Research
Dupuytren's Disease
Hand - Tendon Transfers
Hand Fractures
Hand Infections
Hand Syllabus for FRCS (Tr & Orth)
Hand Trauma & Compartment Syndrome
Hand Tumours
Indications for Reduction in Distal...
Inflammatory Arthritis
Jules Tinel
Kienbock's Disease
Nerve Injuries - Principles
Replantation & Microsurgery
Scaphoid Fractures
Scapholunate Ligament Rupture
Tendon Injuries
Tendon Transfer - Principles
Ulnar Nerve Palsy Signs
Vascular Disorders
Wrist Arthroscopy
Wrist Instability
Wrist Osteoarthritis
Hide Menu