Open Access, Peer-reviewed, Quarterly
pISSN 1225-1682
eISSN 2287-9293
    J Korean Fract Soc. 2008 Jan;21(1):81-86. Korean.
    Published online Jan 31, 2008.
    https://doi.org/10.12671/jkfs.2008.21.1.81
    Copyright © 2008 The Korean Fracture Society. All rights reserved.
    Review

    Osteoporotic Distal Radius Fracture-conservative Treatment

    Seok-Whan Song, M.D.
      • Department of Orthopedic Surgery, St. Mary's Hospital, The Catholic University of Korea, Seoul, Korea.
    • Address reprint requests to: Seok-Whan Song, M.D. Department of Orthopedic Surgery, St. Mary's Hospital, The Catholic University of Korea, 62, Yeouido-dong, Youngdeungpo-gu, Seoul 150-713, Korea. Tel: 82-2-3779-1192, Fax: 82-2-783-0252, Email: sw.song@catholic.ac.kr

    This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

    Figures

    Fig. 1
    Algorithm of the treatment of distal radius fracture by AO Classification9).

    Fig. 2
    Over tight cast prevents the finger exercise and causes swelling and edema of fingers, leading to reflex sympathetic dystrophy.

    Fig. 3
    (A) Unless there is severe bone loss or osteoporosis at the fracture site of distal radius the initial sugar-tong cast usually prevents forearm rotation and the further displacement.
    (B) After 3~4 weeks the initial cast is changed with short arm cast.

    Fig. 4
    Direct manipulation without enough longitudinal traction is forbidden. To reduce the fracture site a gentle steady longitudinal traction must be preceded before the manual reduction of fracture site.

    Fig. 5
    Chinese finger trap can be used to ease the reduction. During the steady traction the distal fragment is pushed to the opposite direction from the initial displaced site.

    Tables

    Table 1
    Universal classification and its treatment preference

    References

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