![]() It is now our practice to recommend to all women over the age of fifty with a fracture of the distal radius that they consider bone densitometry (DEXA) measurement to assess for the presence of osteoporosis.Ī fracture that is displaced, meaning the fracture fragments are out of normal alignment, will require a "reduction," which refers to an attempt to manipulate the fracture fragments back into alignment. Computed tomography (CT) may be employed on occasion to assess the alignment or fragmentation of the joint surface and, less frequently, magnetic resonance imaging (MRI) may be required to rule out concurrent injuries to ligaments or injuries to other bones in the wrist, such as the scaphoid. Diagnosing distal radius fractures of the wrist: Proper imaging and the Fernandez classificationĪ proper diagnosis begins with proper imaging, including initial and follow-up X-rays and possible advanced 3D imaging. Navigating a patient through a particular treatment plan is a complex task and requires consideration of multiple factors and close attention during the healing phase. ![]() Wolfe, Chief Emeritus of the Hand and Upper Extremity Service at HSS. "In general, the less invasive treatment – provided it achieves our goals of satisfactory alignment and stable reduction of the fractured bone fragments – results in a better functional outcome and patient satisfaction," says Dr. Available treatment options depend on the type and severity of the fracture as well as the needs and health of the injured patient, and these options need to be carefully individualized by the treating physician to achieve a satisfactory functional outcome. ![]() Many other fracture types exist in addition to these two most common types.
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