Current Fixation Options for Elbow, Forearm, Wrist, and Hand Fractures. Review uri icon

Overview

abstract

  • The universal goals of upper limb fracture management are to restore anatomic alignment, establish stable fracture fixation (while preserving blood supply), and allow for early mobilization of the elbow, wrist, and digits. However, the indications for operative management and fixation constructs are specific to each fracture type. This article systematically reviews current classifications and treatment options for adult fractures of the distal humerus, radius, ulna, scaphoid, metacarpals, and phalanges. For each anatomic location, we discuss the salient imaging features to guide management decisions (conservative versus internal and/or external fixation). Specifically, we emphasize the amount of displacement, angulation, comminution, and/or intra-articular involvement typically guiding operative management for each fracture type. Through this understanding of the surgical indications, rationale behind different fixation options, and common complications, the radiologist can better support the orthopaedic surgeon via more informed fracture reporting.

publication date

  • March 29, 2019

Research

keywords

  • Elbow Injuries
  • Elbow Joint
  • Forearm Injuries
  • Fracture Fixation, Internal
  • Fractures, Bone
  • Wrist Injuries

Identity

Scopus Document Identifier

  • 85063636227

Digital Object Identifier (DOI)

  • 10.1055/s-0039-1677699

PubMed ID

  • 30925625

Additional Document Info

volume

  • 23

issue

  • 2