1/1/2024 0 Comments Colles fracture cast positionNext, the determination of operative versus non-operative treatment must be made. First, the fracture must be stabilized and any secondary injuries evaluated. However, the overall principles in management remain the same. Perhaps because this group represents only 12.5% of adult distal radius fractures in adults, literature guiding their treatment is limited. The incidence of distal radius fracture is heightened in sports that risk high energy falls onto the hand or direct impact to the hand or wrist. Athletes in particular have better bone quality when compared to age-matched controls, but they typically sustain fractures after higher impact falls than those in the more sedentary population. The athlete presenting with a distal radius fracture tends to be both younger and healthier than the average patient presenting with a distal radius fracture. Distal radius fracture in young patients usually occurs in the setting of play or sports and accounts for 23% of all sports-related fractures in adolescents. In the older adult, osteoporosis and poor postural stability are associated with these fractures after falls onto an outstretched hand. ĭistal radius fractures occur in a bimodal distribution with the highest frequency in youths under the age of 18 and a secondary peak in adults over 50 years old. Worldwide, the incidence of distal radius fractures has increased over the past 40–50 years, almost doubling in certain populations. There is still an element of skill needed but much less than required for a full cast.Distal radius fractures are the most common upper extremity fracture in patients in the USA, accounting for 0.7–2.5% of emergency department visits. So once the slab is cut out you should try the fit out on the unbroken arm to see if any trimming needs to be done before wetting it and applying it to the injured arm. The templates are designed for the ‘ average’ 70kg male they fit most people but not everyone. At present these workshops are led by plaster techs, but in the future the supervision of ED plaster teaching for doctors and nurses will become the domain of specially trained nurse practitioners.
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