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Wrist Fractures

Treatment of the orthopedic trauma injuries is a highly specialized field that deals with a broad set of conditions and symptoms. Using the latest diagnostic and treatment techniques, Dr. Balaguer can successfully treat your upper extremity injury.

Wrist Fractures
Distal Radius Fractures

A fracture of the distal radius is one of the most common types of injuries to the skeletal system. It may also be associated to osteoporosis. 

Imaging

Diagnosis usually only requires a standard wrist x-rays series. A CT scan is used to evaluate complex intra-articular fractures. Soft tissue injuries should be evaluated with an MRI. 

Treatment

There are many treatment options for a distal radius fracture. Successful outcomes correlate with restoration of anatomy as well as early range of motion of wrist and fingers.

All fractures characterized by minor comminution, with or without minimal displacements can be considered for closed reduction and cast immobilization. The patient will remain under close observation until fracture heals.

Surgical fixation:

 - Closed reduction and percutaneous pinning

 -- simple fractures not involving the joint

Plate fixation:

 - Unstable, displaced, intra-articular fractures

 - Restore normal anatomy

 - Start range of motion therapy right away

Rehabilitation

Most people return to all their former activities after a distal radius fracture. Extensive occupational therapy is recommended for most patients. 

Wrist Fractures
Radius and Ulna Shaft Fractures

Radial and ulnar shaft fractures are most often the consequence of a direct blow to the forearm or other high-energy mechanisms. 

Presentation

Patients with fractures of the shaft of the ulna and radius present following trauma with pain and swelling in the forearm, at times with gross deformity. Loss of forearm and hand function may also occur.

Imaging

Radiographic imaging is important in diagnosis, treatment and follow-up assessment of these fractures. CT may be useful and can give significant information in comparison with that obtained with conventional radiography.

Treatment

Non-operative treatment may consist of the following:

 - Functional fx brace with good interosseous mold

 - Isolated nondisplaced or distal 2/3 ulna shaft fractures

 -- < 50% displacement

 -- < 10° of angulation

Displaced and unstable ulnar fractures and all radius fractures should be treated operatively:

 - Displaced ⅔ distal ulnar shaft

 - All proximal ⅓ fractures

Depending on the complexity of the fracture and the stability of the repair, a cast or brace may be necessary for 2 to 6 weeks after surgery.

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(305) 595-1317

Locations

Main Corporate Office
The Miami Institute for Joint Reconstruction
11801 sw 90th St, Suite 201 Miami, FL 3318
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Cutler Bay Office
9299 SW 152nd St, Suite 103 Miami, FL 33156

Doral Office
3650 NW 82nd Ave #201, Doral, FL 33166

Contacts

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(305) 595 1317

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