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بنام خداوند جان وخرد

بنام خداوند جان وخرد. Classification of distal radius fx. H.Saremi.MD Orthopaedic surgeon,upper limb surgery fellowship Hamedan university of medical sciences HAMEDAN,IRAN. Distal radius fracture in the time of Hippocrates and Galen were thought to be wrist dislocations.

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بنام خداوند جان وخرد

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  1. بنام خداوند جان وخرد

  2. Classification of distal radius fx H.Saremi.MD Orthopaedicsurgeon,upper limb surgery fellowship Hamedan university of medical sciences HAMEDAN,IRAN

  3. Distal radius fracture in the time of Hippocrates and Galen were thought to be wrist dislocations

  4. Pouteau first described DRF as a variety of forearm fractures in the French literature. Pouteau, C.: Oeuvres Posthumes de M Pouteau, Paris, P.D. Pierres, pp 251, 1783

  5. Colles, A.: On the Fracture of the Carpal Extremity of the Radius. Edinburgh Med Surg, 10;182-186, 1814

  6. Colles based his descriptions on clinical examinations alone, because X RAY was invented by Roentgen in 1899 .

  7. DRFs are among the most common type of fracture The most common fx seen in the emergency departement Bimodal distribution 18-25 years high-energy injuries >65 years low-energy injuries

  8. Which classification?

  9. Frykman’s classification • 1967 • Useful,easy to learn,and communicate with collegues • NOT readily translate into prognostic or treatment utility

  10. Melone’s classification • 1984 • Identified 4 major components • Attention on the medial(lunate)facet

  11. AO classification • 1986 revised in1990 • Little interobserver agreement forr subdivisions

  12. Rayhack’s classification • Intra or extra articular • Stable or unstable

  13. Mayo clinic classification • Extra or intra articular • Reducible or irreducible

  14. Fragment-specific classification • Medoff • Intra articularfx • 5 major fragments • Radial styloid • Dorsal wall • Impacted articular fragments • Dorsal ulnar corner(Die punch fragment) • Volar rim fragment

  15. Columnar classification • RIKLI _REGAZZONI • Radial or lateral column Length and alignment Of the articular surface • Intermediate column Primary load bearing Dorsal die punch,impactedintraarticular,volarulnar corner • Medial column

  16. Fernandez classification • Mechanism of injury

  17. Classification of DRUJ injuries

  18. Observer agreement • AO-----------adequate for the main types • MYO---------moderate • Fair------------frykman,meloneAogroupes and subtypes

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