¿Puedes responder correctamente a esta pregunta diaria de nuestro Free QBank? …

by | 5 de Oct, 2022 | 20 comments

Can you answer this daily question from our Free QBank correctly?

Figures A and B are the radiographs of a 58-year-old female who sustained a ground-level fall. The decision is made to proceed with operative stabilization of the distal radius. Which of the following findings would indicate the need for distal ulna fixation?

1.Degree of angulation of the distal ulna fracture

2. Degree of comminution of the distal ulna fracture

3. Location of the distal ulna fracture

4. Size of the distal ulna fracture

5. Intraoperative distal radial ulnar joint instability

QID: 212051
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¿Puedes responder correctamente a esta pregunta diaria de nuestro Free QBank? Las figuras A y B son las radiografías de una mujer de 58 años que sufrió una caída desde el suelo. Se toma la decisión de proceder con la estabilización quirúrgica del radio distal. ¿Cuál de los siguientes hallazgos indicaría la necesidad de una fijación del cúbito distal? 1. Grado de angulación de la fractura de cúbito distal 2. Grado de conminución de la fractura de cúbito distal 3. Ubicación de la fractura de cúbito distal 4. Tamaño de la fractura de cúbito distal 5. Inestabilidad intraoperatoria de la articulación cubital radial distal QID: 212051 **La La respuesta se publicará en 24 horas. #orto #cirugíaortopédica #ortopedia #cirujanoortopédico #ortopedia #ortopedia #ortopedia #ortholife #orthobullets #orthresidents #orthresident #orthresidency #medicalschool #medicalstudent #medstudent #doctor #medical

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20 Comments

  1. Orthobullets

    The preferred response is:

    5. Intraoperative distal radial ulnar joint instability

    This patient sustained a distal radius and ulna fracture. The presence of intraoperative distal radial ulnar joint (DRUJ) instability may necessitate distal ulna fixation.

    DRUJ injuries are often underappreciated and are associated with ulnar styloid and distal ulna fractures, TFCC tears, ulnar impaction syndrome, Essex-Lopresti injuries, and Galeazzi fractures. The primary stabilizers of the DRUJ include volar and dorsal radioulnar ligaments and the TFCC. The primary method to prevent disability related to DRUJ injuries is anatomic reduction of the distal radius which often results in an anatomically-reduced DRUJ. A distal ulna fracture with an associated DRUJ injury may require distal ulna fixation or fragment excision. Indications for either operative fixation or fragment excision include displaced fractures through the base with associated instability, sigmoid notch fractures, Galeazzi fracture patterns, and TFCC avulsions in the face of an unstable DRUJ.

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