Distal radius dorsal shearing
For the Partial articular fracture of the radius, with dorsal dislocation, at the end, in the aditional fixations, you should check for dorsal translation of the car pus, not palmar
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24 Sep, '24
Thomas KolitzusHighlighted comment
Dear Dr Mitrulescu, I am the project manager of Surgery Reference and like to tackle this issue. We could not find the page you are referring to. Could you please send us the URL to the page in which you found this mistake? Kind regards, Thomas -
01 Oct, '25
Thomas Kolitzus AdminDear Dr Mitrulescu
Thank you for reporting this issue. It’s very encouraging for us that you have taken time to critically review the content in AOSR.
Our editors have investigated it with the assistance of specialist hand surgeons and would like to respond as follows. We believe that AOSR reads correctly as it is, and hope the following is clear and acceptable.
“Most of the partial articular fractures that are associated with a dorsal displacement (or translation) of the carpus would include injury of the palmar ligaments. Most of these injuries present a larger dorsal fragment(s) that is amenable to stabilization (with adequate bone stock for receiving and retaining implants). Once this is achieved the volar ligaments, and attached volar rim fragments, tend to reduce indirectly. Ligament healing may be protected by immobilizing the wrist in a cast or splint. Larger ligament and associated rim fragments may be fixed with soft tissue anchors or small specialised plates.”