![]() Īlthough fractures to this bone are prevalent, Monteggia and Galeazzi fracture-dislocations are rare, unstable forearm injuries. A radioulnar pin may be utilized to hold reduction if the DRUJ is unstable after anatomic reduction. Fracture reduction should be reconsidered if the joint is not reducible soft-tissue interposition may need open reduction. Dislocations associated with Galeazzi or Monteggia fractures are frequently reduced by anatomic reduction of the fracture. In adults, intramedullary nailing is rarely utilized. For contaminated open fractures and fractures with substantial soft-tissue deterioration, external fixators may be recommended. Closed reduction is designated for those who are unable to undergo surgery, and unsatisfactory results are possible up to 71% of the time. The treatment of choice for displaced fractures of the radius and ulna in adults is open reduction and internal fixation. As a result, each forearm fracture should be evaluated for the radioulnar joint, which is usually injured. Furthermore, they are considered as a single unit. The forearm is an important part of the human body that allows us to carry out our daily tasks. The interosseous ligament, or membrane, runs between the bones and serves to keep them in their proper alignment, with a strong central band providing the main support. The distal radioulnar joint (DRUJ), which is maintained by the triangular fibrocartilage complex (TFCC), is where they come into contact. The elbow joint capsule and the annular ligament bring these bones together proximally at the proximal radioulnar joint. The forearm is made up of the ulna, which is generally straight, and the radius, which is bent. During the fourth month, a follow-up radiograph revealed complete healing and full wrist range of motion (ROM) with good hand grip. After the cast was removed, physical rehabilitation began. On the eighth week after surgery, all K-wires were removed, and the fiberglass splint was reapplied for another two weeks. The olecranon and distal ulna fractures were also fixed with two intramedullary wires. The distal radius was stabilized with three Kirschner wires (K-wires), and the radial neck fracture was stabilized with a single intramedullary K-wire. A radiographic examination revealed a right forearm fracture with proximal and distal bone fractures. A 49-year-old male truck driver presented to the emergency department as a motor vehicle accident (MVA) patient. This case report highlights a rare mechanism of injury that occurred due to extended forearm undergoing forced hyper-supination without the presence of ligamentous injury and the use of flexible fixation. doi: 10.1007/s0019-z.A few cases reported simultaneous ipsilateral distal and proximal forearm fractures. The burden of illness of osteoporosis in Canada. Tarride J.E., Hopkins R.B., Leslie W.D., Morin S., Adachi J.D., Papaioannou A., Bessette L., Brown J.P., Goeree R. Establishing a fracture liaison service: An orthopaedic approach. An estimate of the worldwide prevalence and disability associated with osteoporotic fractures. World Health Organization WHO Scientific Group on the Assessment of Osteoporosis at Primary Health Care Level. International Osteoporosis Foundation What is Osteoporosis? Available online. In order to identify the main determinants of compliance with FLS and perform a cost-effectiveness analysis on a larger sample, it is fundamental to integrate data from different providers.Ĭapture the fracture endocrinology fracture liaison service fragility fracture osteoporosis prevention sustainability value-based healthcare. The risk of being affected by a secondary fracture was seven times higher when patients did not attend any follow-up or diagnostic exam. ![]() ![]() The degree of prevention was even lower in the case of patients admitted for the first fragility fracture. Although, almost 1/3 were admitted for the second fragility fracture, only half received anti-osteoporotic treatment before it. Clinical indicators from patient history and administrative indicators from the hospital database have been used to estimate the spread of fragility fracture prevention and the degree of patient compliance to these programs. All the performances suggested by the International Osteoporosis Foundation (IOF) are provided under the same institution by which a patient is admitted for surgery. The purpose of this retrospective observational study is to describe the FLS protocol, introduce its preliminary outcomes, and provide an early evaluation in light of international guidelines and recommendations. In order to reduce their clinical, social, and economic burden, a Fracture Liaison Service (FLS) was introduced in a high volume orthopedic hospital in 2017. ![]() Fragility fractures pose a serious threat to patient health, quality of life, and healthcare sustainability.
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