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Clinical and radiological findings: This fracture happened after fall on out stretched hand in a young gentleman of 30 years of age. X-ray showed depressed radial styloid piece and undisplaced lunate fossa of distal radius.
Planning remarks:
We had two options at our disposal. first being open reduction internal fixation with plating, second being closed reduction with k wiring.
In this case I considered close reduction under iitv guidance by joysticking the depressed radial styloid fragment with 1.5 mm k wire and holding the reduction with 2 k wires. Another wire from dorsoupnar surface for lunate fossa fracture. Below elbow plaster was applied after the procedure.
Orthopaedic implants used: K wires
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Distal radius IA fracture with depressed styloid piece
— anconeus (@pratikorho) October 15, 2022
Reduced with K wires#MedTwitter #orthotwitter pic.twitter.com/BjGsnUJfcg
User Discussion (1)
Dr Ed Oates
Impressive reduction, especially considering its been done percutaneously. That styloid frgament had the potential to cause a lot of headache. I hope the k-wires provide enough short term stability to prevent secondary loss of reduction
thanks ... Dr. oates.