xray
 
 
David Nelson , MD
Private Practice, San Francisco
Webmaster, eRadius
Associate Editor, J Hand Surgery
Director, San Francisco Bay Area Hand Club

I discussed the options and risks of each with the patient, and based both on the desire to decrease the gap of about 4 mm and to allow her to continue her job during the healing of the fracture, she was treated with an ORIF with a volar fixed angle plate.

Figure 6 a-b
These are a facet PA and a facet lateral plain film

 

Figure 7 a-b
These are a facet PA and a facet lateral fluoroscopic views, clearly showing that the screws are not in the joint.

The angles on the PA and lateral are good, the radius is out to length, the gap seems to be reduced, and the DRUJ was stable to clinical examination on the operating table. A splint was applied.

She was scheduled to discard her splint and start physical therapy three days after surgery.

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