Acute vascular injury associated with fracture of the distal radius: a report of 6 cases.

Abstract:

OBJECTIVES:To highlight the potential for vascular injury with fracture of the distal radius. DESIGN:Retrospective case series. SETTING:The practices of several orthopaedic hand surgeons. PATIENTS/PARTICIPANTS:Six patients with arterial injury as a consequence of fracture of the distal radius: 2 partial lacerations of the radial artery, 2 complete arterial lacerations (1 radial and 1 ulnar), 1 thrombosed radial artery, and 1 thrombosed ulnar artery. There were 4 men and 2 women with an average age of 42 years (range 26-70 years). Three of the fractures were open, and 3 had an associated distal ulnar fracture. INTERVENTION:Volar open reduction and internal fixation of the distal radius fracture. Ligation or no treatment for 3 arterial injuries and repair or vein graft reconstruction (1 patient) for 3 injuries. MAIN OUTCOME MEASUREMENTS:Vascular status of the hand. RESULTS:At an average follow-up of 9 months (range 5-16 months), all patients had a well-vascularized hand, normal capillary refill, and no complaints of vascular dysfunction. CONCLUSIONS:Vascular complications, once thought rare in association with fracture of the distal radius, may be more frequently recognized as volar exposures are increasingly used. Because most single artery injuries in the wrist and forearm are not associated with ischemia, identification of these injuries is unlikely to affect the functional result or outcome. In the unusual patient with a dysvascular hand after distal radius fracture, arterial reconstruction may be necessary.

journal_name

J Orthop Trauma

authors

de Witte PB,Lozano-Calderon S,Harness N,Watchmaker G,Green MS,Ring D

doi

10.1097/BOT.0b013e318188d686

subject

Has Abstract

pub_date

2008-10-01 00:00:00

pages

611-4

issue

9

eissn

0890-5339

issn

1531-2291

pii

00005131-200810000-00004

journal_volume

22

pub_type

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