Distal Radius Fractures: Considerations and Treatments

Distal Radius Fractures:

Considerations and Treatments

Frank A. Liporace, MD

Associate Professor ¨C Director Orthopaedic Trauma Research

New York University / Hospital for Joint Diseases, NY, NY

Chief ¨C Department of Orthopaedics

Jersey City Medical Center / Barnabas Health, Jersey City, NJ

Updated 2016

Incidence

? Upward of 1/6th of all ER

fractures

¨C >250,000 / yr in USA

? Bimodal distribution

? >35 yo

¨C 4F:1M

? >60 yo

¨C 7F:1M

Incidence

? Common injury which is steadily becoming public health

issue

¨C Among woman > 60 years risk of fracture

? Distal Radius

? Hip

17%

14%

¨C 4 times greater with lowest quintile of BMD

? Gardsell

? Hui

Calc Tissue Int., 1989

Ann Int Med, 1989

? Younger adults

¨C Higher energy injuries; post-traumatic arthrosis; functional

disabilities

BMD mechanical effect

?

?

?

?

Post menopausal

Increased diameter

Decrease strength

Decreased Estradiol

levels

1SD : 3.8 rr

?*Correlate better with BMD

than with radiographs

Mechanisms of Injury

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