Dorsal Thompson: Approach to the Proximal Radial Shaft.

Szczegóły
Abstrakt

Tytuł:: Dorsal Thompson: Approach to the Proximal Radial Shaft.
Autorzy:: Murphy M; Department of Orthopedic Surgery and Sports Medicine, University of Kentucky, Lexington, KY; and.
Teasdall RJ; Department of Orthopedic Surgery and Sports Medicine, University of Kentucky, Lexington, KY; and.
Comadoll S; Department of Orthopedic Surgery, University of Minnesota, Minneapolis, MN.
Aneja A; Department of Orthopedic Surgery and Sports Medicine, University of Kentucky, Lexington, KY; and.
Źródło:: Journal of orthopaedic trauma [J Orthop Trauma] 2021 Aug 01; Vol. 35 (Suppl 2), pp. S16-S17.
Typ publikacji:: Journal Article
Język:: English
Imprint Name(s):: Publication: Hagerstown, MD : Lippincott Williams & Wilkins
Original Publication: [New York, N.Y.] : Raven Press, [c1987-
MeSH Terms:: Radius*
Radius Fractures*/surgery
Forearm ; Humans ; Pronation ; Supination
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Holweg P, Hohenberger GM, Schwarz AM, et al. Comparison of volar and dorsal plate osteosynthesis for radial shaft fractures: an anatomical pilot study. Injury. 2017;48:S38–S40.
Thomas SJ, Yakin DE, Parry BR, et al. The anatomical relationship between the posterior interosseous nerve and the supinator muscle. J Hand Surg. 2000;25:936–941.
Dashe J, Murray B, Tornetta P, et al. Henry versus thompson approach for fixation of proximal third radial shaft fractures: a multicenter study. J Orthop Trauma. 2020;34:108–112.
Jockel C, Zlotolow D, Butler R, et al. Extensile surgical exposures of the radius: a comparative anatomic study. J Hand Surg. 2013;38:745–752.
Nasab SAM, Sarrafan N, Fakoor M, et al. Comparison of volar and dorsal approaches for surgical treatment in fracture of proximal half of the radius. Pak J Med Sci. 2013;29:532.
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Perretta DJ, Brock KM, Tejwani NC. Early complications associated with the thompson approach to the proximal radius. Bull Hosp Jt Dis. 2016;74:293–297.
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Cross JD, White JA, Johnson AE, et al. Comparison of dorsal and volar approaches to the proximal radius. Orthopedics. 2011;34:93.
Entry Date(s):: Date Created: 20210706 Date Completed: 20210806 Latest Revision: 20210806
Update Code:: 20240105
DOI:: 10.1097/BOT.0000000000002162
PMID:: 34227594
: Czasopismo naukowe

Summary: Treatment principles in the management of radial shaft fractures, congruent with all fracture care, are to restore anatomy and function of the limb. Radial shaft fractures are unique in that preserving the anatomic bow of the radius, which allows for its rotation around the ulna during pronation and supination, is essential for proper function. The 2 main approaches for exposure of the proximal or middle third radial diaphyseal fractures are the volar "Henry" and the dorsal "Thompson." This article highlights the benefits of the dorsal Thompson approach, describes the key points of the operative technique, which allow for protection of the posterior interosseous nerve, and provides an overview of the measurable outcomes when using this approach. In the accompanying video, the steps of operative exposure to the proximal radial shaft with careful avoidance of the posterior interosseous nerve are demonstrated.
Competing Interests: A. Aneja is a paid consultant for Depuy Synthes. The remaining authors report no conflict of interest.
(Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.)

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