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Semin Musculoskelet Radiol 2019; 23(02): 109-125
DOI: 10.1055/s-0039-1677699
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Current Fixation Options for Elbow, Forearm, Wrist, and Hand Fractures

Roger J. Bartolotta
1   Weill Cornell Medical College, New York, New York
2   Department of Radiology, New York-Presbyterian Hospital, New York, New York
,
Steven P. Daniels
2   Department of Radiology, New York-Presbyterian Hospital, New York, New York
,
Claire Isabelle Verret
1   Weill Cornell Medical College, New York, New York
,
Duretti T. Fufa
1   Weill Cornell Medical College, New York, New York
3   Hand and Upper Extremity Surgery, Hospital for Special Surgery, New York, New York
› Author Affiliations
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Publication History

Publication Date:
29 March 2019 (online)

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Abstract

The universal goals of upper limb fracture management are to restore anatomic alignment, establish stable fracture fixation (while preserving blood supply), and allow for early mobilization of the elbow, wrist, and digits. However, the indications for operative management and fixation constructs are specific to each fracture type. This article systematically reviews current classifications and treatment options for adult fractures of the distal humerus, radius, ulna, scaphoid, metacarpals, and phalanges. For each anatomic location, we discuss the salient imaging features to guide management decisions (conservative versus internal and/or external fixation). Specifically, we emphasize the amount of displacement, angulation, comminution, and/or intra-articular involvement typically guiding operative management for each fracture type. Through this understanding of the surgical indications, rationale behind different fixation options, and common complications, the radiologist can better support the orthopaedic surgeon via more informed fracture reporting.

Keywords

fracture fixation - elbow - forearm - wrist - hand