Adult Trauma: Getting Through the Night

by Andrew H. Schmidt, Jeffrey Anglen, Arvind D. Nana, and Thomas F. Varecka

J Bone Joint Surg AmVolume 92(2):490-505

February 1, 2010

©2010 by The Journal of Bone and Joint Surgery, Inc.

A severely displaced distal radial fracture, which was associated with evolving median nerve symptoms.

Andrew H. Schmidt et al. J Bone Joint Surg Am 2010;92:490-505

©2010 by The Journal of Bone and Joint Surgery, Inc.

The wrist after immediate temporary treatment with an external fixator.

Andrew H. Schmidt et al. J Bone Joint Surg Am 2010;92:490-505

©2010 by The Journal of Bone and Joint Surgery, Inc.

After definitive fixation with a volar plate.

Andrew H. Schmidt et al. J Bone Joint Surg Am 2010;92:490-505

©2010 by The Journal of Bone and Joint Surgery, Inc.

A high-energy distal radial fracture with acute carpal tunnel syndrome caused by a displaced volar fragment that was not reducible by closed means (arrow).

Andrew H. Schmidt et al. J Bone Joint Surg Am 2010;92:490-505

©2010 by The Journal of Bone and Joint Surgery, Inc.

Immediate open reduction and volar plate fixation with carpal tunnel release was performed.

Andrew H. Schmidt et al. J Bone Joint Surg Am 2010;92:490-505

©2010 by The Journal of Bone and Joint Surgery, Inc.

Andrew H. Schmidt et al. J Bone Joint Surg Am 2010;92:490-505

©2010 by The Journal of Bone and Joint Surgery, Inc.

Andrew H. Schmidt et al. J Bone Joint Surg Am 2010;92:490-505

©2010 by The Journal of Bone and Joint Surgery, Inc.

Revision surgery was required to replace the distal interlocking screw.

Andrew H. Schmidt et al. J Bone Joint Surg Am 2010;92:490-505

©2010 by The Journal of Bone and Joint Surgery, Inc.

Andrew H. Schmidt et al. J Bone Joint Surg Am 2010;92:490-505

©2010 by The Journal of Bone and Joint Surgery, Inc.

Andrew H. Schmidt et al. J Bone Joint Surg Am 2010;92:490-505

©2010 by The Journal of Bone and Joint Surgery, Inc.