6533b871fe1ef96bd12d245e

RESEARCH PRODUCT

A rare case of peri-implant distal radius fracture☆

M SallìGiulio Edoardo VigniLeonardo StramazzoAntonio D'arienzoGiuseppe RovereAlessio CioffiN GalvanoLawrence CamardaMichele D'arienzo

subject

Osteoporosislcsh:SurgeryUlnar headCase ReportWristCritical Care and Intensive Care MedicinePeri-implant radius fracture03 medical and health sciencesFixation (surgical)0302 clinical medicineRare caseSettore MED/33 - Malattie Apparato LocomotoreMedicineOrthopedics and Sports MedicineWrist fractureOrthodontics030222 orthopedicsScrew positionbusiness.industry030208 emergency & critical care medicinelcsh:RD1-811medicine.diseaseRadius and ulna fracturebody regionsmedicine.anatomical_structureRadius hardware substitutionEmergency MedicineDistal radius fractureImplantbusiness

description

A peri-implant fracture near the volar plate of distal radius represent a very rare injury. The main factor of this lesion is high energy trauma on the wrist. We report a case of a 61-year-old woman with a peri-implant fracture located just proximally to the plate and a fracture of the ulnar head that occurred after a simple fall. The patient was surgically treated by plate and screws removal. The fracture was fixed using a longer volar plate for the radial fracture and a plate for the head ulnar fracture. Different factors such as osteoporosis, BMI and screw position could influence the fracture pattern. However, considering growing use of plates for distal radius fracture fixation, the frequency of these kind of fracture will probably increase.

10.1016/j.tcr.2020.100387http://europepmc.org/articles/PMC7735967