N.N. Priorov Journal of Traumatology and OrthopedicsN.N. Priorov Journal of Traumatology and OrthopedicsВестник травматологии и ортопедии им. Н.Н. Приорова0869-86782658-6738Eco-Vector62710310.17816/vto627103SCIENTIFIC REVIEWSНаучные обзорыReview ArticleDistal radius fracture: reviewПереломы дистального метаэпифиза лучевой кости: обзор литературыhttps://orcid.org/0000-0002-0532-98472168-4297BessonovDmitrii A.БессоновДмитрий Александрович
Russian Federation

MD

bessonovdmitry96@gmail.comhttps://orcid.org/0000-0003-1614-16956268-0522BurtsevMikhail E.БурцевМихаил Евгеньевич
Russian Federation

MD, Cand. Sci. (Medicine)

кандидат медицинских наук

mburtsev@emcmos.ruhttps://orcid.org/0000-0002-2973-83039712-2491FrolovAlexandr V.ФроловАлександр Владимирович
Russian Federation

MD, Cand. Sci. (Medicine)

кандидат медицинских наук

afrolov@emcmos.ruhttps://orcid.org/0000-0001-9933-71024152-4596SautinMaksim E.СаутинМаксим Евгеньевич
Russian Federation

MD, Cand. Sci. (Medicine)

кандидат медицинских наук

msautin@emcmos.ruhttps://orcid.org/0000-0002-0700-63554836-9231GazimievaBella M.ГазимиеваБэлла Магомедовна
Russian Federation

MD

bgazimieva@emcmos.ruhttps://orcid.org/0000-0002-1163-950X6586-0051VasilevIvan A.ВасильевИван Андреевич
Russian Federation

MD

ivasilev@emcmos.ruhttps://orcid.org/0000-0002-8769-99636980-6109KorolevAndrey V.КоролевАндрей Вадимович
Russian Federation

MD, Dr. Sci. (Medicine), professor

доктор медицинских наук, профессор

akorolev@emcmos.ruEuropean Clinic of Sports Traumatology and OrthopaedicsЕвропейская клиника спортивной травматологии и ортопедииPeoples’ Friendship University of RussiaРоссийский университет дружбы народов17092024170720243134274401702202407032024Copyright ©; 2024, Eco-VectorCopyright ©; 2024, Эко-Вектор2024Eco-VectorЭко-Векторhttps://journals.eco-vector.com/0869-8678/article/view/627103

The presented literature review is devoted to such a pressing problem as distal radius fracture. The relevance of the review is due to the high prevalence and increasing frequency of this type of fractures, as well as a large number of controversies accompanying almost every aspect of this pathology. Despite the impressive amount of data devoted to distal radius fractures, modern scientific literature shows the absence of generally accepted algorithms for the treatment of this pathology of the upper extremity. The overwhelming majority of scientific articles on this problem have a low degree of scientific evidence. All this suggests the need for further studies with sufficient scientific evidence, primarily randomized controlled trials. Systematization and comprehension of the already known information are equally important, and this review is devoted to it. This review is analytical in nature and was conducted using medical literature databases and search resources PubMed (MEDLINE), Google Scholar and eLibrary. The following aspects are covered: anatomy, diagnosis, classification, conservative and surgical treatment, and postoperative management of fractures of the distal metaepiphysis of the radius. Special attention is paid to various surgical treatment techniques, and the advantages and disadvantages of the most common surgical methods are described.

Представленный обзор литературы посвящён такой насущной проблеме, как перелом дистального метаэпифиза лучевой кости. Актуальность обзора обусловлена высокой распространённостью и растущей частотой данного типа переломов, а также большим количеством противоречий, сопровождающих практически каждый аспект этой патологии. Несмотря на внушительный объём данных, посвящённых переломам дистального конца лучевой кости, в современной научной литературе отмечается отсутствие общепринятых алгоритмов лечения данной патологии верхней конечности. Подавляющее большинство научных статей по данной проблематике имеют низкую степень научной доказательности. Всё это говорит о необходимости дальнейших исследований, обладающих достаточной научной доказательностью, в первую очередь рандомизированных контролируемых испытаний. Не менее важными являются систематизация и осмысление уже известной информации, чему и посвящён этот обзор. Данный обзор носит аналитический характер и проведён с использованием баз данных медицинской литературы и поисковых ресурсов PubMed (MEDLINE), Google Scholar и eLibrary. В представленном обзоре затронуты следующие аспекты: анатомия, диагностика, классификация, консервативное и хирургическое лечение, а также послеоперационное ведение переломов дистального метаэпифиза лучевой кости. Особое внимание уделено различным техникам хирургического лечения, описаны достоинства и недостатки наиболее распространённых хирургических методик.

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