![Page 1: Adult Trauma: Getting Through the Night by Andrew H. Schmidt, Jeffrey Anglen, Arvind D. Nana, and Thomas F. Varecka J Bone Joint Surg Am Volume 92(2):490-505](https://reader035.vdocuments.mx/reader035/viewer/2022081323/5a4d1ae27f8b9ab059977e17/html5/thumbnails/1.jpg)
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.
![Page 2: Adult Trauma: Getting Through the Night by Andrew H. Schmidt, Jeffrey Anglen, Arvind D. Nana, and Thomas F. Varecka J Bone Joint Surg Am Volume 92(2):490-505](https://reader035.vdocuments.mx/reader035/viewer/2022081323/5a4d1ae27f8b9ab059977e17/html5/thumbnails/2.jpg)
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.
![Page 3: Adult Trauma: Getting Through the Night by Andrew H. Schmidt, Jeffrey Anglen, Arvind D. Nana, and Thomas F. Varecka J Bone Joint Surg Am Volume 92(2):490-505](https://reader035.vdocuments.mx/reader035/viewer/2022081323/5a4d1ae27f8b9ab059977e17/html5/thumbnails/3.jpg)
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.
![Page 4: Adult Trauma: Getting Through the Night by Andrew H. Schmidt, Jeffrey Anglen, Arvind D. Nana, and Thomas F. Varecka J Bone Joint Surg Am Volume 92(2):490-505](https://reader035.vdocuments.mx/reader035/viewer/2022081323/5a4d1ae27f8b9ab059977e17/html5/thumbnails/4.jpg)
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.
![Page 5: Adult Trauma: Getting Through the Night by Andrew H. Schmidt, Jeffrey Anglen, Arvind D. Nana, and Thomas F. Varecka J Bone Joint Surg Am Volume 92(2):490-505](https://reader035.vdocuments.mx/reader035/viewer/2022081323/5a4d1ae27f8b9ab059977e17/html5/thumbnails/5.jpg)
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.
![Page 6: Adult Trauma: Getting Through the Night by Andrew H. Schmidt, Jeffrey Anglen, Arvind D. Nana, and Thomas F. Varecka J Bone Joint Surg Am Volume 92(2):490-505](https://reader035.vdocuments.mx/reader035/viewer/2022081323/5a4d1ae27f8b9ab059977e17/html5/thumbnails/6.jpg)
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.
![Page 7: Adult Trauma: Getting Through the Night by Andrew H. Schmidt, Jeffrey Anglen, Arvind D. Nana, and Thomas F. Varecka J Bone Joint Surg Am Volume 92(2):490-505](https://reader035.vdocuments.mx/reader035/viewer/2022081323/5a4d1ae27f8b9ab059977e17/html5/thumbnails/7.jpg)
Andrew H. Schmidt et al. J Bone Joint Surg Am 2010;92:490-505
©2010 by The Journal of Bone and Joint Surgery, Inc.
![Page 8: Adult Trauma: Getting Through the Night by Andrew H. Schmidt, Jeffrey Anglen, Arvind D. Nana, and Thomas F. Varecka J Bone Joint Surg Am Volume 92(2):490-505](https://reader035.vdocuments.mx/reader035/viewer/2022081323/5a4d1ae27f8b9ab059977e17/html5/thumbnails/8.jpg)
Andrew H. Schmidt et al. J Bone Joint Surg Am 2010;92:490-505
©2010 by The Journal of Bone and Joint Surgery, Inc.
![Page 9: Adult Trauma: Getting Through the Night by Andrew H. Schmidt, Jeffrey Anglen, Arvind D. Nana, and Thomas F. Varecka J Bone Joint Surg Am Volume 92(2):490-505](https://reader035.vdocuments.mx/reader035/viewer/2022081323/5a4d1ae27f8b9ab059977e17/html5/thumbnails/9.jpg)
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.
![Page 10: Adult Trauma: Getting Through the Night by Andrew H. Schmidt, Jeffrey Anglen, Arvind D. Nana, and Thomas F. Varecka J Bone Joint Surg Am Volume 92(2):490-505](https://reader035.vdocuments.mx/reader035/viewer/2022081323/5a4d1ae27f8b9ab059977e17/html5/thumbnails/10.jpg)
Andrew H. Schmidt et al. J Bone Joint Surg Am 2010;92:490-505
©2010 by The Journal of Bone and Joint Surgery, Inc.
![Page 11: Adult Trauma: Getting Through the Night by Andrew H. Schmidt, Jeffrey Anglen, Arvind D. Nana, and Thomas F. Varecka J Bone Joint Surg Am Volume 92(2):490-505](https://reader035.vdocuments.mx/reader035/viewer/2022081323/5a4d1ae27f8b9ab059977e17/html5/thumbnails/11.jpg)
Andrew H. Schmidt et al. J Bone Joint Surg Am 2010;92:490-505
©2010 by The Journal of Bone and Joint Surgery, Inc.