Holstein–Lewis fracture: Difference between revisions
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{{Infobox medical condition | |||
| name = Holstein–Lewis fracture | |||
| image = [[File:Holstein-Lewis_fracture.png|left|thumb|X-ray of a Holstein–Lewis fracture]] | |||
| caption = X-ray of a Holstein–Lewis fracture | |||
| field = [[Orthopedic surgery]] | |||
| synonyms = Distal third humeral shaft fracture | |||
| symptoms = Pain, swelling, inability to move the arm | |||
| complications = [[Radial nerve]] palsy | |||
| onset = Sudden, due to trauma | |||
| duration = Varies, depending on treatment | |||
| causes = [[Trauma]], such as a fall or direct blow | |||
| risks = [[Osteoporosis]], high-impact sports | |||
| diagnosis = [[X-ray]], [[Physical examination]] | |||
| differential = Other types of [[humerus fracture]] | |||
| treatment = [[Surgery]], [[Immobilization]] | |||
| medication = [[Pain management]] | |||
| prognosis = Generally good with treatment | |||
| frequency = Rare | |||
}} | |||
'''Holstein–Lewis fracture''' is a specific type of [[distal radius fracture]] that occurs in the [[forearm]]. Named after American orthopedic surgeons Arthur Holstein and Gwilym Lewis, this fracture is characterized by a spiral break in the distal third of the [[radius]], one of the two long bones in the forearm. | '''Holstein–Lewis fracture''' is a specific type of [[distal radius fracture]] that occurs in the [[forearm]]. Named after American orthopedic surgeons Arthur Holstein and Gwilym Lewis, this fracture is characterized by a spiral break in the distal third of the [[radius]], one of the two long bones in the forearm. | ||
== Anatomy == | == Anatomy == | ||
The [[radius]] is one of the two long bones in the forearm, the other being the [[ulna]]. The radius is located on the thumb side of the forearm and is responsible for the majority of the forearm's rotation. The distal end of the radius, near the wrist, is a common site for fractures. | The [[radius]] is one of the two long bones in the forearm, the other being the [[ulna]]. The radius is located on the thumb side of the forearm and is responsible for the majority of the forearm's rotation. The distal end of the radius, near the wrist, is a common site for fractures. | ||
== Mechanism of Injury == | == Mechanism of Injury == | ||
Holstein–Lewis fractures typically occur as a result of a fall onto an outstretched hand (FOOSH). The force of the fall causes the radius to break in a spiral pattern, often with displacement of the bone fragments. | Holstein–Lewis fractures typically occur as a result of a fall onto an outstretched hand (FOOSH). The force of the fall causes the radius to break in a spiral pattern, often with displacement of the bone fragments. | ||
== Diagnosis == | == Diagnosis == | ||
Diagnosis of a Holstein–Lewis fracture is typically made through a combination of physical examination and [[radiography]]. On a radiograph, the fracture appears as a spiral break in the distal third of the radius. | Diagnosis of a Holstein–Lewis fracture is typically made through a combination of physical examination and [[radiography]]. On a radiograph, the fracture appears as a spiral break in the distal third of the radius. | ||
== Treatment == | == Treatment == | ||
Treatment for a Holstein–Lewis fracture typically involves [[reduction]], the process of realigning the broken bone fragments, followed by immobilization in a cast or splint. In some cases, surgery may be required to stabilize the fracture and ensure proper healing. | Treatment for a Holstein–Lewis fracture typically involves [[reduction]], the process of realigning the broken bone fragments, followed by immobilization in a cast or splint. In some cases, surgery may be required to stabilize the fracture and ensure proper healing. | ||
== Complications == | == Complications == | ||
One of the most common complications associated with Holstein–Lewis fractures is injury to the [[radial nerve]], which runs near the site of the fracture. This can result in symptoms such as numbness, tingling, or weakness in the hand and wrist. | One of the most common complications associated with Holstein–Lewis fractures is injury to the [[radial nerve]], which runs near the site of the fracture. This can result in symptoms such as numbness, tingling, or weakness in the hand and wrist. | ||
== See Also == | == See Also == | ||
* [[Distal radius fracture]] | * [[Distal radius fracture]] | ||
* [[Forearm fractures]] | * [[Forearm fractures]] | ||
* [[Radial nerve injury]] | * [[Radial nerve injury]] | ||
[[Category:Orthopedic fractures]] | [[Category:Orthopedic fractures]] | ||
[[Category:Injuries]] | [[Category:Injuries]] | ||
[[Category:Medicine]] | [[Category:Medicine]] | ||
{{medicine-stub}} | {{medicine-stub}} | ||
Latest revision as of 20:18, 6 April 2025
Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
Founder, WikiMD Wellnesspedia &
W8MD medical weight loss NYC and sleep center NYC
| Holstein–Lewis fracture | |
|---|---|
 | |
| Synonyms | Distal third humeral shaft fracture |
| Pronounce | N/A |
| Specialty | N/A |
| Symptoms | Pain, swelling, inability to move the arm |
| Complications | Radial nerve palsy |
| Onset | Sudden, due to trauma |
| Duration | Varies, depending on treatment |
| Types | N/A |
| Causes | Trauma, such as a fall or direct blow |
| Risks | Osteoporosis, high-impact sports |
| Diagnosis | X-ray, Physical examination |
| Differential diagnosis | Other types of humerus fracture |
| Prevention | N/A |
| Treatment | Surgery, Immobilization |
| Medication | Pain management |
| Prognosis | Generally good with treatment |
| Frequency | Rare |
| Deaths | N/A |
Holstein–Lewis fracture is a specific type of distal radius fracture that occurs in the forearm. Named after American orthopedic surgeons Arthur Holstein and Gwilym Lewis, this fracture is characterized by a spiral break in the distal third of the radius, one of the two long bones in the forearm.
Anatomy[edit]
The radius is one of the two long bones in the forearm, the other being the ulna. The radius is located on the thumb side of the forearm and is responsible for the majority of the forearm's rotation. The distal end of the radius, near the wrist, is a common site for fractures.
Mechanism of Injury[edit]
Holstein–Lewis fractures typically occur as a result of a fall onto an outstretched hand (FOOSH). The force of the fall causes the radius to break in a spiral pattern, often with displacement of the bone fragments.
Diagnosis[edit]
Diagnosis of a Holstein–Lewis fracture is typically made through a combination of physical examination and radiography. On a radiograph, the fracture appears as a spiral break in the distal third of the radius.
Treatment[edit]
Treatment for a Holstein–Lewis fracture typically involves reduction, the process of realigning the broken bone fragments, followed by immobilization in a cast or splint. In some cases, surgery may be required to stabilize the fracture and ensure proper healing.
Complications[edit]
One of the most common complications associated with Holstein–Lewis fractures is injury to the radial nerve, which runs near the site of the fracture. This can result in symptoms such as numbness, tingling, or weakness in the hand and wrist.
See Also[edit]
