Holstein–Lewis fracture

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

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

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 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 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

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

• Distal radius fracture
• Forearm fractures
• Radial nerve injury