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distal radius fracture

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1. Management of Distal Radius Fractures

Management of Distal Radius Fractures Please cite this guideline as: American Academy of Orthopaedic Surgeons. Management of Distal Radius Fractures Evidence-Based Clinical Practice Guideline. www.aaos.org/drfcpg. Published December 5, 2020. View background material via the DRF CPG eAppendix 1 View data summaries via the DRF CPG eAppendix 2 Management of Distal Radius Fractures Evidence-Based Clinical Practice Guideline Adapted by: The American Academy of Orthopaedic Surgeons Board of Directors (...) no difference in outcomes between use of arthroscopic assistance and no arthroscopic assistance when treating patients for distal radius fractures. Strength of Recommendation: Moderate Description: Evidence from two or more “Moderate” quality studies with consistent findings, or evidence from a single “High” quality study for recommending for or against the intervention. HOME EXERCISE PROGRAM Inconsistent evidence suggests no difference in outcomes between a home exercise program and supervised therapy

2020 American Academy of Orthopaedic Surgeons

2. Incidence of subsequent osteoporotic fractures after distal radius fractures and mortality of the subsequent distal radius fractures: a retrospective analysis of claims data of the Korea National Health Insurance Service. (Abstract)

Incidence of subsequent osteoporotic fractures after distal radius fractures and mortality of the subsequent distal radius fractures: a retrospective analysis of claims data of the Korea National Health Insurance Service. A better understanding of the features of subsequent fractures after distal radius fracture (DRF) is important for the prevention of further osteoporotic fractures. This study found that the cumulative incidence of subsequent osteoporotic fractures in South Korea increased (...) over time and that the mortality rates of subsequent DRFs were lower than those of first-time DRFs.We examined the incidence of osteoporotic fractures following distal radius fractures (DRFs) and the mortality rate after subsequent DRFs using claims data from the Korea National Health Insurance (KNHI) Service.We identified records for 41,417 patients with first-time DRFs in 2012. The occurrence of osteoporotic fractures of the spine, hip, wrist, and humerus at least 6 months after the index DRF

2020 Osteoporosis International

3. What Is the Relative Effectiveness of the Various Surgical Treatment Options for Distal Radius Fractures? A Systematic Review and Network Meta-analysis of Randomized Controlled Trials

What Is the Relative Effectiveness of the Various Surgical Treatment Options for Distal Radius Fractures? A Systematic Review and Network Meta-analysis of Randomized Controlled Trials What Is the Relative Effectiveness of the Various Surgical Treatment Options for Distal Radius Fractures? A Systematic Review and Network Meta-analysis of Randomized Controlled Trials - PubMed This site needs JavaScript to work properly. Please enable it to take advantage of the complete set of features! Clipboard (...) Share Permalink Copy Page navigation Clin Orthop Relat Res Actions . 2021 Feb 1;479(2):348-362. doi: 10.1097/CORR.0000000000001524. What Is the Relative Effectiveness of the Various Surgical Treatment Options for Distal Radius Fractures? A Systematic Review and Network Meta-analysis of Randomized Controlled Trials , , , , , , , , , Affiliations Expand Affiliations 1 T. Woolnough, L. Gyemi, J. Gormley, K. Gouveia, Michael G. DeGroote School of Medicine, McMaster University, Hamilton, ON, Canada. 2 D

2021 EvidenceUpdates

4. Home Management Versus Primary Care Physician Follow-up of Patients With Distal Radius Buckle Fractures: A Randomized Controlled Trial

Home Management Versus Primary Care Physician Follow-up of Patients With Distal Radius Buckle Fractures: A Randomized Controlled Trial Home Management Versus Primary Care Physician Follow-up of Patients With Distal Radius Buckle Fractures: A Randomized Controlled Trial - PubMed This site needs JavaScript to work properly. Please enable it to take advantage of the complete set of features! Clipboard, Search History, and several other advanced features are temporarily unavailable. COVID-19 (...) Your RSS Feed Name of RSS Feed: Number of items displayed: Create RSS Cancel RSS Link Copy Actions Cite Display options Display options Format Share Permalink Copy Page navigation Randomized Controlled Trial Ann Emerg Med Actions . 2021 Feb;77(2):163-173. doi: 10.1016/j.annemergmed.2020.07.039. Epub 2020 Oct 21. Home Management Versus Primary Care Physician Follow-up of Patients With Distal Radius Buckle Fractures: A Randomized Controlled Trial , , , , , , Affiliations Expand Affiliations 1

2021 EvidenceUpdates

5. Cast immobilization is non-inferior to volar locking plates in relation to QuickDASH after one year in patients aged 65 years and older: a randomized controlled trial of displaced distal radius fractures

Cast immobilization is non-inferior to volar locking plates in relation to QuickDASH after one year in patients aged 65 years and older: a randomized controlled trial of displaced distal radius fractures Cast immobilization is non-inferior to volar locking plates in relation to QuickDASH after one year in patients aged 65 years and older: a randomized controlled trial of displaced distal radius fractures - PubMed This site needs JavaScript to work properly. Please enable it to take advantage (...) to QuickDASH after one year in patients aged 65 years and older: a randomized controlled trial of displaced distal radius fractures , , , , , , , Affiliations Expand Affiliations 1 Division of Orthopaedic Surgery, Oslo University Hospital Ullevaal, Oslo, Norway. 2 Institute of Clinical Medicine, University of Oslo, Oslo, Norway. 3 Department for Radiology and Nuclear Medicine, Oslo University Hospital Ullevaal, Oslo, Norway. 4 Oslo Centre of Biostatistics and Epidemiology, Oslo University Hospital Ullevaal

2021 EvidenceUpdates

6. Surgical Plating vs Closed Reduction for Fractures in the Distal Radius in Older Patients: A Randomized Clinical Trial

Surgical Plating vs Closed Reduction for Fractures in the Distal Radius in Older Patients: A Randomized Clinical Trial Surgical Plating vs Closed Reduction for Fractures in the Distal Radius in Older Patients: A Randomized Clinical Trial - PubMed This site needs JavaScript to work properly. Please enable it to take advantage of the complete set of features! Clipboard, Search History, and several other advanced features are temporarily unavailable. COVID-19 is an emerging, rapidly evolving (...) : Number of items displayed: Create RSS Cancel RSS Link Copy Actions Cite Display options Display options Format Share Permalink Copy Page navigation JAMA Surg Actions . 2021 Mar 1;156(3):229-237. doi: 10.1001/jamasurg.2020.5672. Surgical Plating vs Closed Reduction for Fractures in the Distal Radius in Older Patients: A Randomized Clinical Trial ; , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , Affiliations Expand Affiliations 1 Whitlam Orthopaedic Research Centre, Ingham Institute

2021 EvidenceUpdates

7. Choosing Wisely: Distal Radius Buckle Fractures

Choosing Wisely: Distal Radius Buckle Fractures Choosing Wisely: Distal Radius Buckle Fractures - CanadiEM Choosing Wisely: Distal Radius Buckle Fractures In by Kathy Boutis January 16, 2018 This post has been co-written by Drs. Kathy Boutis and Maxim Ben Yakov. The dogmas of the past are now being challenged for the most common minor pediatric fractures, distal radius buckle fractures and . Since these fractures are stable and have an excellent prognosis, they do not need to be routinely (...) immobilized in a cast nor followed by an orthopedic surgeon. This article reviews the evidence that recommends that management of the distal radius buckle fracture. Distal Radius Buckle Fractures Buckle fractures of the distal radius represent about 50% of pediatric fractures of the wrist. 1 Figure 1 : Buckle Fracture of the Distal Radius The cosmetic and functional prognosis of this fracture is excellent even if it associated with an ulnar buckle/styloid fracture. 2,3 Data from eight randomized control

2018 CandiEM

8. Surgical fixation with K-wires versus plaster casting in the treatment of dorsally displaced distal radius fractures: protocol for Distal Radius Acute Fracture Fixation Trial 2 (DRAFFT 2). Full Text available with Trip Pro

Surgical fixation with K-wires versus plaster casting in the treatment of dorsally displaced distal radius fractures: protocol for Distal Radius Acute Fracture Fixation Trial 2 (DRAFFT 2). Optimal management of distal radius fractures in adults remains controversial. Previous evidence and current clinical guidelines tell us that, if a closed reduction of a dorsally displaced fracture is possible, Kirschner wires (K-wires) are the preferred form of surgical fixation. However, the question (...) remains whether there is any need to perform surgical fixation following a successful closed reduction, or is a simple plaster cast as effective? This is the protocol for a randomised controlled trial of manipulation and surgical fixation with K-wires versus manipulation and casting in the treatment of dorsally displaced distal radius fractures.Adult patients with an acute dorsally displaced fracture of the distal radius are potentially eligible to take part. Prior to surgery, baseline demographic

2019 BMJ open Controlled trial quality: uncertain

9. A Comparison of Radiographic Outcomes between 3D Preoperative Planning and Conventional Planning in the Osteosynthesis of Distal Radius Fractures. (Abstract)

A Comparison of Radiographic Outcomes between 3D Preoperative Planning and Conventional Planning in the Osteosynthesis of Distal Radius Fractures. Background: To assess the usefulness of three-dimensional (3D) digital pre-operative planning, we compared the radiographic parameters of the distal radius from 3D planning and conventional planning after osteosynthesis of distal radius fractures. We hypothesized that the use of 3D digital planning may improve radiographic outcomes for reduction (...) and decrease the risk of correction loss. Methods: Sixty wrists of 60 distal radius fracture patients were randomly divided into two groups according to the order of hospital visits. Thirty wrists were treated with 3D preoperative planning as the plan group. Another thirty wrists were treated with conventional preoperative planning as the control group. Both groups were treated with volar locking plates. In the plan group, 3D digital preoperative planning and a surgical simulation were performed in order

2019 The journal of hand surgery Asian-Pacific volume Controlled trial quality: uncertain

10. Complex Regional Pain Syndrome (Sudeck Atrophy) Prevention Possibility and Accelerated Recovery in Patients with Distal Radius at the Typical Site Fracture Using Polarized, Polychromatic Light Therapy. (Abstract)

Complex Regional Pain Syndrome (Sudeck Atrophy) Prevention Possibility and Accelerated Recovery in Patients with Distal Radius at the Typical Site Fracture Using Polarized, Polychromatic Light Therapy. Objective: Distal radius fracture (DRF) is one of the most frequent population fracture mostly affecting women, and frequently leading to complex regional pain syndrome (CRPS). Management of DRF and CRPS in gerontology is complex. The aim was to evaluate the use of polarized, polychromatic, low

2019 Photobiomodulation, photomedicine, and laser surgery Controlled trial quality: uncertain

11. Efficacy of occupational therapy in the rehabilitation of the distal radius fracture – systematic review Full Text available with Trip Pro

Efficacy of occupational therapy in the rehabilitation of the distal radius fracture – systematic review Efficacy of occupational therapy in the rehabilitation of the distal radius fracture – systematic review eISSN: 1734-4948 ISSN: 0860-6161 Advances in Rehabilitation Search 4/2019 vol. 33 Share: Copy url: Share: abstract: Review paper Efficacy of occupational therapy in the rehabilitation of the distal radius fracture – systematic review Dominika Julia Trzeciak 1 , Łukasz Małek 2 1. 1 (...) Occupational Therapy Student, Faculty of Rehabilitation, Jozef Pilsudski University of Physical Education in Warsaw 2. Faculty of Rehabilitation, Jozef Pilsudski University of Physical Education in Warsaw DOI: Online publish date: 2019/12/30 Get citation AMA Trzeciak DJ, Małek Ł. Efficacy of occupational therapy in the rehabilitation of the distal radius fracture – systematic review. Advances in Rehabilitation. 2019;33(4):67-76. doi:10.5114/areh.2019.89828. APA Trzeciak, D., & Małek, Ł. (2019). Efficacy

2019 Advances in Rehabilitation

12. The association between prevalent vertebral fractures and bone quality of the distal radius and distal tibia as measured with HR-pQCT in postmenopausal women with a recent non-vertebral fracture at the Fracture Liaison Service. Full Text available with Trip Pro

The association between prevalent vertebral fractures and bone quality of the distal radius and distal tibia as measured with HR-pQCT in postmenopausal women with a recent non-vertebral fracture at the Fracture Liaison Service. We evaluated the association between prevalent vertebral fractures and bone micro-architecture and strength measured using HR-pQCT in postmenopausal women with a recent non-vertebral fracture visiting the Fracture Liaison Service. The presence and severity of prevalent (...) distal radius and distal tibia using HR-pQCT. Linear regression analyses were used to estimate the association between prevalent VFs and HR-pQCT parameters.We included 338 women of whom 74 (21.9%) women had at least one prevalent VF. After adjustment for femoral neck aBMD (FN aBMD) and other parameters, women with at least one prevalent vertebral fracture had significantly lower total and trabecular vBMD and trabecular number (β - 16.7, - 11.8, and - 7.8 in the radius and - 21.4, - 16.6, and - 7.2

2019 Osteoporosis International

13. Assessment of Distal Radius Fracture Complications Among Adults 60 Years or Older: A Secondary Analysis of the WRIST Randomized Clinical Trial Full Text available with Trip Pro

Assessment of Distal Radius Fracture Complications Among Adults 60 Years or Older: A Secondary Analysis of the WRIST Randomized Clinical Trial Complications affect treatment outcomes and quality of life in addition to increasing treatment costs.To evaluate complication rates after the treatment of a distal radius fracture, to determine whether the rate or complication type is associated with treatment method, and to determine predictors of complications.The multicenter Wrist and Radius Injury (...) Surgical Trial (WRIST), a randomized clinical trial, enrolled participants from April 10, 2012, to December 31, 2016. The study included 304 adults 60 years or older with isolated unstable distal radius fractures; 187 were randomized and 117 opted for casting. The study was conducted at 24 health systems in the United States, Canada, and Singapore. Data for this secondary analysis were collected from April 24, 2012, to February 28, 2018.Participants opting for surgery were randomized to receive

2019 EvidenceUpdates

14. Ultrasound-Guided Nerve Blocks as Analgesia for Nonoperative Management of Distal Radius Fractures-Two Consecutive Randomized Controlled Trials (Abstract)

Ultrasound-Guided Nerve Blocks as Analgesia for Nonoperative Management of Distal Radius Fractures-Two Consecutive Randomized Controlled Trials To investigate whether a conventional fracture hematoma block (FHB) or an ultrasound-guided peripheral nerve block has more superior analgesic effect during nonoperative management of distal radius fractures in an emergency department setting. Two peripheral nerve block types were investigated, one at the level of the elbow, or cubital nerve block (CNB (...) ), and another an axillary nerve block (ANB).Two prospective randomized controlled studies were performed to compare the difference in pain intensity during closed reduction of a distal radius fracture between FHB-, CNB-, and, ANB-treated patients.Level 2 trauma center.One hundred ten patients with radiographic displaced distal radius fractures were randomized. Fifty patients were randomized between FHB and CNB, and 60 patients were randomized between CNB and ANB.FHB, CNB, or ANB. These were performed by 3

2019 EvidenceUpdates

15. Early palmar plate fixation of distal radius fractures may benefit patients aged 50 years or older: a randomized trial comparing 2 different treatment protocols Full Text available with Trip Pro

Early palmar plate fixation of distal radius fractures may benefit patients aged 50 years or older: a randomized trial comparing 2 different treatment protocols Background and purpose - There is no consensus regarding optimal treatment of displaced distal radius fractures (DRFs). We compared the results of 2 treatment protocols: early palmar plating vs. primary nonoperative treatment of displaced DRFs. Patients and methods - We performed a prospective randomized controlled study including 80 (...) patients aged ≥ 50 years with dorsally displaced DRFs, excluding AO type C3 fractures. Patients were randomized to undergo either immediate surgery with palmar plating (n = 38), or initial nonoperative treatment (n = 42) after successful closed reduction in both groups. Delayed surgery was performed in nonoperatively treated patients showing early loss of alignment (n = 16). The primary outcome measure was Disabilities of the Arm, Shoulder, and Hand (DASH) score. Results - Mean DASH scores at 24 months

2019 EvidenceUpdates

16. The Use of a Vascularized Distal Ulna Autograft for Complex Distal Radius Fracture Nonunions. (Abstract)

The Use of a Vascularized Distal Ulna Autograft for Complex Distal Radius Fracture Nonunions. In patients with segmental nonunion of the distal radius, the distal ulna and distal radioulnar joint may not be salvageable. As an alternative to a vascularized free fibula, a pedicled distal ulna vascularized graft is a useful salvage technique. The procedure relies on the vascular bundle of the pronator quadratus and the dorsal oblique arterial anastomosis between the anterior and posterior (...) interosseous arteries running along the interosseous membrane as the pedicle. We present 3 patients who received a distal ulna vascularized graft with concomitant wrist arthrodesis for distal radius segmental nonunion after complex distal radius fracture. This technique provides a local pedicled graft that may be a simpler, more reliable, and less technically demanding alternative.Copyright © 2020 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.

2020 Journal of Hand Surgery - American

17. The distal-medial pilot hole: A simple way to ease volar plate positioning in extra-articular distal radius fractures. (Abstract)

The distal-medial pilot hole: A simple way to ease volar plate positioning in extra-articular distal radius fractures. Volar plating is one of the most used surgical treatments for dorsally displaced extra-articular distal radius fractures. However, the reduction of the dorsal tilt can be difficult. It usually requires a flexion maneuver of the wrist while maintaining and screwing the plate, which is cumbersome. Plate positioning also is a crucial step and is sometimes difficult because (...) with bicortical compression screws, allowing an automatic reduction of the epiphyseal dorsal tilt. We believe this technique is a safe and reproducible way to position volar plates and to reduce anatomically the dorsal tilt in extra-articular posteriorly displaced distal radius fractures (AO A2 and A3). Furthermore, the automatic fracture reduction provided by this technique decreases operation time and radiation.Copyright © 2020 Elsevier Ltd. All rights reserved.

2020 Injury

18. Habitual volar dislocation of the ulnar head with a locked distal radioulnar joint after distal radius fracture: A case report. Full Text available with Trip Pro

Habitual volar dislocation of the ulnar head with a locked distal radioulnar joint after distal radius fracture: A case report. Habitual volar dislocation of the ulnar head with a locked distal radioulnar joint (DRUJ) is a rare complication after distal radius fracture. We present a case of habitual volar dislocation of the ulnar head in a woman with a dorsally displaced malunited distal radius fracture.A 72-year-old woman presented with occasional painful locking of the forearm in full (...) supination. She had fractured the left distal radius in a fall 6 months previously. The fracture had been treated non-surgically with wrist immobilization in a long and short arm cast for 6 weeks. Physical examination showed no swelling of the left hand. The wrist locked when the forearm was fully supinated, and the patient was not able to pronate her forearm without reducing the ulna by pressing the left ulna down toward the DRUJ. She experienced sharp pain during the reduction procedure and pronation

2020 Medicine

19. Epidemiology, classification, treatment and mortality of distal radius fractures in adults: an observational study of 23,394 fractures from the national Swedish fracture register. Full Text available with Trip Pro

Epidemiology, classification, treatment and mortality of distal radius fractures in adults: an observational study of 23,394 fractures from the national Swedish fracture register. Distal radius fractures are the most common of all fractures. Optimal treatment is still debated. Previous studies report substantial changes in treatment trends in recent decades. Few nation-wide studies on distal radius fracture epidemiology and treatment exist, none of which provide detailed data on patient (...) and injury characteristics, fracture pattern and mortality. The aim of this study was to describe the epidemiology, fracture classification, current treatment regimens and mortality of distal radius fractures in adults within the context of a large national register study.We performed a descriptive study using prospectively registered data from the Swedish fracture register. Included were all non-pathological distal radius fractures registered between January 1st 2015 and December 31st 2017 in patients

2020 BMC Musculoskeletal Disorders

20. Blindness increases the risk for hip fracture and vertebral fracture but not the risk for distal radius fracture: a longitudinal follow-up study using a national sample cohort. (Abstract)

Blindness increases the risk for hip fracture and vertebral fracture but not the risk for distal radius fracture: a longitudinal follow-up study using a national sample cohort. The risks for hip fracture and vertebral fracture, but not the risk for distal radius fracture, were significantly higher in the blindness group than in the control group with a maximum 12-year follow-up.To evaluate the influence of visual impairment on the risk for osteoporotic fractures at common sites: hip, thoracic (...) medication, rheumatoid arthritis, depression, osteoporosis, diabetes mellitus, and stroke history) hazard ratios (HRs) for each fracture site. Fracture diagnoses were based on the ICD-10 codes: hip fracture (S720, S721, S722), vertebral fracture (S220, S320), and distal radius fracture (S525).The HRs for hip and vertebral fracture were significantly higher in the blindness group (adjusted HR = 2.46, p < 0.001 for hip fracture; adjusted HR = 1.42, p = 0.020 for thoracic/lumbar vertebral fracture) than

2020 Osteoporosis International

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