Objective Outcome Measures Continue to Improve from 6 to 12 Months after Conservatively Treated Distal Radius Fractures in the Elderly—A Prospective Evaluation of 50 Patients
Distal radius fractures (DRF) in the elderly population above 65 years represent 18% of all fractures and are thereby the second most frequent fracture in the elderly. Fracture dislocation and comminution are often used to determine whether non-operative or operative treatment is indicated. The purp...
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| Format: | Article |
| Language: | English |
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MDPI AG
2021-04-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/10/9/1831 |
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| author | Rikke Thorninger Daniel Wæver Jonas Pedersen Jens Tvedegaard-Christensen Michael Tjørnild Martin Lind Jan Duedal Rölfing |
| author_facet | Rikke Thorninger Daniel Wæver Jonas Pedersen Jens Tvedegaard-Christensen Michael Tjørnild Martin Lind Jan Duedal Rölfing |
| author_sort | Rikke Thorninger |
| collection | DOAJ |
| description | Distal radius fractures (DRF) in the elderly population above 65 years represent 18% of all fractures and are thereby the second most frequent fracture in the elderly. Fracture dislocation and comminution are often used to determine whether non-operative or operative treatment is indicated. The purpose of this prospective case series of minimally displaced DRF treated with a dorsal cast was to assess the complication rate and patient-reported outcome measures. This single-centre, single-blinded, prospective case series followed 50 conservatively treated DRF patients for one year. Primary outcomes were complications and Quick Disability of Arm Shoulder and Hand (qDASH) score. Secondary outcomes were range of motion (ROM), grip strength and pain, and Patient-Rated Wrist/Hand Evaluation (PRWHE). Results showed only minor complications with a return to prior ROM, qDASH, and pain after 12 months and improvement in outcomes after 6–12 months. In conclusion, the majority of DRF patients who were treated non-operatively with five-week dorsal casting recover fully after minimally displaced DRF. This standard approach is thus considered safe, and the present results provide a reference for other studies. |
| first_indexed | 2024-03-10T12:03:43Z |
| format | Article |
| id | doaj.art-56f13d3756bf48c9bfa4f180fbe277cd |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-10T12:03:43Z |
| publishDate | 2021-04-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-56f13d3756bf48c9bfa4f180fbe277cd2023-11-21T16:45:12ZengMDPI AGJournal of Clinical Medicine2077-03832021-04-01109183110.3390/jcm10091831Objective Outcome Measures Continue to Improve from 6 to 12 Months after Conservatively Treated Distal Radius Fractures in the Elderly—A Prospective Evaluation of 50 PatientsRikke Thorninger0Daniel Wæver1Jonas Pedersen2Jens Tvedegaard-Christensen3Michael Tjørnild4Martin Lind5Jan Duedal Rölfing6Department of Orthopaedics, Randers Regional Hospital, 8930 Randers, DenmarkDepartment of Orthopaedics, Randers Regional Hospital, 8930 Randers, DenmarkDepartment of Orthopaedics, Randers Regional Hospital, 8930 Randers, DenmarkDepartment of Orthopaedics, Randers Regional Hospital, 8930 Randers, DenmarkDepartment of Orthopaedics, Randers Regional Hospital, 8930 Randers, DenmarkDepartment of Clinical Medicine, HEALTH, Aarhus University, 8000 Aarhus, DenmarkDepartment of Clinical Medicine, HEALTH, Aarhus University, 8000 Aarhus, DenmarkDistal radius fractures (DRF) in the elderly population above 65 years represent 18% of all fractures and are thereby the second most frequent fracture in the elderly. Fracture dislocation and comminution are often used to determine whether non-operative or operative treatment is indicated. The purpose of this prospective case series of minimally displaced DRF treated with a dorsal cast was to assess the complication rate and patient-reported outcome measures. This single-centre, single-blinded, prospective case series followed 50 conservatively treated DRF patients for one year. Primary outcomes were complications and Quick Disability of Arm Shoulder and Hand (qDASH) score. Secondary outcomes were range of motion (ROM), grip strength and pain, and Patient-Rated Wrist/Hand Evaluation (PRWHE). Results showed only minor complications with a return to prior ROM, qDASH, and pain after 12 months and improvement in outcomes after 6–12 months. In conclusion, the majority of DRF patients who were treated non-operatively with five-week dorsal casting recover fully after minimally displaced DRF. This standard approach is thus considered safe, and the present results provide a reference for other studies.https://www.mdpi.com/2077-0383/10/9/1831distal radius fracturefracturenon-operative treatmentconservative treatmentcomplicationspatient-reported outcome measures |
| spellingShingle | Rikke Thorninger Daniel Wæver Jonas Pedersen Jens Tvedegaard-Christensen Michael Tjørnild Martin Lind Jan Duedal Rölfing Objective Outcome Measures Continue to Improve from 6 to 12 Months after Conservatively Treated Distal Radius Fractures in the Elderly—A Prospective Evaluation of 50 Patients Journal of Clinical Medicine distal radius fracture fracture non-operative treatment conservative treatment complications patient-reported outcome measures |
| title | Objective Outcome Measures Continue to Improve from 6 to 12 Months after Conservatively Treated Distal Radius Fractures in the Elderly—A Prospective Evaluation of 50 Patients |
| title_full | Objective Outcome Measures Continue to Improve from 6 to 12 Months after Conservatively Treated Distal Radius Fractures in the Elderly—A Prospective Evaluation of 50 Patients |
| title_fullStr | Objective Outcome Measures Continue to Improve from 6 to 12 Months after Conservatively Treated Distal Radius Fractures in the Elderly—A Prospective Evaluation of 50 Patients |
| title_full_unstemmed | Objective Outcome Measures Continue to Improve from 6 to 12 Months after Conservatively Treated Distal Radius Fractures in the Elderly—A Prospective Evaluation of 50 Patients |
| title_short | Objective Outcome Measures Continue to Improve from 6 to 12 Months after Conservatively Treated Distal Radius Fractures in the Elderly—A Prospective Evaluation of 50 Patients |
| title_sort | objective outcome measures continue to improve from 6 to 12 months after conservatively treated distal radius fractures in the elderly a prospective evaluation of 50 patients |
| topic | distal radius fracture fracture non-operative treatment conservative treatment complications patient-reported outcome measures |
| url | https://www.mdpi.com/2077-0383/10/9/1831 |
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