Anatomie descriptive, radiographique, topographique et fonctionnelle appliquée aux fractures de l’extrémité distale du radius

Fontaine, C.; Bry, R.; Laronde, Pascale; Guerre, Elvire; Aumar, Aurélien

doi:10.1016/j.hansur.2016.07.009

Cited by 5 publications

(1 citation statement)

References 76 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…These functional limitations are frequently accompanied by pain, both acute and chronic, that can substantially impair the patient's overall quality of life. The complicated clinical picture post-DRF is further marred by the increased incidence of a set of associated complications [ 17 ]. These include but are not limited to CTS, a neuropathic disorder resulting from median nerve compression; complex regional pain syndrome (CRPS), a multifactorial disorder characterized by severe localized pain; and tenosynovitis, an inflammation of the synovial sheath surrounding a tendon [ 18 , 19 ].…”

Section: Discussionmentioning

confidence: 99%

Impact of early rehabilitation therapy on functional outcomes in patients post distal radius fracture surgery: a systematic review and meta-analysis

Zhou,

Li,

et al. 2024

BMC Musculoskelet Disord

View full text Add to dashboard Cite

Background This meta-analysis aims to investigate the efficacy of early rehabilitation on patients who have undergone surgery for distal radius fractures (DRFs) with palmar plating, focusing on multiple outcome measures including upper limb function, wrist function, back extension mobility, pain levels, and complications. Methods A rigorous search strategy adhering to the PRISMA guidelines was employed across four major databases, including PubMed, Embase, Web of Science, and the Cochrane Library. Studies were included based on stringent criteria, and data extraction was performed independently by two reviewers. Meta-analysis was conducted employing both fixed-effect and random-effects models as dictated by heterogeneity, assessed by the I2 statistic and chi-square tests. A total of 7 studies, encompassing diverse demographic groups and timelines, were included for the final analysis. Results The meta-analysis disclosed that early rehabilitation yielded a statistically significant improvement in upper limb function (SMD -0.27; 95% CI -0.48 to -0.07; P < 0.0001) and back extension mobility (SMD 0.26; 95% CI 0.04 to 0.48; P = 0.021). A notable reduction in pain levels was observed in the early rehabilitation group (SMD -0.28; 95% CI -0.53 to -0.02; P = 0.03). However, there were no significant differences in wrist function (SMD -0.13; 95% CI -0.38 to 0.12; P = 0.36) and complications (OR 0.99; 95% CI 0.61 to 1.61; P = 0.96). Conclusions Early rehabilitation post-DRF surgery with palmar plating has been found to be beneficial in enhancing upper limb functionality and back extension mobility, and in reducing pain levels. Nevertheless, no significant impact was observed regarding wrist function and complications.

show abstract

Section: Discussionmentioning

confidence: 99%