Epidemiology of distal radius fractures in polytrauma patients and the influence of high traumatic energy transfer

Ferree, Steven; Vliet, Quirine M.J. van der; Nawijn, Femke; Bhashyam, Abhiram R.; Houwert, Roderick M.; Leenen, Luke P. H.; Hietbrink, Falco

doi:10.1016/j.injury.2018.02.003

Cited by 20 publications

(14 citation statements)

References 24 publications

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“…Hand and wrist are common areas for upper extremity injuries [1][2][3][4][5][6]. To evaluate hand/wrist function and severity in the initial stage or after treatment, both clinicians and researchers need standard tools which have high reliability, validity and the ability to detect clinically important changes overtime [7,8].…”

Section: Introductionmentioning

confidence: 99%

A Thai version of the Michigan hand questionnaire (Thai MHQ): an investigation of the psychometric properties

Atthakomol

Manosroi

Sanguanrungsirikul

et al. 2020

Health Qual Life Outcomes

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Background The Michigan Hand Questionnaire (MHQ) is widely used to assess the hand/wrist conditions. We translated the original version into Thai (Thai MHQ) and evaluated its psychometric properties. Methods After receiving permission, the original MHQ was translated and cross-culturally adapted to Thai following standard guidelines. Two hundred and seventeen patients who had hand/wrist injuries or disorders were included in the study. Internal consistency was evaluated using Cronbach’s alpha. Test-retest reliability was analyzed using the intraclass correlation coefficient (ICC). Spearman’s rank correlation among the subscales of Thai MHQ, Thai DASH and Thai EQ-5D-5L and also confirmatory factor analysis (CFA) were used to explore construct validity. The standardized response mean (SRM) was used to evaluate the responsiveness of the Thai MHQ. Results All subscales showed an acceptable Cronbach’s alpha (0.79–0.98). The test-retest reliability of each subscale was good (ICC = 0.83–0.95). In related dimensions, strong correlation was demonstrated between the Activities of daily living subscale of the Thai MHQ and the Common activities subscale in the Thai DASH (r = 0.77, P < 0.0001). For unrelated dimensions, a weak correlation was found between the Aesthetics subscale in the Thai MHQ and the Mobility subscale in the Thai EQ-5D-5L (r = − 0.13, P = 0.05). The Thai MHQ had strong correlation with Thai DASH (r = − 0.79, P < 0.0001) and Thai EQ-5D-5L (r = 0.63, P < 0.0001). CFA showed that the 6-factor model demonstrated an acceptable fit to the data. The SRM of the Thai MHQ was 0.78, indicating relatively large responsiveness. The MIC of Thai MHQ using distribution methods (SEM) was 5.2. Conclusions The Thai MHQ provides adequate internal consistency in all subscales as well as good construct validity and reliability for Thai patients and a relatively large standardized response mean at 2 months after treatment.

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Section: Introductionmentioning

confidence: 99%

A Thai version of the Michigan hand questionnaire (Thai MHQ): an investigation of the psychometric properties

Atthakomol

Manosroi

Sanguanrungsirikul

et al. 2020

Health Qual Life Outcomes

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“…There are several classification systems for DRFs, but it is difficult to classify fractures according to trauma energy [6]. Few papers have compared and analyzed the results by classifying DRFs according to the degree of trauma energy [2,4,6]. We can expect easily that patients with high-energy trauma will have a higher rate of complex fractures than those with low-energy trauma, which subsequently results in worse functional outcomes.…”

Section: Discussionmentioning

confidence: 99%

“…Of the 112 cases, 42 cases were of ST. Monotrauma patients were defined as those with isolated DRFs or those with DRFs and fractures at other body parts and with an ISS of < 16. These patients were further categorized into low-energy monotrauma (ML) and high-energy monotrauma (MH) according to the definition of MH [6]. The criteria for high-energy trauma are as follows [6]: a fall from > 3 m, a car accident velocity of > 60 km/hr, a motorcycle accident velocity of > 30 km/hr, vehicle shortening of > 50 cm, vehicle depression of the passenger side of > 30 cm, vehicle rollover of passenger thrown from the vehicle, fatality in the same vehicle, and car or motorcycle versus pedestrian or bicyclist velocity of > 10 km/hr.…”

Section: Methodsmentioning

confidence: 99%

“…This is considered a feature of the ML group that comprised several elderly patients with osteoporosis. In previous studies assessing DRFs in patients with high-energy trauma [6,8], there were several complex articular fracture types and high ipsilateral damages in the high-energy group. In this study, the same result was observed, that is the accompanying ipsilateral injury was high, but there was no statistical significance for the type of fracture.…”

Section: Functional Outcomesmentioning

confidence: 99%

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Epidemiologic Features of Distal Radius Fractures in Severe Trauma Patients at the Busan Regional Trauma Center

Kim¹,

Kwak²,

Jang³

et al. 2020

Arch Hand Microsurg

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Purpose: Distal radius fractures (DRFs) are often observed in simple trauma in older women with osteoporosis, and severe trauma caused by traffic or fall accidents. In this study, we aim to classify the DRFs according to injury mechanism, and statistically compare epidemiologic factors, radiological characteristics, and functional scores.Methods: From 2013 to 2018, 112 cases of trauma in 104 patients (70 monotrauma and 42 severe traumas) diagnosed with DRFs were included. Patients were divided into the low-energy monotrauma (ML), high-energy monotrauma (MH), and severe trauma (ST) groups and analyzed for differences in sex, Injury Severity Score (ISS), accompanying ipsilateral injuries, radiologic indices, AO classification, and functional outcome scores (disabilities of the arm, shoulder, and hand and Modified Mayo Wrist Score). Results: Significant differences were observed in sex, age, ISS, and accompanying ipsilateral injury among three group (p < 0.001). Distribution of AO classification was not significantly different among the groups. Especially, sex, age, and accompanying ipsilateral injury were significantly different between the ML and MH groups (p<0.001). postoperative DASH and MMWS were significantly different between the mono- and severe trauma groups (p<0.001).Conclusions: Severe trauma with DRFs was observed at a lower age and more frequently accompanied by ipsilateral injury and high ISS. Additionally, the functional outcomes were lower after severe trauma than after monotrauma. Therefore, for DRF patients with severe trauma, attention should be paid to the pattern of fracture as well as the accompanying injury and postoperative management and rehabilitation associated with it.

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“…However, if this is delayed too much, and the patient recovers, the distal radius malunion will develop and will be the most difficult clinical problem for the patient when sent home. Therefore, fixation of wrist or hand fractures should be performed as soon as possible without endangering the patient's health/life [1]. The same rule should be obligatory for "low demanding" persons presenting with difficult hand injuries and being in a difficult social or legal situation.…”

Section: Discussionmentioning

confidence: 99%

Treatment of neglected, severely displaced, open malunion of the distal radius and ulna in an elderly person with Alzheimer’s disease – a case report

Żyluk¹,

Puchalski²

2018

Handchir Mikrochir plast Chir

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The case of a patient suffering from Alzheimer’s disease who sustained epiphyseal, severely dislocated fractures of the distal radius and ulna is reported. As the patient was incapacitated and attempts to contact her curator failed, the decision was made on a conservative treatment of the fractures. This treatment eventually failed and resulted in malunion with exposure of bone fragments above the skin. After obtaining informed consent from her curator, a corrective osteotomy was performed using an original method, followed by fixation of bone fragments in almost anatomical position by intramedullary K wires. At a 6-month follow-up, the patient was using her hand in daily life and did not complain of any pain. An X-ray showed consolidation of the bones in the distal forearm in an acceptable position.

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Epidemiology of distal radius fractures in polytrauma patients and the influence of high traumatic energy transfer

Cited by 20 publications

References 24 publications

A Thai version of the Michigan hand questionnaire (Thai MHQ): an investigation of the psychometric properties

A Thai version of the Michigan hand questionnaire (Thai MHQ): an investigation of the psychometric properties

Epidemiologic Features of Distal Radius Fractures in Severe Trauma Patients at the Busan Regional Trauma Center

Treatment of neglected, severely displaced, open malunion of the distal radius and ulna in an elderly person with Alzheimer’s disease – a case report

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