The Effect of Ulnar Styloid Fractures on Patient-rated Outcomes after Volar Locking Plating of Distal Radius Fractures

Sammer, Douglas M.; Shah, Hriday M.; Shauver, Melissa J.; Chung, Kevin C.

doi:10.1016/s0363-5023(09)60093-9

Cited by 18 publications

(22 citation statements)

References 31 publications

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“…Patients who sustained an associated ulnar styloid fracture did functionally worse on their DASH scores than patients without an ulnar styloid fracture. There are many recent studies which have shown that ulnar styoid fractures do not have an effect on functional outcome as long as the distal radius fracture is treated with internal fixation [22,36,38,44]. The results of our study suggest that in elderly patients the presence of an ulnar styloid fracture prognosticates poorer functional outcome contrary to the data for younger patients.…”

Section: Discussioncontrasting

confidence: 72%

A Functional Outcomes Survey of Elderly Patients who Sustained Distal Radius Fractures

Amorosa

Vitale

Brown

et al. 2011

Hand (New York, N,Y.)

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Purpose This study aims to examine the subjective functional outcomes of patients 70 years or older who sustained distal radius fractures through the use of the Disability of the Arm, Shoulder, and Hand (DASH) and Short Form-8 Health (SF-8) surveys. Methods Patients at least 70 years old with a distal radius fracture between 2000 and 2004 were identified and their charts reviewed. They were contacted to answer the DASH and SF-8 surveys. The radiographic injury parameters examined were articular stepoff greater than 2 mm, dorsal tilt on the lateral radiograph, ulnar variance, and presence of an ulnar styloid fracture. Results Fifty-eight patients answered the DASH and SF-8 surveys. The mean age at the time of injury in the survey group was 78 years old (range 70-94 years). Mean follow-up period was 33 months (range 13-65 months). Average DASH and SF-8 scores were 22.3 (SD 22.4) and 31.5 (SD 6.9), respectively. DASH scores were inversely correlated with SF-8 scores (R=−0.65, p<0.01). Patients who sustained an associated ulnar styloid fracture demonstrated worse DASH scores than those without an ulnar styloid fracture (presence of ulnar styloid fracture: mean DASH 26.2, no ulnar styloid fracture: mean DASH 12.9, p=0.04). There were no significant differences in functional outcome for any other radiographic parameters assessed. Males had statistically better DASH scores than the females (males: mean DASH 6.9, females: mean DASH 24.4, p= 0.003). No difference was found in functional outcome scores among different treatment groups. Conclusion In elderly patients with distal radius fractures, the only radiographic parameter we found that affects functional outcome is an associated ulnar styloid fracture. Additionally, females had worse functional outcomes than males.

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Section: Discussioncontrasting

confidence: 72%

A Functional Outcomes Survey of Elderly Patients who Sustained Distal Radius Fractures

Amorosa

Vitale

Brown

et al. 2011

Hand (New York, N,Y.)

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“…Because of its anatomic proximity to the triangular fibrocartilage complex, fracture of the ulnar styloid at its base has been postulated to cause DRUJ instability [12,28,33,37]. However, well-designed studies consistently denied the association between symptomatic DRUJ instability and the ulnar styloid fracture in distal radius fractures [15,35,39,44]. Recently widening of the DRUJ gap was identified as an independent risk factor for DRUJ instability in distal radius fractures [8].…”

Section: Discussionmentioning

confidence: 99%

“…However, it still is unclear whether the displaced ulnar styloid fractures cause pain and instability at the DRUJ in patients with distal radius fractures [34,40,44]. One study suggested that stable internal fixation of distal radius fractures results in a stable DRUJ after bony healing regardless of the presence of substantially displaced, unrepaired ulnar styloid fractures [39], whereas two studies [15,35] reported no differences in the wrist function between patients with unrepaired ulnar styloid fractures and those without ulnar styloid fractures. In addition, factors other than ulnar styloid fractures have been investigated only rarely in distal radius fractures for DRUJ instability.…”

Section: Introductionmentioning

confidence: 99%

Clinical and Radiographic Factors Associated With Distal Radioulnar Joint Instability in Distal Radius Fractures

Kwon

Seo

et al. 2012

Clinical Orthopaedics &Amp; Related Research

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Background Distal radioulnar joint (DRUJ) instability is an important cause of ulnar-sided wrist pain in distal radius fractures. However, instability is frequently undiagnosed and the clinical and radiographic factors associated with instability are not well understood. Questions/purposes We therefore identified clinical and radiographic factors associated with DRUJ instability in distal radius fractures. Patients and Methods We retrospectively reviewed all 221 patients who underwent surgical treatment for unstable distal radius fractures from 2007 to 2010. Ten patients (five men and five women) had DRUJ instability by intraoperative manual testing (Group I); these patients had a median age of 52 years. The other 211 patients (81 men and 130 women) (Group II) had a median age of 55 years.Clinical and radiographic data were compared between the groups. ResultsThe incidence of open wounds at the wrist and the relative ulnar length measured on the prereduction radiograph were greater in Group I. An open wound at the wrist and positive ulnar variance of 6 mm or greater on the prereduction radiograph increased the risk of DRUJ instability (relative risks = 45 and 17, respectively) in distal radius fractures.

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“…Das bedeutet, dass die Reposition der Gelenkfläche nur durch Bildwandler (BV) gesteuert und ohne direkte Sicht auf die Fragmente erfolgen sollte [1,24,26].…”

Section: Vorbemerkungenunclassified

Arthroskopisch gesteuerte Osteosynthese der dislozierten intraartikulären distalen Radiusfraktur

Lutz

Erhart

Deml

et al. 2016

Oper Orthop Traumatol

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The Effect of Ulnar Styloid Fractures on Patient-rated Outcomes after Volar Locking Plating of Distal Radius Fractures

Cited by 18 publications

References 31 publications

A Functional Outcomes Survey of Elderly Patients who Sustained Distal Radius Fractures

A Functional Outcomes Survey of Elderly Patients who Sustained Distal Radius Fractures

Clinical and Radiographic Factors Associated With Distal Radioulnar Joint Instability in Distal Radius Fractures

Arthroskopisch gesteuerte Osteosynthese der dislozierten intraartikulären distalen Radiusfraktur

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