J Korean Surgery Hand Soc Search

CLOSE


Journal of the Korean Society for Surgery of the Hand 2011;16(4):185-190.
Published online December 30, 2011.
Radiographic Changes in Conservatively Treated Distal Radius Fractures
Hong Kee Yoon, Myoung Hoe Kim
Department of Orthopedic Surgery, Soonchunhyang University College of Medicine, Seoul, Korea. honzi@hanmail.net
Received: 12 July 2011   • Revised: 28 October 2011   • Accepted: 8 November 2011
Abstract
Purpose
To evaluate the radiographic changes in distal radius fractures treated conservatively. MATERIALS AND METHODS: We reviewed 55 patients with a distal radius fracture treated by conservative treatment. Average age was 57.6 years. According to the AO classification, 17 were A2 fractures followed by C1 (13 cases), C2 (9 cases), C3 (7 cases), B1 (6 cases) and A3 (3 cases). Closed reduction and U-shaped splint were applied as initial treatment. Long arm cast followed by short arm cast were applied for intraarticular or metaphyseal comminuted fractures. Radial inclination angle, radial length and volar tilt angle in each radiograph were measured and evaluated by statistic analysis. Radiographic changes according to ages, comminution of metaphysis and fracture type were also evaluated.

Results
Radial inclination, radial length and volar tilt were 22.8degrees, 12.0 mm and 8.5degrees after closed reduction, 22.1degrees, 10.5 mm and 7.7degrees at casting, 20.1degrees, 8.7 mm and 4.5degrees at cast off, and 18.7degrees, 7.4 mm and 4.1degrees at last follow-up. All three values had statistical significances between casting and removal of cast (p<0.001, p<0.001, p=0.002). Radial inclination angle and radial length in the group over 60 years had statistical significances between casting and removal of cast, comparing with the group under 60 years (p=0.037, p=0.045).

Conclusion
Loss of reduction was more prominent between 3 to 6 weeks after injury, especially in the group 60 years or older.
 
TOOLS
  • PDF Links PDF Links
  • Full text via DOI   Full text via DOI
  • Download Citation Download Citation
Share :
Facebook Twitter Linked In Google+ Line it
METRICS Graph View
  • 1,127 View
  • 0 Download
Related articles in Arch Hand Microsurg

Comparison of Results in Operative Treatment for Neer type 2 Distal Clavicle Fracture2008 December;13(4)

Development of Anatomical Plating System for Treatment of Distal Radius Fractures2007 ;12(3)

Clinical Results of Two Operative Treatments in Mallet Fracture2007 ;12(2)

Volar Locking T-plate fixation of Dorsally Displaced Unstable Distal Radius Fractures2005 ;10(3)

The Operative Treatment of Distal Radius Intra-articular Fracture2005 ;10(1)



About
Article and topics
Article category

Browse all articles >

Topics

Browse all articles >

Browse articles
Editorial policies
For contributors
Editorial Office
St. Vincent’s Hospital, College of Medicine, The Catholic University of Korea, 93 Ji-dong, Paldal-gu, Suwon 16247, Korea
Tel: +82-31-249-7186    Fax: +82-31-254-7186    E-mail: journal@handmicro.org                

Copyright © 2024 by Korean Society for Surgery of the Hand, Korean Society for Microsurgery, and Korean Society for Surgery of the Peripheral Nerve.

Developed in M2PI

Close layer
prev next