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Clinical DRUJ instability does not influence the long-term functional outcome of conservatively treated distal radius fractures

OBJECTIVE: The presence of distal radioulnar joint (DRUJ) instability remains often unnoticed initially, but may worsen functional outcome of distal radius fractures (DRF). The aim of this study was to evaluate the influence of concurring clinical DRUJ instability on the outcome of conservatively tr...

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Autores principales: Wijffels, M. M. E., Krijnen, P., Schipper, I. B.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5378741/
https://www.ncbi.nlm.nih.gov/pubmed/26825780
http://dx.doi.org/10.1007/s00068-015-0627-4
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author Wijffels, M. M. E.
Krijnen, P.
Schipper, I. B.
author_facet Wijffels, M. M. E.
Krijnen, P.
Schipper, I. B.
author_sort Wijffels, M. M. E.
collection PubMed
description OBJECTIVE: The presence of distal radioulnar joint (DRUJ) instability remains often unnoticed initially, but may worsen functional outcome of distal radius fractures (DRF). The aim of this study was to evaluate the influence of concurring clinical DRUJ instability on the outcome of conservatively treated DRF. METHODS: In a retrospective cohort study, all unilateral, conservatively treated DRF patients were invited for physical examination, CT scan of both wrists and filling out questionnaires. Static and dynamic DRUJ instability were clinically tested. RESULTS: Forty-nine DRF patients with a mean follow-up of 4.2 years (SD 0.5) were assessed. Seventeen patients tested positive for DRUJ instability. No differences were found in baseline characteristics between the DRUJ stable and unstable group. Apart from wrist flexion, no statistical significant differences in outcome was found between patients with and without DRUJ instability. CONCLUSION: The presence of clinical DRUJ instability does not seem to affect functional outcome of conservatively treated distal radius fractures at long-term follow-up.
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spelling pubmed-53787412017-04-17 Clinical DRUJ instability does not influence the long-term functional outcome of conservatively treated distal radius fractures Wijffels, M. M. E. Krijnen, P. Schipper, I. B. Eur J Trauma Emerg Surg Original Article OBJECTIVE: The presence of distal radioulnar joint (DRUJ) instability remains often unnoticed initially, but may worsen functional outcome of distal radius fractures (DRF). The aim of this study was to evaluate the influence of concurring clinical DRUJ instability on the outcome of conservatively treated DRF. METHODS: In a retrospective cohort study, all unilateral, conservatively treated DRF patients were invited for physical examination, CT scan of both wrists and filling out questionnaires. Static and dynamic DRUJ instability were clinically tested. RESULTS: Forty-nine DRF patients with a mean follow-up of 4.2 years (SD 0.5) were assessed. Seventeen patients tested positive for DRUJ instability. No differences were found in baseline characteristics between the DRUJ stable and unstable group. Apart from wrist flexion, no statistical significant differences in outcome was found between patients with and without DRUJ instability. CONCLUSION: The presence of clinical DRUJ instability does not seem to affect functional outcome of conservatively treated distal radius fractures at long-term follow-up. Springer Berlin Heidelberg 2016-01-29 2017 /pmc/articles/PMC5378741/ /pubmed/26825780 http://dx.doi.org/10.1007/s00068-015-0627-4 Text en © The Author(s) 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Original Article
Wijffels, M. M. E.
Krijnen, P.
Schipper, I. B.
Clinical DRUJ instability does not influence the long-term functional outcome of conservatively treated distal radius fractures
title Clinical DRUJ instability does not influence the long-term functional outcome of conservatively treated distal radius fractures
title_full Clinical DRUJ instability does not influence the long-term functional outcome of conservatively treated distal radius fractures
title_fullStr Clinical DRUJ instability does not influence the long-term functional outcome of conservatively treated distal radius fractures
title_full_unstemmed Clinical DRUJ instability does not influence the long-term functional outcome of conservatively treated distal radius fractures
title_short Clinical DRUJ instability does not influence the long-term functional outcome of conservatively treated distal radius fractures
title_sort clinical druj instability does not influence the long-term functional outcome of conservatively treated distal radius fractures
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5378741/
https://www.ncbi.nlm.nih.gov/pubmed/26825780
http://dx.doi.org/10.1007/s00068-015-0627-4
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