The effect of distal radius fractures involving the distal radioulnar articular joint on forearm rotation

BACKGROUND: The objective of this study was to predict the function of the forearm rotation on the basis of the articular surface of the sigmoid notch from three-dimensional reconstruction images. METHODS: We retrospectively reviewed patients who underwent volar plate fixation for intra-articular di...

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Autores principales: Kong, Lingde, Fu, Meng, Lu, Jian, Zhou, Yanqing, Zhang, Zuzhuo, Zhang, Bing
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7678168/
https://www.ncbi.nlm.nih.gov/pubmed/33213493
http://dx.doi.org/10.1186/s13018-020-02091-w
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author Kong, Lingde
Fu, Meng
Lu, Jian
Zhou, Yanqing
Zhang, Zuzhuo
Zhang, Bing
author_facet Kong, Lingde
Fu, Meng
Lu, Jian
Zhou, Yanqing
Zhang, Zuzhuo
Zhang, Bing
author_sort Kong, Lingde
collection PubMed
description BACKGROUND: The objective of this study was to predict the function of the forearm rotation on the basis of the articular surface of the sigmoid notch from three-dimensional reconstruction images. METHODS: We retrospectively reviewed patients who underwent volar plate fixation for intra-articular distal radius fractures (DRFs) in our institution between January 2017 and July 2019. The 3D image of the sigmoid notch on the fractured distal radius was reconstructed and looked up from the ulnar view to determine the existence of gaps or steps. Patients with or without gaps/steps on the sigmoid notch were included in the case group or control group, respectively. The patients’ basic data and postoperative data were collected and compared. RESULTS: A total of 81 patients were included. There were 33 patients in the case group, and 48 patients in the control group. There was no significant difference between the two groups at baseline. The total range of motion (ROM) of rotation in the case group and control group was 130.3 ± 6.2° and 145.3 ± 6.7°, respectively (P < 0.001). The percentage of rotation ROM of contralateral limb in the case group and control group was 72.3 ± 3.1% and 80.7 ± 3.6%, respectively (P < 0.001). VAS during forearm rotation was 2.1 ± 0.7 in the case group, which is significantly higher than that in the control group (1.5 ± 0.5, P < 0.001). CONCLUSION: This study proposed a new method to assess the articular surface of the sigmoid notch which is based on 3D reconstruction images. With the assistance of this method, we found that gaps or steps on the sigmoid notch not only limit forearm pronation rotation and supination rotation, but also cause apparent wrist pain during forearm rotation movement and poor wrist ability.
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spelling pubmed-76781682020-11-20 The effect of distal radius fractures involving the distal radioulnar articular joint on forearm rotation Kong, Lingde Fu, Meng Lu, Jian Zhou, Yanqing Zhang, Zuzhuo Zhang, Bing J Orthop Surg Res Research Article BACKGROUND: The objective of this study was to predict the function of the forearm rotation on the basis of the articular surface of the sigmoid notch from three-dimensional reconstruction images. METHODS: We retrospectively reviewed patients who underwent volar plate fixation for intra-articular distal radius fractures (DRFs) in our institution between January 2017 and July 2019. The 3D image of the sigmoid notch on the fractured distal radius was reconstructed and looked up from the ulnar view to determine the existence of gaps or steps. Patients with or without gaps/steps on the sigmoid notch were included in the case group or control group, respectively. The patients’ basic data and postoperative data were collected and compared. RESULTS: A total of 81 patients were included. There were 33 patients in the case group, and 48 patients in the control group. There was no significant difference between the two groups at baseline. The total range of motion (ROM) of rotation in the case group and control group was 130.3 ± 6.2° and 145.3 ± 6.7°, respectively (P < 0.001). The percentage of rotation ROM of contralateral limb in the case group and control group was 72.3 ± 3.1% and 80.7 ± 3.6%, respectively (P < 0.001). VAS during forearm rotation was 2.1 ± 0.7 in the case group, which is significantly higher than that in the control group (1.5 ± 0.5, P < 0.001). CONCLUSION: This study proposed a new method to assess the articular surface of the sigmoid notch which is based on 3D reconstruction images. With the assistance of this method, we found that gaps or steps on the sigmoid notch not only limit forearm pronation rotation and supination rotation, but also cause apparent wrist pain during forearm rotation movement and poor wrist ability. BioMed Central 2020-11-19 /pmc/articles/PMC7678168/ /pubmed/33213493 http://dx.doi.org/10.1186/s13018-020-02091-w Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research Article
Kong, Lingde
Fu, Meng
Lu, Jian
Zhou, Yanqing
Zhang, Zuzhuo
Zhang, Bing
The effect of distal radius fractures involving the distal radioulnar articular joint on forearm rotation
title The effect of distal radius fractures involving the distal radioulnar articular joint on forearm rotation
title_full The effect of distal radius fractures involving the distal radioulnar articular joint on forearm rotation
title_fullStr The effect of distal radius fractures involving the distal radioulnar articular joint on forearm rotation
title_full_unstemmed The effect of distal radius fractures involving the distal radioulnar articular joint on forearm rotation
title_short The effect of distal radius fractures involving the distal radioulnar articular joint on forearm rotation
title_sort effect of distal radius fractures involving the distal radioulnar articular joint on forearm rotation
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7678168/
https://www.ncbi.nlm.nih.gov/pubmed/33213493
http://dx.doi.org/10.1186/s13018-020-02091-w
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