No long-term risk of wrist osteoarthritis due to subchondral haematomas in distal radial fractures
(2018) In Journal of Plastic Surgery and Hand Surgery 52(3). p.163-165- Abstract
Objective: The objective of this study of distal radius fractures was to determine if a subchondral haematoma in an unfractured compartment predicts secondary osteoarthritis. Methods: In 1995–1997, 41 patients, 22 women, a median age of 41 years (20–57 years) with a displaced distal radius fracture underwent diagnostic wrist arthroscopy in addition to the fracture treatment. In 12 patients (7/12 women), subchondral haematomas were identified in a joint compartment not involved in the fracture. Results: At 13–15 years, 37 patients were still alive. Twenty-eight patients attended the follow-up and 8/28 had had a subchondral haematoma within an uninjured compartment at the time of arthroscopy. The range of motion at 13–15 years was... (More)
Objective: The objective of this study of distal radius fractures was to determine if a subchondral haematoma in an unfractured compartment predicts secondary osteoarthritis. Methods: In 1995–1997, 41 patients, 22 women, a median age of 41 years (20–57 years) with a displaced distal radius fracture underwent diagnostic wrist arthroscopy in addition to the fracture treatment. In 12 patients (7/12 women), subchondral haematomas were identified in a joint compartment not involved in the fracture. Results: At 13–15 years, 37 patients were still alive. Twenty-eight patients attended the follow-up and 8/28 had had a subchondral haematoma within an uninjured compartment at the time of arthroscopy. The range of motion at 13–15 years was impaired in the injured wrist, but unrelated to the presence of a subchondral haematoma. The mean grip strength in patients with subchondral haematoma was 80% of the contralateral, compared to 78% in patients without. No correlation was found between the presence of a subchondral haematoma at arthroscopy and the development of radiographic osteoarthritis in the long term. Conclusion: The presence of a subchondral hematoma in an uninjured compartment at the time of fracture did not alter the long-term clinical or radiographic outcome after a distal radius fracture.
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- author
- Mrkonjic, Ante LU ; Geijer, Mats LU ; Lindau, Tommy and Tägil, Magnus LU
- organization
- publishing date
- 2018
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Bone bruise, cartilage, distal radial fracture, long-term outcome
- in
- Journal of Plastic Surgery and Hand Surgery
- volume
- 52
- issue
- 3
- pages
- 163 - 165
- publisher
- Taylor & Francis
- external identifiers
-
- pmid:28885132
- pmid:28885132
- scopus:85029723768
- ISSN
- 2000-656X
- DOI
- 10.1080/2000656X.2017.1372290
- language
- English
- LU publication?
- yes
- id
- 7e3f7e99-5d2b-4d59-bced-a970cc5aebd0
- date added to LUP
- 2017-10-09 10:17:48
- date last changed
- 2024-01-14 06:48:23
@article{7e3f7e99-5d2b-4d59-bced-a970cc5aebd0,
abstract = {{<p>Objective: The objective of this study of distal radius fractures was to determine if a subchondral haematoma in an unfractured compartment predicts secondary osteoarthritis. Methods: In 1995–1997, 41 patients, 22 women, a median age of 41 years (20–57 years) with a displaced distal radius fracture underwent diagnostic wrist arthroscopy in addition to the fracture treatment. In 12 patients (7/12 women), subchondral haematomas were identified in a joint compartment not involved in the fracture. Results: At 13–15 years, 37 patients were still alive. Twenty-eight patients attended the follow-up and 8/28 had had a subchondral haematoma within an uninjured compartment at the time of arthroscopy. The range of motion at 13–15 years was impaired in the injured wrist, but unrelated to the presence of a subchondral haematoma. The mean grip strength in patients with subchondral haematoma was 80% of the contralateral, compared to 78% in patients without. No correlation was found between the presence of a subchondral haematoma at arthroscopy and the development of radiographic osteoarthritis in the long term. Conclusion: The presence of a subchondral hematoma in an uninjured compartment at the time of fracture did not alter the long-term clinical or radiographic outcome after a distal radius fracture.</p>}},
author = {{Mrkonjic, Ante and Geijer, Mats and Lindau, Tommy and Tägil, Magnus}},
issn = {{2000-656X}},
keywords = {{Bone bruise; cartilage; distal radial fracture; long-term outcome}},
language = {{eng}},
number = {{3}},
pages = {{163--165}},
publisher = {{Taylor & Francis}},
series = {{Journal of Plastic Surgery and Hand Surgery}},
title = {{No long-term risk of wrist osteoarthritis due to subchondral haematomas in distal radial fractures}},
url = {{http://dx.doi.org/10.1080/2000656X.2017.1372290}},
doi = {{10.1080/2000656X.2017.1372290}},
volume = {{52}},
year = {{2018}},
}