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Fractures of the distal end of the radius in young adults: a 30-year follow-up

Kopylov, Philippe LU ; Johnell, Olof LU ; Redlund-Johnell, Inga LU and Bengner, Urban (1993) In Journal of Hand Surgery (British Volume) 18(1). p.45-49
Abstract
76 patients were examined clinically and radiologically 27 to 36 years after a fracture of the distal radius. The average age was 31 years at the time of injury and 63 years at follow-up. In 81% of the patients there was no difference between the fractured and the non-fractured side. No patient had to change his or her occupation or leisure activities because of the fracture. There were more degenerative changes in the fractured wrist than in the non-injured side. A statistically significant correlation was found between axial compression and the presence of degenerative changes in the radio-carpal and distal radio-ulnar joints. Treatment of the fracture of the distal end of the radius in the young adult should aim to conserve the length... (More)
76 patients were examined clinically and radiologically 27 to 36 years after a fracture of the distal radius. The average age was 31 years at the time of injury and 63 years at follow-up. In 81% of the patients there was no difference between the fractured and the non-fractured side. No patient had to change his or her occupation or leisure activities because of the fracture. There were more degenerative changes in the fractured wrist than in the non-injured side. A statistically significant correlation was found between axial compression and the presence of degenerative changes in the radio-carpal and distal radio-ulnar joints. Treatment of the fracture of the distal end of the radius in the young adult should aim to conserve the length of the radius. However, after 30 years, complaints are few and correlate with degenerative changes in the radio-carpal joint only. 47 patients with articular fractures of the distal end of the radius were examined in the same way. The average age at the time of injury was 32 years and 58% of the patients were men. In 87% of the patients there was no difference between the fractured and the non-fractured side. However 37% had minor complaints. A higher proportion of patients with articular fractures developed degenerative changes than those with non-articular fractures. The existence of radiographic signs of osteoarthritis is directly related to axial compression and the persistent incongruity, after reposition, in either the radio-carpal or the distal radio-ulnar joints. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Journal of Hand Surgery (British Volume)
volume
18
issue
1
pages
45 - 49
publisher
SAGE Publications Inc.
external identifiers
  • pmid:8436861
  • scopus:0027461687
ISSN
0266-7681
DOI
10.1016/0266-7681(93)90195-L
language
English
LU publication?
yes
id
fb4f38fe-701e-4bae-9957-6e24a22be6ad (old id 1107221)
date added to LUP
2008-07-30 14:06:11
date last changed
2017-11-19 04:06:56
@article{fb4f38fe-701e-4bae-9957-6e24a22be6ad,
  abstract     = {76 patients were examined clinically and radiologically 27 to 36 years after a fracture of the distal radius. The average age was 31 years at the time of injury and 63 years at follow-up. In 81% of the patients there was no difference between the fractured and the non-fractured side. No patient had to change his or her occupation or leisure activities because of the fracture. There were more degenerative changes in the fractured wrist than in the non-injured side. A statistically significant correlation was found between axial compression and the presence of degenerative changes in the radio-carpal and distal radio-ulnar joints. Treatment of the fracture of the distal end of the radius in the young adult should aim to conserve the length of the radius. However, after 30 years, complaints are few and correlate with degenerative changes in the radio-carpal joint only. 47 patients with articular fractures of the distal end of the radius were examined in the same way. The average age at the time of injury was 32 years and 58% of the patients were men. In 87% of the patients there was no difference between the fractured and the non-fractured side. However 37% had minor complaints. A higher proportion of patients with articular fractures developed degenerative changes than those with non-articular fractures. The existence of radiographic signs of osteoarthritis is directly related to axial compression and the persistent incongruity, after reposition, in either the radio-carpal or the distal radio-ulnar joints.},
  author       = {Kopylov, Philippe and Johnell, Olof and Redlund-Johnell, Inga and Bengner, Urban},
  issn         = {0266-7681},
  language     = {eng},
  number       = {1},
  pages        = {45--49},
  publisher    = {SAGE Publications Inc.},
  series       = {Journal of Hand Surgery (British Volume)},
  title        = {Fractures of the distal end of the radius in young adults: a 30-year follow-up},
  url          = {http://dx.doi.org/10.1016/0266-7681(93)90195-L},
  volume       = {18},
  year         = {1993},
}