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Worse outcome (DASH) at 12 months in 128 patients with combined radius-ulna metaphyseal fracture than radius fracture alone. A register study of 3666 patients. Need for Evidence Based Treatment Guidelines?

Arvidsson, Linnea LU ; Österhed, Elin LU orcid ; Landgren, Marcus LU ; Abramo, Antonio LU and Tägil, Magnus LU (2019) 14th IFSSH, 11th IFSHT TRIENNIAL CONGRE SS
Abstract (Swedish)
Background and purpose - Up to 6 percent of distal radius fractures have a concomitant distal ulna metaphyseal fracture. By using our prospective register, we compared the subjective outcome at one year in patients with only a distal radius fracture (DRF) to patients with a combined DRF and distal ulnar fracture (DUF).

Methods - At our hospital, all distal radius fractures in adult patients are prospectively registered and the patient-reported outcome, the Disabilities of the Arm, Shoulder and Hand (DASH) recorded at 1 year. Between 2003-2012, 3666 patients (2833 women) were included in the register and 127 patients (114 women) had both a DRF and DUF. The DUFs were classified radiographically. Patient characteristics, type of... (More)
Background and purpose - Up to 6 percent of distal radius fractures have a concomitant distal ulna metaphyseal fracture. By using our prospective register, we compared the subjective outcome at one year in patients with only a distal radius fracture (DRF) to patients with a combined DRF and distal ulnar fracture (DUF).

Methods - At our hospital, all distal radius fractures in adult patients are prospectively registered and the patient-reported outcome, the Disabilities of the Arm, Shoulder and Hand (DASH) recorded at 1 year. Between 2003-2012, 3666 patients (2833 women) were included in the register and 127 patients (114 women) had both a DRF and DUF. The DUFs were classified radiographically. Patient characteristics, type of treatment, comorbidity and patient-reported outcome were extracted from the register or the medical records.

Results - The 1-year DASH was worse in patients with combined fractures compared to the whole cohort (DASH 23 vs. DASH 9; p<0.001). 61/127 (48%), had the radius fracture fixed and 34/61, in addition, also the distal ulnar fracture. No difference in was found in DASH between surgically and non-surgically treated. Polypharmacy correlated to worse DASH, but comorbidity did not. A higher usage of anti-osteoporosis drugs (p=0.01) and steroids (p=0.02) was found in the combined fracture group.

Interpretation - The group with combined distal radius and distal ulnar fractures had substantially worse subjective outcome compared to patients with only a distal radius fracture. Additional studies are needed to determine how to best treat this subgroup in the future. (Less)
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author
; ; ; and
organization
publishing date
type
Contribution to conference
publication status
published
subject
conference name
14th IFSSH, 11th IFSHT TRIENNIAL CONGRE SS
conference location
Berlin, Germany
conference dates
2019-06-17 - 2019-06-21
language
English
LU publication?
yes
id
7c023f0a-6d55-48f4-93f0-65255c33acf9
alternative location
https://www.egms.de/static/en/meetings/ifssh2019/19ifssh0602.shtml
date added to LUP
2026-01-31 07:59:29
date last changed
2026-10-08 16:13:20
@misc{7c023f0a-6d55-48f4-93f0-65255c33acf9,
  abstract     = {{Background and purpose - Up to 6 percent of distal radius fractures have a concomitant distal ulna metaphyseal fracture. By using our prospective register, we compared the subjective outcome at one year in patients with only a distal radius fracture (DRF) to patients with a combined DRF and distal ulnar fracture (DUF).<br/><br/>Methods - At our hospital, all distal radius fractures in adult patients are prospectively registered and the patient-reported outcome, the Disabilities of the Arm, Shoulder and Hand (DASH) recorded at 1 year. Between 2003-2012, 3666 patients (2833 women) were included in the register and 127 patients (114 women) had both a DRF and DUF. The DUFs were classified radiographically. Patient characteristics, type of treatment, comorbidity and patient-reported outcome were extracted from the register or the medical records. <br/><br/>Results - The 1-year DASH was worse in patients with combined fractures compared to the whole cohort (DASH 23 vs. DASH 9; p&lt;0.001). 61/127 (48%), had the radius fracture fixed and 34/61, in addition, also the distal ulnar fracture. No difference in was found in DASH between surgically and non-surgically treated. Polypharmacy correlated to worse DASH, but comorbidity did not. A higher usage of anti-osteoporosis drugs (p=0.01) and steroids (p=0.02) was found in the combined fracture group.<br/><br/>Interpretation - The group with combined distal radius and distal ulnar fractures had substantially worse subjective outcome compared to patients with only a distal radius fracture. Additional studies are needed to determine how to best treat this subgroup in the future.}},
  author       = {{Arvidsson, Linnea and Österhed, Elin and Landgren, Marcus and Abramo, Antonio and Tägil, Magnus}},
  language     = {{eng}},
  month        = {{06}},
  title        = {{Worse outcome (DASH) at 12 months in 128 patients with combined radius-ulna metaphyseal fracture than radius fracture alone. A register study of 3666 patients. Need for Evidence Based Treatment Guidelines?}},
  url          = {{https://www.egms.de/static/en/meetings/ifssh2019/19ifssh0602.shtml}},
  year         = {{2019}},
}