Distal Radius Fractures: An Epidemiological Review

Koo, Kevin; Tan, David; Chong, Alphonsus K.S.

doi:10.1111/os.12045

Cited by 71 publications

(61 citation statements)

References 20 publications

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“…In this study, the most frequent mechanisms in order were falling from a standing position or down to the ground (37.4%), direct trauma (21.5%), and motorcycle crashes (7.9%) which were consistent with previous studies. In a study by Koo et al the main mechanism of injury was falling from standing passion (Koo et al, 2013). In a study by Schwartz et al the most prevalent mechanism of injury was falling (Schwartz et al, 2005).…”

Section: Discussionmentioning

confidence: 99%

“…In some reports, all the patients going to a medical center were studied, while, some other studies, including the present study, examined the hospitalized patients with severe traumas (Urquhart et al, 2006). Moreover, the location of a specific medical center, different seasons of the year, racial differences, the level of welfare in different populations and countries influence the number of traumatic patients (Menon et al, 2008;Amin et al, 2011;Donaldson et al, 1990;Koo et al, 2013). …”

Section: Discussionmentioning

confidence: 99%

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Epidemiology of the Upper Extremity Trauma in a Traumatic Center in Iran

Ameri¹,

Ali²,

Ameri³

et al. 2016

GJHS

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Introduction: Orthopedic injuries are the most common types of traumatic injuries and present as fractures of the limbs, pelvis, and vertebrae or lesions in soft tissues, muscles, ligaments, and tendons. The upper limb fractures occur in distal radius and ulna, metacarpals, fingers, scapula, and carpal bones, Proximal, diaphysis, distal humerus, clavicle, proximal ulna and radio and distal humero and humero, radio, ulna, and metacarpo. The objective of this project was to accurately describe the occurrence of injuries of the upper extremity and the mechanisms of such injuries in a representative sample of Iranian population.Method: This prospective case series was performed on the patients admitted to Shafa Yahyaian Hospital through the emergency ward within 6 months. Patients' demographic features, the information about the mechanism of injury in soft tissues, bones and joints which obtained using clinical examination and imaging techniques, also the findings during the surgery were recorded in the information form. All analyses were performed using SPSS software, version 21. The independent t test or Mann-Whitney test and the Chi-square test or Fisher's exact test was used to compare the data. The results were significant at P<0.05. Results:This study was performed on 1287 patients with upper limb fracture. The male and female patients respectively comprised of 998 (77.5%) and 289 (22.5%) subjects. About 113 patients suffered injuries at shoulder joint or its surrounding bones. The most common traumatic mechanisms in this group included falls from the standing position (49.2%), direct hit (19.5%), and then falling down (12.58%). Humerus fractures were observed in 68 patients. There was a significant correlation between humerus fractures and the mechanisms (P=0.000). The patients with traumas around the elbow comprised of 182 individuals. Sex distribution of fractures around the elbow shows a significant correlation between sex and elbow fractures. Forearm fractures were observed in 233 patients, and there was a significant correlation between age groups and forearm fractures. Fractures around the wrist were observed in 333 patients. There was a significant correlation between patients with fractures around the wrist (36.88±23.81 years) and patients without fractures (30.84±18.99 years) around the wrist in terms of the mean age. Hand fractures were observed in 358 patients. There was a significant correlation between hand fractures and sex. Conclusion:The result of the current study which shows the epidemiology of these injuries and how such injuries occur in this area can well help the healthcare planners to design preventive and therapeutic measures.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Epidemiology of the Upper Extremity Trauma in a Traumatic Center in Iran

Ameri¹,

Ali²,

Ameri³

et al. 2016

GJHS

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“…Clinical differences among patients who received internal fixation and those who received conservative treatment were very slight, although an increase in distal ra- dius fracture incidence and number of surgeries has been reported. [33,34] Further verification in higher-quality trials is warranted. In such future studies, long-term outcomes should be more carefully considered, more detailed information regarding fracture type should be provided, and explicit concerns regarding patient age should be taken into consideration.…”

Section: Discussionmentioning

confidence: 99%

Internal fixation versus conservative treatment for displaced distal radius fractures: a meta-analysis of randomised controlled trials

Yu¹

2015

Ulus Travma Acil Cerrahi Derg

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“…Distal radius fracture is one of the most common fractures orthopedic surgeons confront, and its incidence rate seems to be increasing throughout the world (1)(2)(3)(4)(5). This fracture is the reason for one-sixth of the referrals to the emergency department (12, 13), 26% -46% of all skeletal fractures seen in the primary care setting (14-19), and 17.5% of all adult fractures (20).…”

Section: Discussionmentioning

confidence: 99%

“…Distal radius fracture is highly prevalent and its incidence seems to be rising worldwide (1)(2)(3)(4)(5).…”

Section: Introductionmentioning

confidence: 99%

Comparison of Treatment Proposed Based on Prediction of the Risk of Instability with Orthopedic Surgeons’ Preferred Treatment for Management of Distal Radius Fracture

Zarei¹,

Moaveni²,

Bagheri³

et al. 2016

J Orthop Spine Trauma

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Background: Calculation of the risk of instability and malunion in patients with distal radius fracture and choosing treatment based on this risk percentage is a new method that can greatly help surgeons in decision-making. In this study, we have tried to make a comparison between treatment decision-making based on prediction of the risk of instability and experience of orthopedic surgeons for management of this fracture. Methods: Recorded information of 69 patients with extra-articular distal radius fracture diagnosis was examined. Radiographs and age of each patient were submitted to two orthopedic surgery professors and they were asked to express their opinion about surgical or non-surgical treatment for each patient based on their own personal habit. The risk of instability was calculated for each patient and surgical or non-surgical treatment for each patient was proposed based on this risk percentage with cut-off point of 70%. Then, the treatment proposed by each surgeon was compared with the treatment proposed based on the calculated risk of instability. Results: The study demonstrated that treatment decision-making for distal radius fracture according to the risk of instability with cut-off point of 70% (this is surgery for fractures with instability risk of more than 70% versus non-surgical intervention for cases with risk of less than 70%) is not significantly and reliably consistent with the opinions of two orthopedic surgeons who had the experience of confronting this fracture. Conclusions: Prediction of the risk of instability for management of distal radius fracture needs to be validated through further studies before being used as the decisive factor for management of this fracture. Colleagues are invited to assess the outcomes of using the risk of instability more accurately with further studies. It is suggested to be more prudent and perform more evaluations when the risk of instability calculation with cut-off point of 70% is used to choose the appropriate treatment.

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Distal Radius Fractures: An Epidemiological Review

Cited by 71 publications

References 20 publications

Epidemiology of the Upper Extremity Trauma in a Traumatic Center in Iran

Epidemiology of the Upper Extremity Trauma in a Traumatic Center in Iran

Internal fixation versus conservative treatment for displaced distal radius fractures: a meta-analysis of randomised controlled trials

Comparison of Treatment Proposed Based on Prediction of the Risk of Instability with Orthopedic Surgeons’ Preferred Treatment for Management of Distal Radius Fracture

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