Long-term prognosis of displaced Colles' fracture: a 10-year prospective review

Field, J.; Warwick, David; Bannister, G.C.; Gibson, A. G. F.

doi:10.1016/0020-1383(92)90152-i

Cited by 44 publications

(28 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Long-term outcome after Colles' fracture is often reported to be good or satisfactory and the effect of the fracture on a patient's functional activities is usually regarded as minimal (Altissimi et al 1986, Kaukonen et al 1988, Field et al 1992, Kopylov et al 1993, Warwick et a1 1993. However, some patients have substantial residual symptoms and impairment of function (Bacom and Kurtzke 1953, Cooney et al 1980, Strange-Vognsen 1991.…”

Section: A 0 and Frykman's Classifications Of Colles' Fracturementioning

confidence: 99%

AO and Frykman's classifications of Colles' fracture: No prognostic value in 652 patients evaluated after 5 years

Flinkkilä¹,

Raatikainen²,

Hämäläinen³

1998

Acta Orthopaedica Scandinavica

View full text Add to dashboard Cite

Section: A 0 and Frykman's Classifications Of Colles' Fracturementioning

confidence: 99%

AO and Frykman's classifications of Colles' fracture: No prognostic value in 652 patients evaluated after 5 years

Flinkkilä¹,

Raatikainen²,

Hämäläinen³

1998

Acta Orthopaedica Scandinavica

View full text Add to dashboard Cite

“…Some authors report that final functional outcome depends largely on the anatomic result, [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15] whereas others suggest that final function is independent of residual deformity. 16 -25 These reports may differ for a variety of reasons.…”

mentioning

confidence: 99%

The Risk of Adverse Outcomes in Extra-Articular Distal Radius Fractures Is Increased With Malalignment in Patients of All Ages but Mitigated in Older Patients

Grewal

MacDermid

2007

The Journal of Hand Surgery

155

104

View full text Add to dashboard Cite

“…Our analyses showed no significant relationship between the severity of injury and the risk of RSD occurrence, although the mean injury severity score was higher in patients with RSD than in those without RSD in this study population. The lower score of local circulation in patients with RSD than in those without RSD is notable and statistically significant, and can be attributed to changes in antioxidant levels at the injury site, which is one of the main mechanisms for the onset of RSD (11, 12). Wound contamination was also justifiably higher in patients with RSD, although the difference was not statistically significant.…”

Section: Discussionmentioning

confidence: 99%

The Relation Between Reflex Sympathetic Dystrophy Syndrome and Trauma Severity in Patients With Distal Tibia Fracture

et al. 2016

View full text Add to dashboard Cite

BackgroundReflex sympathetic dystrophy (RSD) syndrome is a multifactorial disorder with clinical features of neurogenic inflammation that causes hypersensitivity to pain or severe allodynia as well as blood flow problems, swelling, skin discoloration and maladaptive neuroplasticity due to vasomotor disorders. Patients with major trauma are prone to homeostasis leading to inflammatory response syndrome and multiple organ distress syndrome. Several studies have investigated the etiology of this condition, but the cause remains unknown. The role of associated factors such as the limb immobilization technique and genetics has been reported in the development of this complication, but, so far, there is no information regarding the effect of trauma severity on the risk of RSD occurrence.ObjectivesGiven the importance of diagnosing and treating this condition, we aimed to study the effect of trauma severity on the prevalence of RSD.Patients and MethodsIn this cross-sectional study, we examined patients with distal tibial fracture who visited Rasht Poursina hospital from 2010 to 2013. Exclusion criteria included associated fractures, underlying musculoskeletal diseases and mental and cognitive problems. To assess the severity of the initial injury in patients, the Hannover Fracture Scale 98 (HFS98) scoring checklist was used. The diagnosis of RSD was made on the basis of the IASP criterion. Demographic data, HFS98 scores, and information regarding RSD prevalence were analyzed using SPSS version 20. The Mann Whitney U nonparametric test was used for variables that were not normally distributed; the chi-square test was used to compare the qualitative variables.ResultsAmong the 488 patients, 292 (59.83%) were male. The mean age of the study population was 44 ± 9.82 years. During the 6-month follow-up, RSD occurred in 45 patients, of whom 28 (62.22%) were female and 17 (37.77%) were male; there was thus a significant difference in the prevalence of RSD in terms of gender (P = 0.00; chi square test). The mean HFS98 score in patients without and with RSD was 3.081 ± 4.083 and 4.080 ± 4.622, respectively, and the difference was not statistically significant (P = 0.363; Mann Whitney U test). Analyses of the eight items of HFS98 shows that local circulation in patients with RSD is significantly better than that in patients without RDS (0.683 ± 0.822 vs. 0.528 ± 0.629, respectively). Statistical analysis showed that the odds ratio for RSD for patients with HFS95 score > 0 was 1.079 (confidence interval [CI]: 0.898 - 1.333). Moreover, the odds ratio for RSD was 1.100 (CI: 795 - 1.531) in patients with an injury severity score higher than the calculated mean score in patients without RSD (> 4.083).ConclusionsThe results suggest no significant relationship between the severity of injury and risk of RSD occurrence, although the mean injury severity score was higher in patients with RSD than in those without RSD in this study population. The lower score of local circulation in patients with RSD than in those without RSD is a statistica...

show abstract

Long-term prognosis of displaced Colles' fracture: a 10-year prospective review

Cited by 44 publications

References 16 publications

AO and Frykman's classifications of Colles' fracture: No prognostic value in 652 patients evaluated after 5 years

AO and Frykman's classifications of Colles' fracture: No prognostic value in 652 patients evaluated after 5 years

The Risk of Adverse Outcomes in Extra-Articular Distal Radius Fractures Is Increased With Malalignment in Patients of All Ages but Mitigated in Older Patients

The Relation Between Reflex Sympathetic Dystrophy Syndrome and Trauma Severity in Patients With Distal Tibia Fracture

Contact Info

Product

Resources

About