Ulnar Neck Fractures Associated with Distal Radius Fractures

Özkan, Sezai; Fischerauer, Stefan; Kootstra, Thomas J.M.; Claessen, Femke M.A.P.; Ring, David

doi:10.1055/s-0037-1605382

Cited by 7 publications

(6 citation statements)

References 13 publications

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“…Several studies have shown the validity of conservative treatment. 12 - 17 Namba et al described a technique wherein the distal radial fractures were securely fixed with a palmar plate, leaving the associated ulnar fractures unfixed. 12 Fourteen patients with a mean age of 74 years were treated and followed up at approximately 18 months after surgery.…”

Section: Discussionmentioning

confidence: 99%

“…Özkan et al reviewed the management of ulnar neck fractures associated with fractures of the distal radius. 15 They used a large database to study the incidence of unplanned surgeries after surgical and nonsurgical treatment of distal metaphyseal ulnar fractures associated with a distal radius fracture and identified factors associated with these unplanned surgeries. They identified 277 patients with an ulnar neck fracture associated with a distal radius fracture.…”

Section: Discussionmentioning

confidence: 99%

“…10 Fixation of distal metaphyseal ulnar fractures can be challenging, 11 and several studies have shown the validity of conservative treatment alternatives. [12][13][14][15][16][17] If clinical outcomes of the conservative treatment for distal metaphyseal ulnar fractures accompanying distal radius fractures are the same when compared with those of surgical fixation, there is a possibility that unnecessary surgery can be avoided. This study aimed to determine whether simultaneous fixation of both distal radius and distal metaphyseal ulnar fractures would improve treatment outcomes.…”

Section: Introductionmentioning

confidence: 99%

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Does Simultaneous Fixation of Both Distal Radius and Distal Ulnar Fractures Improve Outcomes? A Retrospective Cohort Study

Kurozumi

Miyamoto

Suzuki

et al. 2021

Geriatr Orthop Surg Rehabil

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Introduction: Distal metaphyseal ulnar fractures are often found in conjunction with distal radius fractures. However, there is no consensus on optimal management. The purpose of this study was to determine whether simultaneous fixation of both distal radius and distal ulnar fractures would improve outcomes. Materials and Methods: Patients treated for distal radial fractures over a 4-year period at our trauma center were identified, and their medical records were analyzed. Twenty-three patients met the inclusion criteria for this study. All radius fractures were fixed using a volar locking plate. Fourteen ulnar fractures were treated with surgical fixation, and nine were treated conservatively. Data were collected on patient demographics, mechanism of injury, whether it was a closed or open fracture, Gustilo classification, AO/OTA classification, immobilization period, follow-up period, and type of treatment. Physical findings comprising the active range of motion and grip strength and radiological findings, including the ulnar variance compared to the healthy side and bone union, were evaluated. Clinical outcomes were assessed using the quick Disabilities of the Arm, Shoulder, and Hand scores. Results: There was no significant difference between the groups in the quick Disabilities of the Arm, Shoulder, and Hand scores, but the arc of dorsi-palmar flexion was more restricted in the operative group than in the conservative group. Other results were not significantly different between the two groups. Discussion: Fixation of distal metaphyseal ulnar fractures can be challenging, and several studies have shown the validity of conservative treatments. This supports the view that if the distal radius fracture is anatomically and rigidly fixed, distal metaphyseal ulnar fractures can be successfully managed conservatively. Conclusion: Our results did not show any merit in the simultaneous fixation of both distal radius and distal ulnar fractures. Thus, needless surgery should be avoided.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Does Simultaneous Fixation of Both Distal Radius and Distal Ulnar Fractures Improve Outcomes? A Retrospective Cohort Study

Kurozumi

Miyamoto

Suzuki

et al. 2021

Geriatr Orthop Surg Rehabil

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“…Retrospective studies comparing conservative and surgical treatment of a concomitant ulnar fracture in patients treated with plate fixation for a displaced DRF suggest there are no differences in clinical and patient-reported outcome 21-23 . In addition, patients treated surgically for both fractures may have more subsequent unplanned surgeries compared with patients in whom the USF was left untreated 24 .…”

Section: Discussionmentioning

confidence: 99%

The Effect of Ulnar Styloid Fractures on Patient-Reported Outcomes After Surgically Treated Distal Radial Fractures

et al. 2022

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Background: Ulnar styloid fractures (USFs) are often associated with distal radial fractures (DRFs). When unstable DRFs are treated surgically, any associated USF is most commonly left untreated. The purpose of this study was to evaluate the effect of a concomitant USF on outcome after surgical stabilization of a DRF. Methods: Data from 2 randomized controlled trials on the treatment of unstable DRFs were pooled. The effect of a USF on the QuickDASH, EQ-5D, pain, and range of motion at 2 years was evaluated. Results: Two hundred and eighty-one patients were included; 177 (63%) had an associated, untreated USF. An unadjusted analysis demonstrated no significant difference in functional or patient-reported outcome measures (PROMs) at 2 years between patients with or without a concomitant USF. When controlling for confounding factors, the presence of a USF did not predict change in any of the PROMs from baseline to 2 years. A concomitant USF also did not predict change in grip strength or range of motion, except for a small effect on extension (−4.1°; 95% confidence interval, −7.5° to −0.8°; p = 0.02), which probably does not have clinical relevance. Conclusions: A USF in combination with a DRF does not affect PROMs, range of motion, or grip strength. We recommend that concomitant USFs be left untreated when treating a DRF with surgical fixation. Level of Evidence: Prognostic Level I . See Instructions for Authors for a complete description of levels of evidence.

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“…Özkan and colleagues performed a database study where younger age, open fracture, multi-fragment fractures, and initial open treatment of ulnar neck fractures were shown to be associated with additional unplanned surgery, used as a measure of adverse events of fracture treatment (Ozkan, Fischerauer et al 2018). A retrospective study on 48 isolated distal ulna fractures showed no difference in healing time regardless of whether the fracture was surgically treated or not.…”

Section: Figure 10 Different Methods Of Internal Fixationmentioning

confidence: 99%

Ulnar fractures and ligament injuries of the wrist

Moloney

2022

Linköping University Medical Dissertations

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Ulnar Neck Fractures Associated with Distal Radius Fractures

Cited by 7 publications

References 13 publications

Does Simultaneous Fixation of Both Distal Radius and Distal Ulnar Fractures Improve Outcomes? A Retrospective Cohort Study

Does Simultaneous Fixation of Both Distal Radius and Distal Ulnar Fractures Improve Outcomes? A Retrospective Cohort Study

The Effect of Ulnar Styloid Fractures on Patient-Reported Outcomes After Surgically Treated Distal Radial Fractures

Ulnar fractures and ligament injuries of the wrist

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