Unbehandelter Abriss des Processus styloideus ulnae

Reichl, M.; Piatek, Stefan; Adolf, Daniela; Winckler, S; Westphal, Thomas

doi:10.1007/s00113-010-1859-8

Cited by 13 publications

(7 citation statements)

References 28 publications

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“… (a) Chen et al., 2013 , (b) Daneshvar et al., 2014 , (c) Finsen et al., 2013 , (d) Kim et al., 2010 , (e) Reichl et al., 2011 , (f) Zenke et al., 2009 . USP: ulnar styloid process; CI: confidence interval; DASH: disabilities of the arm, shoulder, and hand; PRWE: patient-rated wrist evaluation …”

Section: Resultsmentioning

confidence: 99%

“…The anatomical insertion of the TFCC is based on the ulnar fovea at the base of the ulnar styloid process ( Hauck et al., 1996 ). Therefore, an ulnar styloid process base fracture with significant displacement may compromise TFCC integrity, and thereby compromising the congruency of the DRUJ ( Hauck et al., 1996 ; May et al., 2002 ; Reichl et al., 2011 ). In contrast, with an ulnar styloid process nonbase fracture the TFCC remains intact, and therefore the DRUJ will remain stable ( Hauck et al., 1996 ).…”

Section: Discussionmentioning

confidence: 99%

“…The effect of a concomitant ulnar styloid process fracture on functional outcomes is unclear. Some studies state that a fracture of the ulnar styloid process does not significantly affect functional outcome after a distal radius fracture in terms of patient-reported outcomes, range of motion and grip strength ( Chen et al., 2013 ; Gogna et al., 2014 ; Kim et al., 2010 ; Reichl et al., 2011 ; Zenke et al., 2009 ). Other studies show a negative effect of a concomitant ulnar styloid process fracture on functional outcomes ( Amorosa et al., 2011 ; Ayalon et al., 2016 ; Belloti et al., 2010 ; Daneshvar et al., 2014 ; Oskarsson et al., 1997 ; Sammer et al., 2009 ; Souer et al., 2009 ; Zyluk et al., 2014 ).…”

Section: Introductionmentioning

confidence: 99%

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Functional outcomes of distal radius fractures with and without ulnar styloid fractures: a meta-analysis

Mulders

Snethlage

Keizer

et al. 2017

J Hand Surg Eur Vol

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The aim of this meta-analysis was to compare the functional outcomes of patients with a distal radius fracture with and without a concomitant fracture of the ulnar styloid process. A systematic literature search was performed to identify all studies comparing patients with a distal radius fracture with and without an ulnar styloid process fracture. The initial search revealed 511 articles, of which 12 articles with a total of 2243 patients were included; 1196 patients with and 1047 patients without an ulnar styloid process fracture. A statistically significant mean difference of 3.40 points (95% CI 1.33–5.48) in the Disability of the Arm, Shoulder, and Hand score was found in favour of patients without an ulnar styloid process fracture. This difference is less than 10 and therefore not clinically important. No significant difference was found in Patient-Rated Wrist Evaluation scores, range of motion, grip strength, visual analogue scale pain scores, ulnar-sided wrist pain and distal radio-ulnar joint instability between patients with and without an ulnar styloid process fracture after 1 year of follow-up. Moreover, no significant differences were found between ulnar styloid base and nonbase fractures.Level of evidence: I

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Functional outcomes of distal radius fractures with and without ulnar styloid fractures: a meta-analysis

Mulders

Snethlage

Keizer

et al. 2017

J Hand Surg Eur Vol

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“…Distal radius fractures are among the most common fractures encountered in both pediatric and elderly populations, with its overall incidence on the rise. 3-5 As USFs have been reported to occur in 40% to 71% of DRFs, 6-14 this biomechanically important area warrants consideration for concurrent management with DRFs. The management of USF remains controversial with some studies showing a negative effect of a concomitant USF on functional outcomes, 6,8,10,13-15 while other studies show no significant effect on functional and clinical outcomes.…”

Section: Introductionmentioning

confidence: 99%

“…The management of USF remains controversial with some studies showing a negative effect of a concomitant USF on functional outcomes, 6,8,10,13-15 while other studies show no significant effect on functional and clinical outcomes. 9,11,16,17 Accordingly, there are advocates for both operative and nonoperative management of USF. Moreover, some advocate for operative management of USF only in the setting of DRUJ instability 18 —the criteria for which are poorly defined and highly subjective—or in cases of base type USF as it has been purported to result in greater DRUJ instability, which is also poorly established.…”

Section: Introductionmentioning

confidence: 99%

Radiographic Healing and Functional Outcomes of Untreated Ulnar Styloid Fractures Following Volar Plate Fixation of Distal Radius Fractures: A Prospective Analysis

Okoli

Silverman

Abboudi

et al. 2019

Hand (New York, N,Y.)

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Background: Ulnar styloid fractures (USFs) are common concomitant injuries associated with distal radius fractures (DRFs). Recent studies have found conflicting evidence on whether these fractures treated or untreated effect pain and functional outcomes. The purpose of this study was to prospectively evaluate pain and function outcomes of consecutively untreated USFs in surgically repaired DRFs. The study hypothesis was that there would be no difference in outcomes whether an USF is present or not, with all cases left untreated. Methods: A prospective study at a single institution of consecutive DRF treated surgically with volar locked plating was undertaken. No patients underwent fixation of an USF if present. There were no treated USF that were excluded. Patients with associated ulnar neck and shaft fractures were excluded. Functional outcome measures were analyzed using the Quick Disabilities of the Arm, Shoulder, and Hand score (QDASH) and the Patient-Rated Wrist Evaluation (PRWE) scores. Outcome measures were collected at 3 months and 1 year postoperatively. Results: There was an incidence of 52.2% (n = 70/134) USF associated with surgically treated DRF. By location, there were 52.9% (n = 37/70) ulnar styloid tip fractures and 46.1% (33/70) ulnar styloid base. There were 75.7% of USF (53/70) still not healed by 1-year follow-up. When comparing patients with a DRF without an USF versus DRF with an associated USF at 12 months, there was no statistical difference in the QDASH score (6.7 vs 8.4, P = .47) or the PRWE total score (4.8 vs 7.5, P = .24). Similarly, subgroup analysis showed no statistical difference in QDASH or PRWE scores at final follow-up in united USF versus nonunited USF subjects (QDASH 14.2 vs 6.8, P = .112; PRWE 14.8 vs 5.4, P = .185). Conclusions: USFs are a common concomitant injury occurring in nearly half of DRFs treated surgically. Our prospective cohort analysis showed that neither the presence, type, nor bony union status of a concomitant USF has any significant effect on patient outcomes or reoperations at 1-year postoperatively. Our study confirms our hypothesis that USF of the tip and base should be left untreated.

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Acute Injuries Around the Distal Ulna

Adolfsson

Scheer

2014

Distal Radius Fractures

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Unbehandelter Abriss des Processus styloideus ulnae

Abstract: The repair of a fracture of the styloid process of the ulna is not necessary if reduction and fixation of the distal radius fracture is anatomical and stable.

Cited by 13 publications

References 28 publications

Functional outcomes of distal radius fractures with and without ulnar styloid fractures: a meta-analysis

Functional outcomes of distal radius fractures with and without ulnar styloid fractures: a meta-analysis

Radiographic Healing and Functional Outcomes of Untreated Ulnar Styloid Fractures Following Volar Plate Fixation of Distal Radius Fractures: A Prospective Analysis

Acute Injuries Around the Distal Ulna

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