Concomitant Ulnar Styloid Fractures in Distal Radius Osteosynthesis Does Not Impact Radiographic Outcomes, Ulnar Sided Symptoms and Patient Outcomes.

IF 0.6 Q4 ORTHOPEDICS Malaysian Orthopaedic Journal Pub Date : 2023-03-01 DOI:10.5704/MOJ.2303.017
K C Wong, Mwf Wu, Qjj Zai, M K Wong, T S Howe, Sbj Koh, H Soeharno
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引用次数: 1

Abstract

Introduction: Current literature reports varied significance of ulnar styloid fractures (USF) associated with distal radius fractures. Our study assesses the role of ulnar styloid fractures and fragment size in surgically managed distal radius fractures.

Materials and methods: We reviewed patients who underwent surgical fixation of distal radius fractures between January 2004 to June 2006. Patients were divided into those with (Group 1) and without (Group 0) USFs. Post-operative radiographic parameters, clinical outcomes and overall wrist function were analysed. Outcomes included ulnar-sided wrist pain, extensor carpi ulnaris (ECU) tendinitis, triangular fibrocartilage complex (TFCC) grind test, distal radioulnar joint (DRUJ) instability and pain. Overall wrist function was assessed with range of motion and Disabilities of the Arm, Shoulder and Hand (DASH) score.

Results: Our study cohort included 31 males and 23 females, and 38.9% of these patients had concomitant USFs. There was no difference in terms of demographic data and fracture configuration between groups. Radiographic parameters were similar, except for palmar tilt, which was significantly higher in Group 1 (4.6º vs 9.4º, p=0.047). At 24 months, there were no differences in clinical outcomes and overall wrist function. A sub-group analysis showed that mean USF fragment size was larger in patients with a positive TFCC grind test (3.9mm vs 7.3mm, p=0.033).

Conclusion: The presence of USFs in surgically managed distal radius fractures does not compromise clinical and functional outcome. Similarly, the size of USFs does not impact clinical and functional outcome but is associated with the presence of a positive TFCC grind test.

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桡骨远端植骨术并发尺茎突骨折不影响影像学结果、尺侧症状和患者预后。
目前的文献报道了尺茎突骨折(USF)与桡骨远端骨折的不同意义。我们的研究评估了尺茎突骨折和碎片大小在手术治疗桡骨远端骨折中的作用。材料和方法:我们回顾了2004年1月至2006年6月接受桡骨远端骨折手术固定的患者。患者分为有usf组(1组)和无usf组(0组)。分析术后影像学参数、临床结果及整体腕关节功能。结果包括尺侧腕关节疼痛、尺侧腕伸肌(ECU)肌腱炎、三角形纤维软骨复合体(TFCC)研磨试验、远端尺桡关节(DRUJ)不稳定和疼痛。通过运动范围和手臂、肩膀和手的残疾(DASH)评分评估整体手腕功能。结果:我们的研究队列包括31名男性和23名女性,其中38.9%的患者伴有usf。两组之间的人口统计数据和骨折形态没有差异。放射学参数相似,除了手掌倾斜,组1的手掌倾斜明显更高(4.6ºvs 9.4º,p=0.047)。在24个月时,临床结果和整体手腕功能没有差异。亚组分析显示,TFCC研磨试验阳性患者的平均USF碎片大小更大(3.9mm vs 7.3mm, p=0.033)。结论:手术治疗的桡骨远端骨折中usf的存在不会影响临床和功能结果。同样,usf的大小不影响临床和功能结果,但与TFCC研磨试验阳性的存在有关。
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来源期刊
CiteScore
1.30
自引率
0.00%
发文量
104
审稿时长
24 weeks
期刊介绍: The Malaysian Orthopaedic Journal is a peer-reviewed journal that publishes original papers and case reports three times a year in both printed and electronic version. The purpose of MOJ is to disseminate new knowledge and provide updates in Orthopaedics, trauma and musculoskeletal research. It is an Open Access journal that does not require processing fee or article processing charge from the authors. The Malaysian Orthopaedic Journal is the official journal of Malaysian Orthopaedic Association (MOA) and ASEAN Orthopaedic Association (AOA).
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