Brogren E, Hofer M, Petranek M, Dahlin L B, Atroshi I
Department of Orthopedics Hässleholm-Kristianstad, Hässleholm Hospital, Hässleholm, Sweden.
J Hand Surg Eur Vol. 2011 Sep;36(7):568-76. doi: 10.1177/1753193411409317. Epub 2011 May 18.
Fractures of the distal radius in postmenopausal women may cause prolonged pain and disability, but little is known about their natural course beyond the first year. In this study, women of 50-75 years of age, initially treated with cast or external fixation, were examined 1 year after distal radial fracture and then re-evaluated after a mean of 3 (range, 2-4) years. The evaluation included pain, disability (DASH) scores, grip strength and range of motion. In the 49 participating women pain scores, grip strength and range of motion improved significantly, although the mean improvement was moderate or small. In a subgroup of 13 patients with moderate or severe malunion, the 1 year DASH score was significantly worse than in the remaining patients but improved significantly together with grip strength and range of motion. After fractures of the distal radius, pain, grip strength and range of motion continued to improve beyond 1 year, up to 2-4 years. Patients with malunion had more disability at 1 year but showed significant improvement at 2-4 years.
绝经后女性桡骨远端骨折可能会导致长期疼痛和功能障碍，但对于骨折后第一年之后的自然病程却知之甚少。在本研究中，对年龄在50至75岁、最初接受石膏固定或外固定治疗的女性，在桡骨远端骨折1年后进行检查，然后在平均3年（范围2至4年）后再次进行评估。评估内容包括疼痛、功能障碍（DASH）评分、握力和活动范围。在49名参与研究的女性中，疼痛评分、握力和活动范围均有显著改善，尽管平均改善程度为中度或轻度。在13名中度或重度畸形愈合的患者亚组中，1年时的DASH评分显著低于其余患者，但随着握力和活动范围的改善而显著提高。桡骨远端骨折后，疼痛、握力和活动范围在1年后仍持续改善，长达2至4年。畸形愈合的患者在1年时功能障碍更多，但在2至4年时显示出显著改善。
