桡骨远端骨折晚期移位对功能、握力、活动范围及生活质量的影响。
The influence of late displacement in distal radius fractures on function, grip strength, range of motion and quality of life.
作者信息
Wadsten M Å, Sjödén G O, Buttazzoni G G, Buttazzoni C, Englund E, Sayed-Noor A S
机构信息
1 Department of Surgical and Perioperative Sciences (Orthopaedics-Sundsvall), Umeå University, Sweden.
2 Department of Surgical and Perioperative Sciences (Orthopaedics-Östersund), Umeå University, Sweden.
出版信息
J Hand Surg Eur Vol. 2018 Feb;43(2):131-136. doi: 10.1177/1753193417721446. Epub 2017 Jul 31.
UNLABELLED
Late displacement of distal radius fractures, still in acceptable radiological position after 1-2 weeks, occurs in approximately one-third of cases. The aim of this study was to investigate the influence of late displacement on the functional outcome and quality of life at 1 year in non-operatively treated distal radius fractures. One hundred and seventy five unilateral conservatively treated distal radius fractures with minimal displacement after 10-14 days were finally evaluated in the study. Follow-up included radiographs at 3 months and clinical examination 1 year after the fracture. Final radiographic parameters, grip strength, range of motion, QuickDASH, EQ-5D and pain visual analogue scale were evaluated with multivariate analysis. Late displacement occurred in 28% of the cases and was associated with loss of grip strength and range of motion. No significant differences were seen in the outcome questionnaires.
LEVEL OF EVIDENCE
II.
未标注
桡骨远端骨折的晚期移位在1至2周后仍处于可接受的放射学位置，约三分之一的病例会出现这种情况。本研究的目的是调查晚期移位对非手术治疗的桡骨远端骨折1年时功能结局和生活质量的影响。本研究最终评估了175例单侧保守治疗的桡骨远端骨折，这些骨折在10至14天后移位极小。随访包括骨折后3个月的X线片和1年时的临床检查。通过多变量分析评估最终的放射学参数、握力、活动范围、QuickDASH、EQ-5D和疼痛视觉模拟量表。28%的病例出现晚期移位，且与握力和活动范围丧失有关。在结局问卷中未发现显著差异。
证据级别
II级。
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