Mulders M Am, Bentohami A, Beerekamp M Sh, Vallinga J, Goslings J C, Schep N Wl
Acta Orthop Belg. 2019 Jun;85(2):234-239.
The objective of this study was to determine the percentage of radiographs which showed a fracture of the wrist. Secondary, the fracture characteristics and the received treatment were determined. Additionally, the percentage of operatively treated patients with a distal radius fracture was compared between the hospitals. A retrospective cohort study was performed in three Dutch hospitals in all consecutive adult patients with wrist trauma who presented at the ED. A fracture of the wrist was defined as a fracture of the distal one-third part of the radius, the distal one-third part of the ulna or any carpal bone. Fracture classification according to the AO/OTA classification, the amount of displaced fractures, and the received treatment were recorded. Out of 1740 patients with wrist trauma, 49% sustained one or more fractures of the wrist. The distal radius was most frequently fractured (61%). Almost half of the distal radius fractures was extra-articular (AO/OTA type A2-3) and 61% of fractures was displaced. Of all patients who sustained a distal radius fracture, 14% was treated operatively. Significantly more patients were treated operatively in the academic hospital in comparison to the teaching and non-teaching hospital.
本研究的目的是确定显示手腕骨折的X光片的百分比。其次，确定骨折特征和所接受的治疗。此外，还比较了各医院接受手术治疗的桡骨远端骨折患者的百分比。对荷兰三家医院所有连续就诊于急诊科的成年手腕创伤患者进行了一项回顾性队列研究。手腕骨折定义为桡骨远端三分之一、尺骨远端三分之一或任何腕骨骨折。记录根据AO/OTA分类的骨折分类、移位骨折的数量以及所接受的治疗。在1740例手腕创伤患者中，49%发生一处或多处手腕骨折。桡骨远端骨折最为常见（61%）。几乎一半的桡骨远端骨折为关节外骨折（AO/OTA A2-3型），61%的骨折发生移位。在所有发生桡骨远端骨折的患者中，14%接受了手术治疗。与教学医院和非教学医院相比，学术医院接受手术治疗的患者明显更多。
