Dongtan Sacred Heart Hospital, Hallym University, Gyeonggi, Republic of Korea.
Seoul Paik Hospital, Inje University College of Medicine, Seoul, Republic of Korea.
Orthop Traumatol Surg Res. 2020 Dec;106(8):1605-1611. doi: 10.1016/j.otsr.2020.06.021. Epub 2020 Nov 5.
The incidence of distal radius fractures (DRFs) is increasing as the number of people in recreational or sporting activities rises, due to a combination of increased leisure time and greater public awareness of the health-related benefits of sports. Despite the increases in sports-related distal radius fractures (SR-DRFs), there are limited studies regarding the characteristics of treatment and recovery.
There are characteristics specific to SR-DRF treated with conservative or operative management.
Retrospective review was carried out between January 2010 and December 2017. Overall, 1706 patients were included in the study analysis. Among them, 317 patients were injured during sports activity (18.6%) and 1389 were injured during non-sports activity (81.4%). Demographic data were compared between the two groups. The type of sports was investigated in SR-DRF. Also, we compared surgically treated DRF patients to describe differences in patient characteristics, fracture characteristics, and postoperative complications.
The mean age of patients with SR-DRFs was significantly younger (28 vs. 52 years). The proportion of men was also significantly higher in SR-DRF group compared to NSR-DRF group (62.8 vs. 33.8%). We identified 27 kinds of sports associated with DRFs and the 5 sports topping the list associated were soccer (22.7%), cycling (17.7%), snowboarding (11.0%), ice-skating (9.1%), and mountain hiking (9.1%). There was no difference in terms of the treatment method. However, SR-DRF group had higher proportion of AO/OTA type A fracture (32.6 vs. 13.7%), and NSR-DRF group had higher proportion of type C fracture (79.5 vs. 64.2%). Postoperative complications showed no significant differences, except higher implant removal rate in SR-DRF.
Patients with SR-DRF were significantly younger and had higher proportion of men. Proportion of AO/OTA type A was higher in SR-DRF group and proportion of AO/OTA type C was higher in NSR-DRF group. Proportion of surgical treatment was similar in two groups. Given the growing population participating in sports activity worldwide, SR-DRFs are predicted to increase and further study is required.
III; retrospective, epidemiological study.
随着娱乐和体育活动人群的增加，桡骨远端骨折（DRF）的发病率上升，这是休闲时间增加和公众对运动相关健康益处认识提高的综合结果。尽管与运动相关的桡骨远端骨折（SR-DRF）有所增加，但关于其治疗和康复特点的研究有限。
接受保守或手术治疗的 SR-DRF 具有特定的特征。
本研究为回顾性研究，时间范围为 2010 年 1 月至 2017 年 12 月。共有 1706 例患者纳入本研究分析。其中，317 例患者在运动活动中受伤（18.6%），1389 例患者在非运动活动中受伤（81.4%）。比较两组患者的一般资料。对 SR-DRF 的运动类型进行调查。同时，我们比较了手术治疗的 DRF 患者，以描述患者特征、骨折特征和术后并发症方面的差异。
SR-DRF 患者的平均年龄明显更年轻（28 岁 vs. 52 岁）。与 NSR-DRF 组相比，SR-DRF 组男性比例也明显更高（62.8% vs. 33.8%）。我们确定了 27 种与 DRF 相关的运动，其中排名前五的运动是足球（22.7%）、自行车（17.7%）、单板滑雪（11.0%）、滑冰（9.1%）和山地徒步旅行（9.1%）。治疗方法无差异。然而，SR-DRF 组 A0/OTA 型 A 骨折比例较高（32.6% vs. 13.7%），NSR-DRF 组 C 型骨折比例较高（79.5% vs. 64.2%）。术后并发症无显著差异，除 SR-DRF 组的植入物取出率较高外。
SR-DRF 患者明显更年轻，男性比例更高。SR-DRF 组 A0/OTA 型 A 骨折比例较高，NSR-DRF 组 A0/OTA 型 C 骨折比例较高。两组手术治疗比例相似。鉴于全球参与运动的人群不断增加，预计 SR-DRF 会增加，需要进一步研究。
III；回顾性、流行病学研究。
