Edinburgh Orthopaedics-Edinburgh Orthopaedic Trauma and the University of Edinburgh, Royal Infirmary of Edinburgh, Edinburgh, EH16 4SA, UK.
Eur J Orthop Surg Traumatol. 2021 Jul;31(5):981-987. doi: 10.1007/s00590-021-02975-5. Epub 2021 Apr 23.
Acute carpal tunnel syndrome (ACTS) is a known complication of distal radius fractures. This study aimed to document the demographics, range of presenting symptoms and risk factors of patients who develop ACTS following a fracture of the distal radius.
A retrospective review of 1189 patients with an acute distal radius fracture treated in the study centre over a one-year period were identified. Demographic and clinical variables were collected and compared between controls (did not develop ACTS) and those patients who did develop ACTS to identify factors associated with developing ACS.
There were 51 (4.3%) distal radius fractures complicated by ACTS. The mean age of patients who developed ACTS was 56 years (range, 16-89) and 73% were female. The median time of onset post-injury was one week (range, 1-12). There was no association between patient background and comorbidities with the development of ACTS. AO-OTA Type C fractures had significantly increased rates of developing ACTS.
Four percent of distal radius fractures were complicated by ACTS. There was no association between patient background and comorbidities with the development of ACTS. AO-OTA type C complete articular fractures had a significantly higher rate of ACTS. A suggested treatment algorithm for patients presenting with ACTS has been presented.
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急性腕管综合征（ACTS）是桡骨远端骨折的已知并发症。本研究旨在记录发生桡骨远端骨折后出现 ACTS 的患者的人口统计学、临床表现和危险因素。
对在研究中心治疗的 1189 例急性桡骨远端骨折患者进行回顾性分析。收集患者的人口统计学和临床变量，并对对照组（未发生 ACTS）和发生 ACTS 的患者进行比较，以确定与 ACS 发生相关的因素。
有 51 例（4.3%）桡骨远端骨折并发 ACTS。发生 ACTS 的患者的平均年龄为 56 岁（范围 16-89 岁），女性占 73%。发病时间中位数为伤后 1 周（范围 1-12 周）。患者背景和合并症与 ACTS 的发生之间无相关性。AO-OTA 类型 C 骨折发生 ACTS 的几率显著增加。
4%的桡骨远端骨折并发 ACTS。患者背景和合并症与 ACTS 的发生之间无相关性。AO-OTA 类型 C 完全关节骨折 ACTS 的发生率显著增加。提出了一种治疗桡骨远端骨折后 ACTS 的建议治疗算法。
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