Journal Article10.1016/J.INJURY.2017.08.061
Does concomitant ulnar styloid fracture and distal radius fracture portend poorer outcomes? A meta-analysis of comparative studies.
34
TL;DR: It is suggested that an associated ulnar styloid fracture does not affect the outcomes of a distal radial fracture and clinicians should be caution in electing operative treatment for patients with an ulnar styling fracture.
read more
Abstract: Purpose An ulnar styloid fracture often occur in association with a distal radial fracture. Whether an ulnar styloid fracture interfere with the results of a distal radial fracture still remains controversial. The aim of this study was to analyse the effects of an accompanying ulnar styloid fracture on clinical outcomes in patients with distal radial fractures. Methods A meta-analysis of published studies comparing outcomes of distal radial fractures with an ulnar styloid fracture versus isolated distal radial fractures was performed. Outcomes of function results, radiological evaluation, and patient reported scores were analyzed. Results Ten studies including 1403 distal radius fractures were identified fitting inclusion criteria. There was no significant difference in wrist motion, grip strength, radial height, volar angle, ulnar variance, pain score, PRWE score, or SF-36 score for distal radial fractures associated with an ulnar styloid fracture versus isolated distal radial fractures. In final follow up, patients with associated an ulnar styloid fracture had lower radial inclination and higher DASH scores. But there was no significant clinical difference. In addition, we found there was no significant difference of outcomes between union and non-union ulnar styloid fractures. Conclusions Based on this meta-analysis, we suggest that an associated ulnar styloid fracture does not affect the outcomes of a distal radial fracture and clinicians should be caution in electing operative treatment for patients with an ulnar styloid fracture.
read more
Chat with Paper
AI Agents for this Paper
Find similar papers on Google Scholar, PubMed and Arxiv
Write a critical review of this paper
Analyze citations of this paper to find unaddressed research gaps
Citations
Operative versus non-operative treatment of ulnar styloid process base fractures: a systematic review and meta-analysis
Luke X. van Rossenberg,Frank J. P. Beeres,Mark van Heijl,Urs Hug,Rolf H. H. Groenwold,Roderick M. Houwert,Bryan J. M. van de Wall +6 more
TL;DR: This systematic review and meta-analysis compares operative and non-operative treatment of ulnar styloid base fractures in patients with distal radius fractures, finding non-surgical treatment may be more effective for wrist function at 6 months, but with higher risk of complications.
Radiographic Healing and Functional Outcomes of Untreated Ulnar Styloid Fractures Following Volar Plate Fixation of Distal Radius Fractures: A Prospective Analysis:
Michael Okoli,Matthew Silverman,Jack Abboudi,Christopher M. Jones,William Kirkpatrick,Frederic E. Liss,T. Robert Takei,Mark L. Wang,Asif M. Ilyas +8 more
TL;DR: The prospective cohort analysis showed that neither the presence, type, nor bony union status of a concomitant USF has any significant effect on patient outcomes or reoperations at 1-year postoperatively, confirming the hypothesis that USF of the tip and base should be left untreated.
[Concomitant injuries of the wrist, distal ulna and distal radioulnar joint in distal radius fractures : Primary operative cotreatment vs. healing with no additional treatment].
Stefanie Wieschollek,Kai Megerle +1 more
TL;DR: The most frequent concomitant injuries in distal radius fractures with the possible advantages and disadvantages of cotreatment are highlighted in order to facilitate decision making.
Pediatric distal both-bone forearm fractures treated with percutaneous pinning with or without ulna fixation: a retrospective cohort study from two centres
Sheng Wang,Jiale Guo,Zhenwei Li,Zejuan Ji,Fangna Liu,Keming Sun,Wei Feng +6 more
TL;DR: This retrospective cohort study compares clinical and functional outcomes of children with distal both-bone forearm fractures treated with percutaneous pinning of the radius only versus fixation of both the radius and ulna.
Concomitant Ulnar Styloid Fractures in Distal Radius Osteosynthesis Does Not Impact Radiographic Outcomes, Ulnar Sided Symptoms and Patient Outcomes
TL;DR: The presence of ulnar styloid fractures in surgically managed distal radius fractures does not compromise clinical and functional outcome and the size of USFs does not impact clinical andfunctional outcome but is associated with the presence of a positive TFCC grind test.
References
Grading quality of evidence and strength of recommendations.
David C. Atkins,Dana Best,Peter A. Briss,Martin P Eccles,Yngve Falck-Ytter,Signe Flottorp,Gordon H. Guyatt,Robin Harbour,Margaret C Haugh,David Henry,Suzanne Hill,Roman Jaeschke,Gillian Leng,Alessandro Liberati,Nicola Magrini,James Mason,Philippa Middleton,Jacek Mrukowicz,Dianne L. O'Connell,Andrew D Oxman,Bob Phillips,Holger J. Schünemann,Tessa Tan-Torres Edejer,H. Varonen,Gunn Elisabeth Vist,John W Williams,Stephanie Zaza +26 more
TL;DR: A system for grading the quality of evidence and the strength of recommendations that can be applied across a wide range of interventions and contexts is developed, and a summary of the approach from the perspective of a guideline user is presented.
Volar plate fixation of distal radius fractures.
TL;DR: Volar fixed angle fixation successfully improves wrist function and significantly prevents the complications of the dorsal approach previously intractable to treatment.
199
Should an ulnar styloid fracture be fixed following volar plate fixation of a distal radial fracture
TL;DR: In this article, a study was conducted to determine whether an associated ulnar fracture following stable fixation of a distal radial fracture has any effect on wrist function or on the development of chronic distal radioulnar joint instability.
Clinical Impact of United Versus Nonunited Fractures of the Proximal Half of the Ulnar Styloid Following Volar Plate Fixation of the Distal Radius
Geert A. Buijze,David Ring +1 more
TL;DR: Nonunion of a fractures of the proximal half of the ulnar styloid has no effect on wrist function, pain, and upper extremity-specific health status 6 months after volar plate fixation of a fracture of the distal radius.
87
Development and validation of an illustrated questionnaire to evaluate disabilities of the upper limb
Mikako Suzuki,Shigeru Kurimoto,Takaaki Shinohara,Masahiro Tatebe,Toshihiko Imaeda,Hitoshi Hirata +5 more
TL;DR: The study showed that the Hand20 questionnaire provided validation comparable with that of the DASH-JSSH, which led to better rates of response and fewer missing data, even in elderly individuals with cognitive deterioration.