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Trace: • mokhtari2017 • distal_radius_fractures • challis2000 • darzi2001
md:distal_radius_fractures

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md:distal_radius_fractures [2020/08/07 12:36]
admin 		md:distal_radius_fractures [2020/08/31 13:00] (current)
admin [Cast Treatment]
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   * [jnl:brogren2007]], [[jnl:nelllans2012]]: type of fracture/ displacement important for outcome, e.g. ia vs ea   * [jnl:brogren2007]], [[jnl:nelllans2012]]: type of fracture/ displacement important for outcome, e.g. ia vs ea
   * brogren's study provides a ?change? of displacement   * brogren's study provides a ?change? of displacement
 +
 +====Cast Treatment====
 +
 +===Tang JB 1996===
 +
 +  * 3.5 y 20/424 SLD in DR fractures --> cast treatment --> 1 year
 +  * SL interval remained, GOB 2 gd, 14 fair, 4 poor @ 1 year
 +  * Age 49 (vs 51): 8 m, 12 f vs (151 male, 273 female) p < 0.00001
 +  * distribution
 +
 +Tang, J. B., Shi, D., Gu, Y. Q., & Zhang, Q. G. (1996). Can cast immobilization successfully treat scapholunate dissociation associated with distal radius fractures? The Journal of Hand Surgery, 21(4), 583–90. https://doi.org/10.1016/S0363-5023(96)80007-4
 +
 +=== O'Connor 2003===
 +
 +  * Randomization by date
 +  * Inc: isolated DR fractures not requiring M&R - cast 6/52 vs Futuro 6/52
 +  * Outcome: VAS Sarmiento (no scores given)
 +    * Functional assess @ 6 & 12 weeks
 +  * Results
 +    * Similar pain
 +    * better cast satisfaction (2 point difference)
 +    * decreased complication in splinting (1-2 point difference)
 +    * splint faster mobility
 +    * function @ 6/52 (3 point difference)
 +  * Cost as a benefit
 +  * 1/2 of cast patients needed a change
 +
 +O’Connor, D., Mullett, H., Doyle, M., Mofidi,  a, Kutty, S., & O’Sullivan, M. (2003). Minimally displaced Colles’ fractures: A prospective randomized trial of treatment with a wrist splint or a plaster cast. Journal of Hand Surgery (Edinburgh, Scotland), 28(1), 50–53. https://doi.org/10.1054/jhsb.2002.0864
 +
 +
 +
  
 ====Outcomes==== ====Outcomes====
Line 60: Line 91:
     * reduced extra-articular - good BUT     * reduced extra-articular - good BUT
     * intra-articular outcomes not so good (see Knirk & Jupiter, Catalano)     * intra-articular outcomes not so good (see Knirk & Jupiter, Catalano)
 +
 +====Bilateral=====
 +
 +[[jnl:brogren2007]]
 +^Position    ^ MOI/laterality ^ Female    ^ Male ^
 +|upright position  | moderate |  191      |   35  |
 +|others: heights, TA, exercise| severe |   67   |  38  |
 +|                  |           |          |     |
 +|                  |  bilateral  |  1       |  4  |
 +|                  |  Left     |  143     |  38  |
 +|                  |  Right    |  116     |   31  |
 +
  
 ====Outcomes Assessment==== ====Outcomes Assessment====
   * [[md:assessment_g&w|Gartland and Werley Score]]   * [[md:assessment_g&w|Gartland and Werley Score]]
 +
 +
 +====Outcomes====
 +  * [[jnl:foldhazy2007|Long term outcomes of non-surgical treatment]]
 ====Ideas==== ====Ideas====
  
Line 91: Line 138:
  
  
-===Dates===+====History====
  
-  - 2017-02-26+  - 2017-02-26 created 
 +  - 2020-08-09 added outcomes section and foldhazy2007
md/distal_radius_fractures.1596803761.txt.gz · Last modified: 2020/08/07 12:36 by admin

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