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--- md:distal_radius_fractures [2020/08/09 10:02]
admin [Osteoporosis]
+++ md:distal_radius_fractures [2020/08/31 13:00] (current)
admin [Cast Treatment]
@@ Line 53: / Line 53: @@
   * [jnl:brogren2007]], [[jnl:nelllans2012]]: type of fracture/ displacement important for outcome, e.g. ia vs ea
   * 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
@@ Line 109: / Line 138: @@
-===Dates===
+====History====
   - 2017-02-26 created
   - 2020-08-09 added outcomes section and foldhazy2007

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