The incidence of ulnocarpal complaints after distal radial fracture in relation to the fracture of the ulnar styloid

被引:32
作者
Kraemer, S. [1 ]
Meyer, H. [1 ]
O'Loughlin, P. F. [2 ]
Vaske, B. [3 ]
Krettek, C. [1 ]
Gaulke, R. [1 ]
机构
[1] Hannover Med Sch, Klin Unfallchirurg, D-30173 Hannover, Germany
[2] Hosp Special Surg, Dept Orthoped, New York, NY 10021 USA
[3] Hannover Med Sch, Inst Biometrie, D-30173 Hannover, Germany
关键词
Ulnar styloid fracture; processus styloideus ulnae nonunion; processus styloideus ulnae fracture; radial fracture; DRUJ; TRIANGULAR FIBROCARTILAGE COMPLEX; RADIOULNAR JOINT; COLLES FRACTURE; INTRAARTICULAR FRACTURES; YOUNG-ADULTS; INSTABILITY; FIXATION; HAND; QUESTIONNAIRE; REDUCTION;
D O I
10.1177/1753193412469582
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Two hundred distal radial fractures, with a mean follow up of 20 months (range 6-49), were divided into three groups according to the presence and healing status of an ulnar styloid fracture. The patients underwent both clinical and radiological examination and completed two different questionnaires. One hundred and one, of 200 distal radial fractures, were associated with an ulnar styloid fracture. Forty-six of these developed an ulnar styloid nonunion. The authors encountered significantly higher pain scores (ulnar sided pain p = 0.012), a higher rate of DRUJ instability (p = 0.032), a greater loss of motion and grip strength (p = 0.001), and a poorer clinical outcome in cases with an ulnar styloid fracture, but no differences were apparent when those with healed ulnar styloid fractures or ulnar styloid nonunions were compared (p > 0.05). The investigators propose that the incidence of ulnocarpal complaints following distal radial fracture depends on the presence but not the healing status of an ulnar styloid fracture.
引用
收藏
页码:710 / 717
页数:8
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