Ulnar styloid process nonunion and outcome in patients with a distal radius fracture: A meta-analysis of comparative clinical trials

被引：54
作者：
Wijffels, M. M. E. [1 ]
Keizer, J. [1 ]
Buijze, G. A. [2 ]
Zenke, Y. [3 ]
Krijnen, P. [1 ]
Schep, N. W. L. [4 ]
Schipper, I. B. [1 ]
机构：
[1] Leiden Univ, Med Ctr, Dept Surg Traumatol, NL-2300 RC Leiden, Netherlands
[2] Univ Amsterdam, Acad Med Ctr, Dept Orthoped Surg, NL-1105 AZ Amsterdam, Netherlands
[3] Univ Occupat & Environm Hlth, Dept Orthopaed Surg, Fukuoka, Japan
[4] Acad Med Ctr Amsterdam, Dept Surg, Amsterdam, Netherlands
来源：
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED | 2014年 / 45卷 / 12期
关键词：
Distal radius fracture; Nonunion; Ulnar styloid process; Wrist fracture; Distal radioulnar joint instability; Outcome; TRIANGULAR FIBROCARTILAGE COMPLEX; RADIOULNAR JOINT; COLLES FRACTURE; WRIST PAIN; YOUNG-ADULTS; INJURIES; FIXATION; FOREARM; INSTABILITY; STABILITY;
D O I：
10.1016/j.injury.2014.08.007
中图分类号：
R4 [临床医学];
学科分类号：
1002 ; 100602 ;
摘要：
Purpose: There is no consensus on the relation between ulnar styloid process nonunion and outcome in patients with distal radius fractures. The aim of this study was to analyze whether patient-reported outcome is influenced by the nonunion of the accompanying ulnar styloid fracture in distal radius fracture patients. Methods: A meta-analysis of published studies comparing outcomes after distal radius fractures with a united versus a non-united ulnar styloid process was performed. In addition, if provided by the authors, the raw data of these studies were pooled and analysed as one study. The outcome measures of the analyses included patient-reported outcome, functional outcome, grip-strength, pain, and distal radioulnar joint (DRUJ) instability. Results: Data from six comparative studies were included, concerning 365 patients with a distal radius fracture. One hundred and thirty-five patients with an ulnar styloid union were compared with 230 patients with a nonunion of the ulnar styloid. No significant differences were found between groups regarding any outcome measure. Conclusion: Based on this meta-analysis, there is no relation between the nonunion of the ulnar styloid process and function in patients with a distal radius fracture. (C) 2014 Elsevier Ltd. All rights reserved.
引用
收藏
页码：1889 / 1895
页数：7
相关论文
共 49 条
  • [21] KINEMATICS OF THE DISTAL RADIOULNAR JOINT
    KING, GJ
    MCMURTRY, RY
    RUBENSTEIN, JD
    GERTZBEIN, SD
    [J]. JOURNAL OF HAND SURGERY-AMERICAN VOLUME, 1986, 11A (06): : 798 - 804
  • [22] Stability of the distal radioulna joint: Biomechanics, pathophysiology, physical diagnosis, and restoration of function what we have learned in 25 years
    Kleinman, William B.
    [J]. JOURNAL OF HAND SURGERY-AMERICAN VOLUME, 2007, 32A (07): : 1086 - 1106
  • [23] The incidence of ulnocarpal complaints after distal radial fracture in relation to the fracture of the ulnar styloid
    Kraemer, S.
    Meyer, H.
    O'Loughlin, P. F.
    Vaske, B.
    Krettek, C.
    Gaulke, R.
    [J]. JOURNAL OF HAND SURGERY-EUROPEAN VOLUME, 2013, 38 (07) : 710 - 717
  • [24] Lindau T, 2000, CLIN ORTHOP RELAT R, P229
  • [25] Peripheral tears of the triangular fibrocartilage complex cause distal radioulnar joint instability after distal radial fractures
    Lindau, T
    Adlercreutz, C
    Aspenberg, P
    [J]. JOURNAL OF HAND SURGERY-AMERICAN VOLUME, 2000, 25A (03): : 464 - 468
  • [26] Intraarticular lesions in distal fractures of the radius in young adults - A descriptive arthroscopic study in 50 patients
    Lindau, T
    Arner, M
    Hagberg, L
    [J]. JOURNAL OF HAND SURGERY-BRITISH AND EUROPEAN VOLUME, 1997, 22B (05) : 638 - 643
  • [27] Fractures of the distal forearm in young adults - An epidemiologic description of 341 patients
    Lindau, TR
    Aspenberg, P
    Arner, M
    Redlundh-Johnell, I
    Hagberg, L
    [J]. ACTA ORTHOPAEDICA SCANDINAVICA, 1999, 70 (02): : 124 - 128
  • [28] Patient rating of wrist pain and disability: A reliable and valid measurement tool
    MacDermid, JC
    Turgeon, T
    Richards, RS
    Beadle, M
    Roth, JH
    [J]. JOURNAL OF ORTHOPAEDIC TRAUMA, 1998, 12 (08) : 577 - 586
  • [29] Ulnar styloid fractures associated with distal radius fractures: Incidence and implications for distal radioulnar joint instability
    May, MM
    Lawton, JN
    Blazar, PE
    [J]. JOURNAL OF HAND SURGERY-AMERICAN VOLUME, 2002, 27A (06): : 965 - 971
  • [30] MELONE CP, 1992, CLIN ORTHOP RELAT R, P65
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