Patients with laxity of the distal radioulnar joint after distal radial fractures have impaired function, but no loss of strength

被引:30
作者
Lindau, T [1 ]
Runnquist, K
Aspenberg, P
机构
[1] Angelholm Hosp, Dept Orthoped, SE-26281 Angelholm, Sweden
[2] Lund Univ Hosp, Lund, Sweden
[3] Linkoping Univ Hosp, Linkoping, Sweden
来源
ACTA ORTHOPAEDICA SCANDINAVICA | 2002年 / 73卷 / 02期
关键词
D O I
10.1080/000164702753671722
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
Laxity of the distal radioulnar (DRU) joint after distal radial fractures has a worse general outcome in patients before the usual age for development of osteoporosis. The hypothesis for this study was that patients with laxity also have less strength during supination and pronation. An apparatus for measuring strength in supination and pronation was constructed and validated. 20 patients were chosen from a cohort of 76 patients who had had distal radial fractures 6 years ago. The stability of the DRU-joint was tested manually by 2 examiners and the test's reliability was good. The DRU-joint was lax in 6 patients. No differences were found between patients with stable and lax DRU-joints as regards isometric grip strength, strength in supination or pronation or radiographic characteristics. However, subjectively evaluated hand function was impaired in those with lax DRU-joints. This was noted on the subjective part of the Gartland and Werley score and 13 questions concerning everyday activities. In conclusion, DRU-joint laxity was associated with impaired hand function, but no loss of strength in forearm rotation after distal radial fractures in non-osteoporotic patients.
引用
收藏
页码:151 / 156
页数:6
相关论文
共 12 条
[1]   Outcome after colles fracture: The relative responsiveness of three questionnaires and physical examination measures [J].
Amadio, PC ;
Silverstein, MD ;
Ilstrup, DM ;
Schleck, CD ;
Jensen, LM .
JOURNAL OF HAND SURGERY-AMERICAN VOLUME, 1996, 21A (05) :781-787
[2]  
[Anonymous], PRACTICAL STAT MED R
[3]  
Garcia-Elias M, 1998, HAND CLIN, V14, P165
[4]   EVALUATION OF HEALED COLLES FRACTURES [J].
GARTLAND, JJ ;
WERLEY, CW .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1951, 33-A (04) :895-907
[5]   AN ANATOMIC AND MECHANICAL STUDY OF THE INTEROSSEOUS MEMBRANE OF THE FOREARM - PATHOMECHANICS OF PROXIMAL MIGRATION OF THE RADIUS [J].
HOTCHKISS, RN ;
AN, KN ;
SOWA, DT ;
BASTA, S ;
WEILAND, AJ .
JOURNAL OF HAND SURGERY-AMERICAN VOLUME, 1989, 14 (02) :256-261
[6]  
Johnson R K, 1976, J Hand Surg Am, V1, P205
[8]  
Lindau T, 2000, CLIN ORTHOP RELAT R, P229
[9]   Peripheral tears of the triangular fibrocartilage complex cause distal radioulnar joint instability after distal radial fractures [J].
Lindau, T ;
Adlercreutz, C ;
Aspenberg, P .
JOURNAL OF HAND SURGERY-AMERICAN VOLUME, 2000, 25A (03) :464-468
[10]  
Marx RG, 1999, J HAND SURG-AM, V24A, P185