Journals / Acta Orthopaedica et Traumatologica Turcica / 2011 / Cilt: 45 - Sayı: 4

A new index for the assessment of distal radius fractures involving the ulnar styloid

Ulnar stiloid kırığının eşlik ettiği distal radius kırıklarının değerlendirilmesinde yeni bir indeks

Pages
261–265
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Conclusion: Our results suggested that the RSI can be used as a predictor of the clinical outcome in patients with distal radius fractures involving the ulnar styloid.

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: The aim of this retrospective study was to evaluate the relation between a new index we created for the assessment of distal radius fractures involving the ulnar styloid, and the clin ical outcome.
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Key Findings & Data:We used this index in 44 patients (28 men and 16 women; mean age: 43.2 years; range: 24-64 years) with distal radius fractures involving the the ulnar styloid.
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Conclusion & Impact:Conclusion: Our results suggested that the RSI can be used as a predictor of the clinical outcome in patients with distal radius fractures involving the ulnar styloid.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Geriyedönük çalışma · Ulna kırıkları · Yaralanma şiddeti skoru

Abstract

Objective: The aim of this retrospective study was to evaluate the relation between a new index we created for the assessment of distal radius fractures involving the ulnar styloid, and the clin ical outcome. Methods: We devised a radiographic separation index (RSI), to evaluate the displacement of the ulnar styloid. We used this index in 44 patients (28 men and 16 women; mean age: 43.2 years; range: 24-64 years) with distal radius fractures involving the the ulnar styloid. In all cases, the distal radius fracture was fixed using a volar locking plate. The styloid fracture was treated con servatively. The relation between the RSI value and clinical results was then investigated. Results: In the 44 patients there were clinically 38 excellent, 4 good, and 2 moderate results. RSI ratios ranged from 2% to 11%. The patients with an excellent result had an RSI ratio of less than 5%. We found a significant correlation between the RSI ratio values and the clinical outcomes. Conclusion: Our results suggested that the RSI can be used as a predictor of the clinical outcome in patients with distal radius fractures involving the ulnar styloid.

Özet

Amaç: Çalışmamızda ulnar stiloid kırığının eşlik ettiği distal radius kırıklarının değerlendirilmesi için tarafımızca geliştirilmiş olan yeni bir radyolojik indeks ile klinik sonuçları arasındaki ilişki retrospektif olarak araştırıldı. Çalışma planı: Ulnar stiloid kırığında ayrışma miktarını değerlendirmek amacıyla radyografik ayrışma indeksi (RAİ) adıyla bir indeks tanımladık. Ulnar stiloid kırığının eşlik ettiği distal radius kırığı bulunan toplam 44 hastada (28 erkek, 16 kadın; ortalama yaş: 43.2; dağılım: 24-64) bu indeks ile değerlendirme yaptık. Olguların tümünde radius kırığı volar yerleşimli kilitli plakla tespit edildi. Stiloid kırığı konservatif tedavi edildi. Sonrasında olguların RAİ değeri ve klinik sonuçlar arasındaki ilişki değerlendirildi. Bulgular: Klinik olarak 44 olgunun 38'inde mükemmel, 4'ünde iyi, 2'sinde orta sonuç alındı. RAİ oranları %2 ila %11 arasında değişmekteydi. Mükemmel sonuç alınan hastaların RAİ oranı %5'in altında idi. Klinik sonuçlarla RAİ oranları arasında belirgin bir korelasyon saptandı. Çıkarımlar: Sonuçlarımız ulnar stiloid kırığının eşlik ettiği distal radius kırığı olan hastaların klinik sonuçlarının kestirilmesinde RAİ'nin kullanılabileceğini göstermiştir.

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Cite This Article

ORHUN, H., DURSUN, M., GÜRKAN, V., SARIOĞLU, E., ALTUN, G., AKÇA, O. (2011). A new index for the assessment of distal radius fractures involving the ulnar styloid. Acta Orthopaedica et Traumatologica Turcica, Cilt: 45 - Sayı: 4, 261–265. https://ajindex.com/articles/354014

References (14)

  1. Abid A, Accadbled F, Kany J, de Gauzy JS, Darodes P, Cahuzac JP. Ulnar styloid fracture in children: a retrospec tive study of 46 cases. J Pediatr Orthop B 2008;17:15-9
  2. Chung KC, Spilson SV. The frequency and epidemiology of hand and forearm fractures in the United States. J Hand Surg Am 2001;26:908-15
  3. Zenke Y, Sakai A, Oshige T, Moritani S, Nakamura T. The effect of an associated ulnar styloid fracture on the outcome after fixation of a fracture of the distal radius. J Bone Joint Surg Br 2009;91:102-7
  4. Haugstvedt JR, Berger RA, Nakamura T, Neale P, Berglund L, An KN. Relative contributions of the ulnar attachments of the triangular fibrocartilage complex to the dynamic stability of the distal radioulnar joint. J Hand Surg Am. 2006;31:445-51
  5. Souer JS, Ring D, Matschke S, Audige L, Marent-Huber M, Jupiter JB; AOCID Prospective ORIF Distal Radius Study Group. Effect of an unrepaired fracture of the ulnar styloid base on outcome after plate-and-screw fixation of a distal radial fracture. J Bone Joint Surg Am 2009;91: 830-8
  6. May MM, Lawton JN, Blazar PE. Ulnar styloid fractures associated with distal radius fractures: incidence and implications for distal radioulnar joint instability. J Hand Surg Am 2002;27:965-71
  7. Ekenstam F, Jakobsson OP, Wadin K. Repair of the trian gular ligament in Colles’ fracture. No effect in a prospec tive randomized study. Acta Orthop Scand 1989;60:393-6
  8. Yanagida H, Ishii S, Short WH, Werner FW, Weiner MM, Masaoka S. Radiologic evaluation of the ulnar styloid. J Hand Surg Am 2002;27:49-56
  9. Shaw JA, Bruno A, Paul EM. Ulnar styloid fixation in the treatment of posttraumatic instability of the radioulnar joint: a biomechanical study with clinical correlation. J Hand Surg Am 1990;15:712-20
  10. Gartland JJ Jr, Werley WC. Evaluation of healed Colles’ fractures. J Bone Joint Surg. 1951;33:895-907
  11. Hanel DP. Treatment of intraarticular fractures. In: Trumble TE, editor. Hand surgery update. Hand, elbow and shoulder. 3rd ed. Rosemont, IL: American Society for Surgery of the Hand; 2002. p. 105-21
  12. Cooney WP 3rd, Dobyns JH, Linscheid RL. Complications of Colles’ fractures. J Bone Joint Surg Am 1980; 62:613-9
  13. Frykman G. Fracture of the distal radius including seque lae—shoulder–hand–finger syndrome, disturbance in the distal radio–ulnar joint and impairment of nerve function. A clinical and experimental study. Acta Orthop Scand 1967;Suppl 108:1-153
  14. Mirarchi AJ, Hoyen HA, Knutson J, Lewis S. Cadav