View : 36 Download: 6

Should an ulnar styloid fracture be fixed following volar plate fixation of a distal radial fracture?

Title
Should an ulnar styloid fracture be fixed following volar plate fixation of a distal radial fracture?
Authors
Kim J.K.Koh Y.-D.Do N.-H.
Ewha Authors
고영도김재광
SCOPUS Author ID
고영도scopus; 김재광scopus
Issue Date
2010
Journal Title
Journal of Bone and Joint Surgery - Series A
ISSN
0021-9355JCR Link
Citation
vol. 92, no. 1, pp. 1 - 6
Indexed
SCI; SCIE; SCOPUS WOS scopus
Abstract
Background: Ulnar styloid fractures often occur in association with distal radial fractures. The purpose of this study was to determine whether an associated ulnar styloid fracture following stable fixation of a distal radial fracture has any effect on wrist function or on the development of chronic distal radioulnar joint instability. Methods: One hundred and thirty-eight consecutive patients who underwent surgical treatment of an unstable distal radial fracture were included in this study. During surgery, none of the accompanying ulnar styloid fractures were internally fixed. Patients were divided into nonfracture, nonbase fracture, and base fracture groups, on the basis of the location of the ulnar styloid fracture, and into nonfracture, minimally displaced (≤2 mm), and considerably displaced (>2 mm) groups, according to the amount of ulnar styloid fracture displacement at the time of injury. Postoperative evaluation included measurement of grip strength and wrist range of motion; calculation of the modified Mayo wrist score and Disabilities of the Arm, Shoulder and Hand score; as well as testing for instability of the distal radioulnar joint at a mean of nineteen months postoperatively. Results: Ulnar styloid fractures were present in seventy-six (55%) of the 138 patients. Forty-seven (62%) involved the nonbase portion of the ulnar styloid and twenty-nine (38%) involved the base of the ulnar styloid. Thirty-four (45%) were minimally displaced, and forty-two (55%) were considerably (>2 mm) displaced. We did not find a significant relationship between wrist functional outcomes and ulnar styloid fracture level or the amount of displacement. Chronic instability of the distal radioulnar joint occurred in two wrists (1.4%). Conclusions: An accompanying ulnar styloid fracture in patients with stable fixation of a distal radial fracture has no apparent adverse effect on wrist function or stability of the distal radioulnar joint. Level of Evidence: Prognostic Level II. See Instructions to Authors for a complete description of levels of evidence. Copyright © 2010 by The Journal Of Bone and Joint Surgery, Incorporated.
DOI
10.2106/JBJS.H.01738
Appears in Collections:
의학전문대학원 > 의학과 > Journal papers
Files in This Item:
Should an ulnar styloid fracture be fixed following volar plate fixation of a distal radial fracture.pdf(851.22 kB)Download
Export
RIS (EndNote)
XLS (Excel)
XML


qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

BROWSE