Fixing ulnar Styloid Fracture with Stable Distal Radioulnar Joint: A Randomized Clinical Trial | ||
| The Archives of Bone and Joint Surgery | ||
| مقاله 8، دوره 9، شماره 2، خرداد 2021، صفحه 189-194 اصل مقاله (499.55 K) | ||
| نوع مقاله: RESEARCH PAPER | ||
| شناسه دیجیتال (DOI): 10.22038/abjs.2020.46717.2287 | ||
| نویسندگان | ||
| Ali Moradi* 1؛ Seyed Mahdi Mousavi2؛ Golnaz Ghayyem Hassankhani2؛ Negar Taher Chaharjouy2؛ Abdolshakour Rasouli Ostadi2؛ Mohammad H. Ebrahimzadeh2 | ||
| 1Orthopedic Research Center, Mashhad University of Medical Sciences, Mashhad, Iran | ||
| 2Orthopedic Research Center, Mashhad University of Medical Sciences, Mashhad, Iran | ||
| چکیده | ||
| Purpose: The association of the ulnar styloid fracture with distal radius fracture is common and the necessity of ulnar styloid fixation is still controversial. We aim to investigate the effect of ulnar styloid fracture fixation on the final outcome of the distal radius fracture treatment. Methods: In a two-arm randomized clinical trial, patients with Fernandez type I distal radius fracture associated with ulnar styloid fracture in the base were enrolled. Patients were divided into two groups of the ulnar styloid fracture being fixed and it being remained unfixed. Patients were followed up for 12 months using pain visual analogue scale (VAS), quick form of the Disabilities of the Arm, Shoulder and Hand (DASH) score questionnaire, Mayo performance score as well as the wrist range of motion and grip strength evaluation. Results: DASH score during three and six months after styloid fixation demonstrated higher scores (P-value= 0.03 and 0.00) and was proved significant, however, the two groups did not differ on the other variables. Conclusion: It could be concluded that ulnar styloid fixation using pin and wire have an adverse effect on distal radius fixation outcome. Level of evidence: Level I | ||
| کلیدواژهها | ||
| FIXING ULNAR STYLOID FRACTURE | ||
| مراجع | ||
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1. van Valburg MK, Wijffels MM, Krijnen P, Schipper IB. Impact of ulnar styloid fractures in nonoperatively treated distal radius fractures. European Journal of Trauma and Emergency Surgery. 2013;39(2):151-7. 2. Gogna P, Selhi HS, Mohindra M, Singla R, Thora A, Yamin M. Ulnar styloid fracture in distal radius fractures managed with volar locking plates: to fix or not?. Journal of hand and microsurgery. 2014;6(2):53-8. 3. Buijze GA, Ring D. Clinical impact of united versus nonunited fractures of the proximal half of the ulnar styloid following volar plate fixation of the distal radius. The Journal of hand surgery. 2010;35(2):223-7. 4. Zyluk A, Mazur A, Puchalski P. A comparison of outcomes after K-wire fixation of distal radius fractures with and without associated ulnar styloid fracture. Handchirurgie• Mikrochirurgie• Plastische Chirurgie. 2014;46(01):7-11. 5. Zenke Y, Sakai A, Oshige T, Moritani S, Nakamura T. Treatment with or without internal fixation for ulnar styloid base fractures accompanied by distal radius fractures fixed with volar locking plate. Hand Surgery. 2012;17(02):181-90. 6. 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. The Journal of Bone and Joint Surgery. British volume. 2009;91(1):102-7. 7. Sawada H, Shinohara T, Natsume T, Hirata H. Clinical effects of internal fixation for ulnar styloid fractures associated with distal radius fractures: a matched case-control study. Journal of Orthopaedic Science. 2016;21(6):745-8. 8. May MM, Lawton JN, Blazar PE. Ulnar styloid fractures associated with distal radius fractures: incidence and implications for distal radioulnar joint instability. The Journal of hand surgery. 2002;27(6):965-71. 9. Baradaran A, Moradi A, Sadeghi R, Ebrahimzadeh MH. Do we underestimate the predictive value of the ulnar styloid involvement in distal radius fractures? A systematic review and meta-analysis of clinical studies. Journal of Hand Surgery (European Volume). 2017;42(6):642-5. 10. Fernandez DL. Fractures of the distal radius; operative treatment. Instructional course lectures. 1993;42:73-88. 11. Collins SL, Moore RA, McQuay HJ. The visual analogue pain intensity scale: what is moderate pain in millimetres?. Pain. 1997;72(1-2):95-7. 12. Gummesson C, Ward MM, Atroshi I. The shortened disabilities of the arm, shoulder and hand questionnaire (Quick DASH): validity and reliability based on responses within the full-length DASH. BMC musculoskeletal disorders. 2006;7(1):44. 13. Ebrahimzadeh MH, Moradi A, Vahedi E, Kachooei AR, Birjandinejad A. Validity and reliability of the Persian version of shortened disabilities of the arm, shoulder and hand questionnaire (quick-DASH). International journal of preventive medicine. 2015;6. 14. Slutsky DJ. Outcomes Assessment in Wrist Surgery. Journal of wrist surgery.. 2013;2(1):1-4. 15. Ozasa Y, Iba K, Oki G, Sonoda T, Yamashita T, Wada T. Nonunion of the ulnar styloid associated with distal radius malunion. The Journal of Hand Surgery. 2013 Mar 1;38(3):526-31. 16. Okoli M, Silverman M, Abboudi J, Jones C, Kirkpatrick W, Liss F, et al. Radiographic Healing and Functional Outcomes of Untreated Ulnar Styloid Fractures Following Volar Plate Fixation of Distal Radius Fractures: A Prospective Analysis. HAND. 2019:1558944719855445. 17. Buijze GA, Ring D. Clinical impact of united versus nonunited fractures of the proximal half of the ulnar styloid following volar plate fixation of the distal radius. The Journal of hand surgery. 2010 Feb 1;35(2):223-7. 18. Mulders MA, Fuhri Snethlage LJ, de Muinck Keizer RJ, Goslings JC, Schep NW. Functional outcomes of distal radius fractures with and without ulnar styloid fractures: a meta-analysis. Journal of Hand Surgery (European Volume). 2018 Feb;43(2):150-7. | ||
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