Objective outcome measures continue to improve from 6 to 12 months after conservatively treated distal radius fractures in the elderly – a prospective evaluation of 50 patients

Rikke Thorninger; Daniel Wæver; Jonas Pedersen; Jens Tvedegaard-Christensen; Michael Kjeldager Tjørnild; Martin Lind; Jan Hendrik Duedal Rölfing

doi:10.3390/jcm10091831

Objective outcome measures continue to improve from 6 to 12 months after conservatively treated distal radius fractures in the elderly – a prospective evaluation of 50 patients

Rikke Thorninger^*, Daniel Wæver, Jonas Pedersen, Jens Tvedegaard-Christensen, Michael Kjeldager Tjørnild, Martin Lind, Jan Hendrik Duedal Rölfing

^*Corresponding author for this work

Research output: Contribution to journal/Conference contribution in journal/Contribution to newspaper › Journal article › Research › peer-review

4 Citations (Scopus)

Abstract

Distal radius fractures (DRF) in the elderly population above 65 years represent 18% of all fractures and are thereby the second most frequent fracture in the elderly. Fracture dislocation and comminution are often used to determine whether non-operative or operative treatment is indi-cated. The purpose of this prospective case series of minimally displaced DRF treated with a dorsal cast was to assess the complication rate and patient-reported outcome measures. This single-centre, single-blinded, prospective case series followed 50 conservatively treated DRF patients for one year. Primary outcomes were complications and Quick Disability of Arm Shoulder and Hand (qDASH) score. Secondary outcomes were range of motion (ROM), grip strength and pain, and Patient-Rated Wrist/Hand Evaluation (PRWHE). Results showed only minor complications with a return to prior ROM, qDASH, and pain after 12 months and improvement in outcomes after 6–12 months. In conclusion, the majority of DRF patients who were treated non-operatively with five-week dorsal casting recover fully after minimally displaced DRF. This standard approach is thus considered safe, and the present results provide a reference for other studies.

Original language	English
Article number	1831
Journal	Journal of Clinical Medicine
Volume	10
Issue	9
Number of pages	12
ISSN	2077-0383
DOIs	https://doi.org/10.3390/jcm10091831
Publication status	Published - 1 May 2021

Keywords

Aging
Com-plications
Conservative treatment
Distal radius fracture
Fracture
NRS
Non-operative treatment
Osteoporosis
PRWHE
Patient-reported outcome measures
Quick-DASH

Access to Document

10.3390/jcm10091831

OpenUrl availability

Full text

Cite this

Thorninger, R., Wæver, D., Pedersen, J., Tvedegaard-Christensen, J., Tjørnild, M. K., Lind, M., & Rölfing, J. H. D. (2021). Objective outcome measures continue to improve from 6 to 12 months after conservatively treated distal radius fractures in the elderly – a prospective evaluation of 50 patients. Journal of Clinical Medicine, 10(9), Article 1831. https://doi.org/10.3390/jcm10091831

@article{6775d328c1f44d62a8477a5e5fb18948,

title = "Objective outcome measures continue to improve from 6 to 12 months after conservatively treated distal radius fractures in the elderly – a prospective evaluation of 50 patients",

abstract = "Distal radius fractures (DRF) in the elderly population above 65 years represent 18% of all fractures and are thereby the second most frequent fracture in the elderly. Fracture dislocation and comminution are often used to determine whether non-operative or operative treatment is indi-cated. The purpose of this prospective case series of minimally displaced DRF treated with a dorsal cast was to assess the complication rate and patient-reported outcome measures. This single-centre, single-blinded, prospective case series followed 50 conservatively treated DRF patients for one year. Primary outcomes were complications and Quick Disability of Arm Shoulder and Hand (qDASH) score. Secondary outcomes were range of motion (ROM), grip strength and pain, and Patient-Rated Wrist/Hand Evaluation (PRWHE). Results showed only minor complications with a return to prior ROM, qDASH, and pain after 12 months and improvement in outcomes after 6–12 months. In conclusion, the majority of DRF patients who were treated non-operatively with five-week dorsal casting recover fully after minimally displaced DRF. This standard approach is thus considered safe, and the present results provide a reference for other studies.",

keywords = "Aging, Com-plications, Conservative treatment, Distal radius fracture, Fracture, NRS, Non-operative treatment, Osteoporosis, PRWHE, Patient-reported outcome measures, Quick-DASH",

author = "Rikke Thorninger and Daniel W{\ae}ver and Jonas Pedersen and Jens Tvedegaard-Christensen and Tj{\o}rnild, {Michael Kjeldager} and Martin Lind and R{\"o}lfing, {Jan Hendrik Duedal}",

year = "2021",

month = may,

day = "1",

doi = "10.3390/jcm10091831",

language = "English",

volume = "10",

journal = "Journal of Clinical Medicine",

issn = "2077-0383",

publisher = "MDPI AG",

number = "9",

}

Thorninger, R, Wæver, D, Pedersen, J, Tvedegaard-Christensen, J, Tjørnild, MK , Lind, M & Rölfing, JHD 2021, 'Objective outcome measures continue to improve from 6 to 12 months after conservatively treated distal radius fractures in the elderly – a prospective evaluation of 50 patients', Journal of Clinical Medicine, vol. 10, no. 9, 1831. https://doi.org/10.3390/jcm10091831

Objective outcome measures continue to improve from 6 to 12 months after conservatively treated distal radius fractures in the elderly – a prospective evaluation of 50 patients. / Thorninger, Rikke; Wæver, Daniel; Pedersen, Jonas et al.
In: Journal of Clinical Medicine, Vol. 10, No. 9, 1831, 01.05.2021.

Research output: Contribution to journal/Conference contribution in journal/Contribution to newspaper › Journal article › Research › peer-review

TY - JOUR

T1 - Objective outcome measures continue to improve from 6 to 12 months after conservatively treated distal radius fractures in the elderly – a prospective evaluation of 50 patients

AU - Thorninger, Rikke

AU - Wæver, Daniel

AU - Pedersen, Jonas

AU - Tvedegaard-Christensen, Jens

AU - Tjørnild, Michael Kjeldager

AU - Lind, Martin

AU - Rölfing, Jan Hendrik Duedal

PY - 2021/5/1

Y1 - 2021/5/1

N2 - Distal radius fractures (DRF) in the elderly population above 65 years represent 18% of all fractures and are thereby the second most frequent fracture in the elderly. Fracture dislocation and comminution are often used to determine whether non-operative or operative treatment is indi-cated. The purpose of this prospective case series of minimally displaced DRF treated with a dorsal cast was to assess the complication rate and patient-reported outcome measures. This single-centre, single-blinded, prospective case series followed 50 conservatively treated DRF patients for one year. Primary outcomes were complications and Quick Disability of Arm Shoulder and Hand (qDASH) score. Secondary outcomes were range of motion (ROM), grip strength and pain, and Patient-Rated Wrist/Hand Evaluation (PRWHE). Results showed only minor complications with a return to prior ROM, qDASH, and pain after 12 months and improvement in outcomes after 6–12 months. In conclusion, the majority of DRF patients who were treated non-operatively with five-week dorsal casting recover fully after minimally displaced DRF. This standard approach is thus considered safe, and the present results provide a reference for other studies.

AB - Distal radius fractures (DRF) in the elderly population above 65 years represent 18% of all fractures and are thereby the second most frequent fracture in the elderly. Fracture dislocation and comminution are often used to determine whether non-operative or operative treatment is indi-cated. The purpose of this prospective case series of minimally displaced DRF treated with a dorsal cast was to assess the complication rate and patient-reported outcome measures. This single-centre, single-blinded, prospective case series followed 50 conservatively treated DRF patients for one year. Primary outcomes were complications and Quick Disability of Arm Shoulder and Hand (qDASH) score. Secondary outcomes were range of motion (ROM), grip strength and pain, and Patient-Rated Wrist/Hand Evaluation (PRWHE). Results showed only minor complications with a return to prior ROM, qDASH, and pain after 12 months and improvement in outcomes after 6–12 months. In conclusion, the majority of DRF patients who were treated non-operatively with five-week dorsal casting recover fully after minimally displaced DRF. This standard approach is thus considered safe, and the present results provide a reference for other studies.

KW - Aging

KW - Com-plications

KW - Conservative treatment

KW - Distal radius fracture

KW - Fracture

KW - NRS

KW - Non-operative treatment

KW - Osteoporosis

KW - PRWHE

KW - Patient-reported outcome measures

KW - Quick-DASH

UR - http://www.scopus.com/inward/record.url?scp=85114081748&partnerID=8YFLogxK

U2 - 10.3390/jcm10091831

DO - 10.3390/jcm10091831

M3 - Journal article

C2 - 33922371

SN - 2077-0383

VL - 10

JO - Journal of Clinical Medicine

JF - Journal of Clinical Medicine

IS - 9

M1 - 1831

ER -

Objective outcome measures continue to improve from 6 to 12 months after conservatively treated distal radius fractures in the elderly – a prospective evaluation of 50 patients

Abstract

Keywords

Access to Document

OpenUrl availability

Other files and links

Fingerprint

Cite this