Singh, Vivek Ajit and Jia, Tan Yong and Santharalinggam, Rupini Devi and Gunasagaran, Jayaletchumi (2023) Relationship of ulna styloid fracture to the distal radio-ulnar joint stability. A clinical, functional, and radiographic outcome study. PLoS ONE, 18 (1). ISSN 1932-6203, DOI https://doi.org/10.1371/journal.pone.0279210.
Full text not available from this repository.Abstract
BackgroundUlna styloid fracture occurs approximately about 55% of all distal end of radius fractures. However, the clinical and functional outcome of these fractures remains indefinite. ResultsOnly 56 patients with distal radius fractures had concomitant ulna styloid fractures. The mean age was 32 years (range: 18-69; SD: +/- 12.7). The majority were men. The mean time from injury was 18.7 months (range: 6-84; SD: +/- 13.3). The most common was Frykman 2, followed by 6, type 8, and type 4. All were closed fractures; 60.7% were base, and 39.3% were tip fractures. 50% were treated with casting, 48.3% plating, and 1.8% external fixation. The mean period of casting was 7.67 weeks (range: 4-16; SD +/- 3.1). The ulna styloid was united in 35.7%. There is no significant difference in the range of movement between those with ulna styloid union and non-union. The Ballottement test and Piano key sign was statistically insignificant between both groups. All the displacements were dorsal except in 1 case. The mean displacement of ulna styloid is 1.88mm (SD +/- 1.08, Range: 0.20-4.60mm). The mean VAS score at rest and work is not statistically significant. The mean grip strength and functional score (DASH) are similar in both groups. ConclusionUlna styloid fractures do not contribute to the DRUJ instability and the status of the union of the ulna styloid and the site of the ulna styloid fracture (tip or base) did not have a bearing on the range of movement and functional status of the affected wrist. Temporary DRUJ immobilization might allow TFCC recovery.
| Item Type: | Article |
|---|---|
| Funders: | None |
| Uncontrolled Keywords: | Triangular fibrocartilage complex; Radius fractures; Colles fracture; Fixation; Base |
| Subjects: | R Medicine > RD Surgery |
| Divisions: | Faculty of Medicine > Orthopaedic Surgery Department |
| Depositing User: | Ms Zaharah Ramly |
| Date Deposited: | 01 Dec 2023 01:08 |
| Last Modified: | 01 Dec 2023 01:08 |
| URI: | http://eprints.um.edu.my/id/eprint/38786 |
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