Demographics, fracture patterns and treatment strategies following wrist trauma / M.A.M. Mulders in Acta Orthopaedica Belgica, Vol. 85/2 (Juin 2019)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol. 85/2 (Juin 2019) . - p. 234-239 Titre : Demographics, fracture patterns and treatment strategies following wrist trauma Type de document : texte imprimé Auteurs : M.A.M. Mulders Année de publication : 2019 Article en page(s) : p. 234-239 Langues : Anglais (eng) Mots-clés : Traumatismes du poignet  Fractures osseuses  Radius distal  Traitement  Thérapeutique Résumé : The objective of this study was to determine the percentage of radiographs which showed a fracture of the wrist. Secondary, the fracture characteristics and the received treatment were determined. Additionally, the percentage of operatively treated patients with a distal radius fracture was compared between the hospitals. A retrospective cohort study was performed in three Dutch hospitals in all consecutive adult patients with wrist trauma who presented at the ED. A fracture of the wrist was defined as a fracture of the distal one-third part of the radius, the distal one-third part of the ulna or any carpal bone. Fracture classification according to the AO/OTA classification, the amount of displaced fractures, and the received treatment were recorded. Out of 1740 patients with wrist trauma, 49% sustained one or more fractures of the wrist. The distal radius was most frequently fractured (61%). Almost half of the distal radius fractures was extra-articular (AO/OTA type A2-3) and 61% of fractures was displaced. Of all patients who sustained a distal radius fracture, 14% was treated operatively. Significantly more patients were treated operatively in the academic hospital in comparison to the teaching and non-teaching hospital. Permalink : ./index.php?lvl=notice_display&id=92193 [article] Demographics, fracture patterns and treatment strategies following wrist trauma [texte imprimé] / M.A.M. Mulders . - 2019 . - p. 234-239. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol. 85/2 (Juin 2019) . - p. 234-239 Mots-clés : Traumatismes du poignet  Fractures osseuses  Radius distal  Traitement  Thérapeutique Résumé : The objective of this study was to determine the percentage of radiographs which showed a fracture of the wrist. Secondary, the fracture characteristics and the received treatment were determined. Additionally, the percentage of operatively treated patients with a distal radius fracture was compared between the hospitals. A retrospective cohort study was performed in three Dutch hospitals in all consecutive adult patients with wrist trauma who presented at the ED. A fracture of the wrist was defined as a fracture of the distal one-third part of the radius, the distal one-third part of the ulna or any carpal bone. Fracture classification according to the AO/OTA classification, the amount of displaced fractures, and the received treatment were recorded. Out of 1740 patients with wrist trauma, 49% sustained one or more fractures of the wrist. The distal radius was most frequently fractured (61%). Almost half of the distal radius fractures was extra-articular (AO/OTA type A2-3) and 61% of fractures was displaced. Of all patients who sustained a distal radius fracture, 14% was treated operatively. Significantly more patients were treated operatively in the academic hospital in comparison to the teaching and non-teaching hospital. Permalink : ./index.php?lvl=notice_display&id=92193

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