Treatment of distal radius fractures.
The clinical practice guideline is based on a systematic review of published studies on the treatment of distal radius fractures in adults. None of the 29 recommendations made by the work group was graded as strong; most are graded as inconclusive or consensus; seven are graded as weak. The remaining five moderate-strength recommendations include surgical fixation, rather than cast fixation, for fractures with postreduction radial shortening >3 mm, dorsal tilt >10 degrees , or intra-articular displacement or step-off >2 mm; use of rigid immobilization rather than removable splints for nonsurgical treatment; making a postreduction true lateral radiograph of the carpus to assess dorsal radial ulnar joint alignment; beginning early wrist motion following stable fixation; and recommending adjuvant treatment with vitamin C to prevent disproportionate pain.
Lichtman
David M
DM
Department of Orthopaedics Surgery, University of North Texas Health Science Center, John Peter Smith Hospital, Fort Worth, TX, USA.
Bindra
Randipsingh R
RR
Boyer
Martin I
MI
Putnam
Matthew D
MD
Ring
David
D
Slutsky
David J
DJ
Taras
John S
JS
Watters
William C
WC
Goldberg
Michael J
MJ
Keith
Michael
M
Turkelson
Charles M
CM
Wies
Janet L
JL
Haralson
Robert H
RH
Boyer
Kevin M
KM
Hitchcock
Kristin
K
Raymond
Laura
L
D000328:Adult; D000367:Age Factors; D000368:Aged; D001182:Arthroscopy; D016025:Bone Transplantation; D002370:Casts, Surgical; D006801:Humans; D007103:Immobilization / Q000379:methods; D008875:Middle Aged; D019637:Orthopedic Procedures / Q000379:methods*; D011859:Radiography; D011885:Radius Fractures / Q000000981:diagnostic imaging / Q000628:therapy*; D013165:Splints