title: Treatment of distal radius fractures.
abstract: 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.
authors.affiliation: Department of Orthopaedics Surgery, University of North Texas Health Science Center, John Peter Smith Hospital, Fort Worth, TX, USA.
authors.forename: David M
authors.initials: DM
authors.lastname: Lichtman
authors.forename: Randipsingh R
authors.initials: RR
authors.lastname: Bindra
authors.forename: Martin I
authors.initials: MI
authors.lastname: Boyer
authors.forename: Matthew D
authors.initials: MD
authors.lastname: Putnam
authors.forename: David
authors.initials: D
authors.lastname: Ring
authors.forename: David J
authors.initials: DJ
authors.lastname: Slutsky
authors.forename: John S
authors.initials: JS
authors.lastname: Taras
authors.forename: William C
authors.initials: WC
authors.lastname: Watters
authors.forename: Michael J
authors.initials: MJ
authors.lastname: Goldberg
authors.forename: Michael
authors.initials: M
authors.lastname: Keith
authors.forename: Charles M
authors.initials: CM
authors.lastname: Turkelson
authors.forename: Janet L
authors.initials: JL
authors.lastname: Wies
authors.forename: Robert H
authors.initials: RH
authors.lastname: Haralson
authors.forename: Kevin M
authors.initials: KM
authors.lastname: Boyer
authors.forename: Kristin
authors.initials: K
authors.lastname: Hitchcock
authors.forename: Laura
authors.initials: L
authors.lastname: Raymond
mesh_terms: 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