title: Residual wrist pain after volar locking plate fixation of distal radius fractures.
abstract: A prospective multicenter clinical study evaluated, using the Hand20 and hand diagram, the disability, incidence, location, and predictive factors of residual wrist pain 18 months after volar locking plate fixation of distal radius fracture in 122 patients. The average Hand20 score and numeric rating scores for pain were 13.1 +/- 18.2 and 2.1 +/- 23, respectively. Fifty-seven patients indicated that they had pain. Among those patients, 25 had ulnar pain and 45 had radial pain. The incidence of radial-sided wrist pain was higher than ulnar-sided wrist pain. Logistic regression analysis showed that female sex and intra-articular fracture significantly correlated with radial-sided wrist pain. Volar locking plate fixation maintained anatomical reduction; however, a significant number of patients complained of residual wrist pain.
authors.affiliation: Department of Hand Surgery, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya 466-8550, Japan. todderik@nifty.com
authors.forename: Shigeru
authors.initials: S
authors.lastname: Kurimoto
authors.forename: Masahiro
authors.initials: M
authors.lastname: Tatebe
authors.forename: Takaaki
authors.initials: T
authors.lastname: Shinohara
authors.forename: Tetsuya
authors.initials: T
authors.lastname: Arai
authors.forename: Hitoshi
authors.initials: H
authors.lastname: Hirata
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001860:Bone Plates; D005260:Female; D006801:Humans; D057072:Intra-Articular Fractures / Q000601:surgery*; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D010147:Pain Measurement; D011885:Radius Fractures / Q000601:surgery*; D012307:Risk Factors