title: Radiological criteria for acceptable reduction of extra-articular distal radial fractures are not predictive for patient-reported functional outcome.
abstract: The purpose of this study was to assess the association between arm-specific disability measured with the QuickDASH questionaire and radiological criteria in patients with extra-articular distal radial fractures. A consecutive series of 385 patients were initially treated non-operatively for an extra-articular distal radial fracture and 257 (69 %) patients were included in the study. In 203 of these patients (78%) the quality of radiographic reduction was judged to be adequate by radiological parameters, which included dorsal tilt, radial inclination, and radial shortening. In 54 patients (22%) the quality of radiographic alignment was judged to be inadequate. We observed no effect of radiographic parameters on the functional outcome. Female sex and longer duration of follow-up (>35 months) were the only independent prognostic factors significantly associated with a worse QuickDASH score.
authors.affiliation: Department of Surgery, Spaarne Hospital, Hoofddorp, The Netherlands. A.Bentohami@gmail.com
authors.forename: A
authors.initials: A
authors.lastname: Bentohami
authors.forename: T S
authors.initials: TS
authors.lastname: Bijlsma
authors.forename: J C
authors.initials: JC
authors.lastname: Goslings
authors.forename: P
authors.initials: P
authors.lastname: de Reuver
authors.forename: L
authors.initials: L
authors.lastname: Kaufmann
authors.forename: N W L
authors.initials: NW
authors.lastname: Schep
mesh_terms: D000368:Aged; D004185:Disability Evaluation; D005260:Female; D017102:Fracture Healing; D006801:Humans; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D011859:Radiography; D011885:Radius Fractures / Q000000981:diagnostic imaging* / Q000628:therapy*; D020127:Recovery of Function; D012189:Retrospective Studies; D012307:Risk Factors; D011795:Surveys and Questionnaires