title: The effect of a Galeazzi fracture on the strength of pronation and supination two years after surgical treatment.
abstract: The aim of this study was to determine the effect of a Galeazzi fracture on the strength of pronation and supination at a mean of two years after surgical treatment. The strength of pronation and supination was measured in varying rotational positions of the forearm of ten male patients (mean age 38.9 years (21 to 64)) who had undergone plate fixation for a Galeazzi fracture. The stability of the distal radioulnar joint was assessed, and a clinical assessment using the quick-Disabilities of the Arm Shoulder and Hand (quickDASH) questionnaire and patient-related wrist examination (PRWE) scores was undertaken. In addition, the strength of pronation and supination was measured in a male control group of 42 healthy volunteers (mean age 21.8 years (18 to 37)). The mean absolute loss of strength of supination in the injured compared with the non-injured arm throughout all ranges of forearm rotation was 16.1 kg (sem 5.3), corresponding to a relative loss of 12.5% (95% confidence interval (CI) 3.6 to 21.4). For the strength of pronation, the mean loss was 19.1 kg (sem 4.5), corresponding to a relative loss of 27.2% (95% CI 14.2 to 40.1). Loss of strength of supination following a Galeazzi fracture correlated with poor quickDASH (p = 0.03) and PRWE scores (p < 0.01). Loss of strength of pronation (27.2%), and of supination (12.5%) in particular, after a Galeazzi fracture is associated with worse clinical scores, highlighting the importance of supination of the forearm in function of the upper limb.
authors.affiliation: University Medical Centre Groningen, Department of Orthopaedics, Huispost BB51, PO box 30001, 9700 RB Groningen, the Netherlands.
authors.forename: J J W
authors.initials: JJ
authors.lastname: Ploegmakers
authors.forename: B
authors.initials: B
authors.lastname: The
authors.forename: M
authors.initials: M
authors.lastname: Brutty
authors.forename: T R
authors.initials: TR
authors.lastname: Ackland
authors.forename: A W
authors.initials: AW
authors.lastname: Wang
mesh_terms: D000293:Adolescent; D000328:Adult; D001860:Bone Plates; D004185:Disability Evaluation; D005260:Female; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal; D006801:Humans; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D011403:Pronation / Q000502:physiology*; D011885:Radius Fractures / Q000503:physiopathology* / Q000601:surgery*; D016059:Range of Motion, Articular / Q000502:physiology; D013484:Supination / Q000502:physiology*; D011795:Surveys and Questionnaires; D016896:Treatment Outcome; D014955:Wrist Joint / Q000503:physiopathology* / Q000601:surgery; D055815:Young Adult
keywords: Forearm; Isometric testing; Pronation; Radius fractures; Supination; Variable angles