Predictors of limited forearm rotation following conservative treatment of distal radius fractures: a retrospective comparative study.

IF 2.2 3区 医学 Q2 ORTHOPEDICS
Chenfei Li, Jiaqing Ye, Jian Lu, Tianhao Guo, Lingde Kong, Bing Zhang
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引用次数: 0

Abstract

Background: Limitations in forearm rotation resulting from distal radius fracture are often neglected in clinical practice. We aimed to explore possible influencing factors of forearm rotation limitation following conservative treatment of these fractures.

Methods: A series of patients with distal radius fractures who underwent conservative treatment in the Third Hospital of Hebei Medical University were retrospectively enrolled. Basic patient information and data on post-reduction imaging parameters and specific treatment strategies were collected. Ranges of forearm pronation and supination motion were recorded at 6-month and 12-month follow-ups. Univariate and multivariate logistic regression analyses were used to identify factors associated with forearm rotation limitation.

Results: A total of 118 enrolled patients, 49 patients (41.5%) had limited forearm rotation function at the 6-month follow-up. Analysis of the fracture and cast fixation characteristics revealed that involvement of the sigmoid notch (odds ratio [OR], 7.010; 95% confidence interval [CI], 1.572-31.249), immobilization > 6 weeks (OR, 2.524; 95% CI, 1.044-6.099), and pronation fixation (OR, 1.797; 95% CI, 1.082-2.985) were associated with limited forearm rotation. Among patients with sigmoid notch fractures, there were no significant differences in forearm pronation or supination motion between the 6-month and 12-month follow-ups. At the 12-month follow-up, there was less supination function in patients with > 6 weeks of immobilization than in those with < 6 weeks of immobilization (P = 0.012), with no significant difference in pronation function (P = 0.131). At the 6-month follow-up, the degree of forearm supination was significantly lower in the fixed pronation position than in the neutral (P = 0.001) or supination (P < 0.001) positions, with no significant differences in the degree of forearm pronation among the three groups (P = 0.166). At the 12-month follow-up, no significant differences in pronation (P = 0.257) or supination (P = 0.164) were found among the three groups.

Conclusions: Sigmoid notch involvement, immobilization > 6 weeks, and pronation fixation were influencing factors of post-fracture limitation in forearm rotation. The effects of these factors on pronation and supination were not completely consistent and exhibited varying duration.

桡骨远端骨折保守治疗后限制前臂旋转的预测因素:回顾性比较研究。
背景:桡骨远端骨折对前臂旋转的限制在临床实践中经常被忽视。我们的目的是探讨保守治疗后前臂旋转受限的可能影响因素。方法:回顾性分析河北医科大学第三医院保守治疗的桡骨远端骨折患者。收集患者基本信息和复位后影像学参数及具体治疗策略数据。在6个月和12个月的随访中记录前臂旋前和旋后运动范围。单因素和多因素logistic回归分析用于确定与前臂旋转限制相关的因素。结果:118名入组患者中,49名患者(41.5%)在6个月随访时前臂旋转功能受限。骨折和铸造固定特征分析显示,乙状窦切迹受援(优势比[OR], 7.010;95%可信区间[CI], 1.572-31.249),固定6周(OR, 2.524;95% CI, 1.044-6.099),旋前固定(OR, 1.797;95% CI, 1.082-2.985)与前臂旋转受限相关。在乙状结肠切迹骨折患者中,在6个月和12个月的随访中,前臂旋前和旋后运动无显著差异。在12个月的随访中,与固定> 6周的患者相比,固定> 6周的患者旋后功能较差。结论:乙状窦切迹受累性、固定> 6周和旋前固定是骨折后前臂旋转受限的影响因素。这些因素对旋前和旋后的影响并不完全一致,持续时间也不尽相同。
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来源期刊
BMC Musculoskeletal Disorders
BMC Musculoskeletal Disorders 医学-风湿病学
CiteScore
3.80
自引率
8.70%
发文量
1017
审稿时长
3-6 weeks
期刊介绍: BMC Musculoskeletal Disorders is an open access, peer-reviewed journal that considers articles on all aspects of the prevention, diagnosis and management of musculoskeletal disorders, as well as related molecular genetics, pathophysiology, and epidemiology. The scope of the Journal covers research into rheumatic diseases where the primary focus relates specifically to a component(s) of the musculoskeletal system.
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