Jason H. Kim, John F. Hoy, Samuel L. Shuman, Farhan Ahmad, Xavier C. Simcock
{"title":"Quality and Reliability Analysis of YouTube as a Source of Patient Information on de Quervain's Tenosynovitis","authors":"Jason H. Kim, John F. Hoy, Samuel L. Shuman, Farhan Ahmad, Xavier C. Simcock","doi":"10.1055/s-0043-1777017","DOIUrl":"https://doi.org/10.1055/s-0043-1777017","url":null,"abstract":"Abstract Purpose This study seeks to evaluate the quality and reliability of information regarding de Quervain's tenosynovitis on YouTube. Methods A search on the YouTube was performed using the keywords de Quervain's tenosynovitis , and the first 50 videos were evaluated. Video characteristics including views, content type, and video upload source were recorded. Video reliability was assessed using the Journal of the American Medical Association ( JAMA ) benchmark criteria. Video quality was assessed using the Global Quality Score (GQS) and a novel de Quervain's Tenosynovitis-Specific Score (DQT-SS). Results The total number of views for all videos evaluated was 5,508,498 (mean, 110,169.96 ± 155,667.07). Video reliability and quality metrics were low, with a mean JAMA score of 2.17 ± 0.82 out of 4, a mean GQS of 2.49 ± 1.28 out of 5, and a mean DQT-SS of 4.53 ± 2.35 out of 11. Significant between-group effects were found for the video source and DQT-SS ( p = 0.027), as well as between content type and JAMA score ( p = 0.027), GQS ( p = 0.003), and DQT-SS ( p = 0.003). Positive independent predictors of DQT-SS included video duration in seconds (β = 0.391) and disease-specific information content type (β = 0.648). Conclusion Videos on YouTube regarding de Quervain's tenosynovitis were frequently viewed; however, the information present was of low quality and reliability. Physician-uploaded videos had the highest mean JAMA scores, GQS, and DQT-SS, but had the second-lowest mean number of views of video sources. Patients should receive proper in-office education and be directed toward reputable resources for their orthopaedic conditions.","PeriodicalId":46757,"journal":{"name":"Journal of Wrist Surgery","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2023-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139342005","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sophie Brackertz, O. Andronic, L. Reissner, Torsten Pastor, Andreas Schweizer, Ladislav Nagy
{"title":"Carpal Tunnel Syndrome as a Complication of Surgical Scaphoid Reconstruction in Nonunion and Secondary Fracture Dislocation","authors":"Sophie Brackertz, O. Andronic, L. Reissner, Torsten Pastor, Andreas Schweizer, Ladislav Nagy","doi":"10.1055/s-0043-1777406","DOIUrl":"https://doi.org/10.1055/s-0043-1777406","url":null,"abstract":"Abstract The purpose of this study was to identify risk factors for postoperative carpal tunnel syndrome (CTS) in operative management for scaphoid nonunion and secondary fracture dislocation, treated surgically with takedown and bone grafting. We reviewed medical records of all our patients that underwent carpal tunnel release after scaphoid reconstruction surgery from August 2002 to December 2020. We identified a total of 7 out of 191 patients (3.7%). We investigated surgical parameters, pre- to postoperative changes, in three-dimensional measurements of the scaphoid and carpal tunnel morphometry. We found the preoperative intrascaphoid angle (ISA) and the postoperative change in ISA to correlate with an increased risk of postoperative CTS. Patients undergoing operative scaphoid reconstruction that require a high degree of geometric correction can be at risk to develop postoperative CTS, hence they should be subject to a lower threshold decision for prophylactic carpal tunnel release. Level of Evidence Level III.","PeriodicalId":46757,"journal":{"name":"Journal of Wrist Surgery","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2023-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139348406","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
David Ananth Samy, Harriet S. Julian, Eindere Zaw Pe, Daniel Brown
{"title":"Ulnar Head Fracture with Volar Dislocation of the Distal Radioulnar Joint: A Case Series and Systematic Review","authors":"David Ananth Samy, Harriet S. Julian, Eindere Zaw Pe, Daniel Brown","doi":"10.1055/s-0043-1777019","DOIUrl":"https://doi.org/10.1055/s-0043-1777019","url":null,"abstract":"Abstract Dislocations of the distal radioulnar joint associated with a fracture of the distal ulna articular surface without an associated radial fracture are extremely rare. We present a case of a fracture of the distal ulna with an associated dislocation of the distal radioulnar joint, where the articular head fragment was displaced anterior to the sigmoid notch. We also present the results of a formal systematic review of these injuries which confirmed this is the first such injury described, although there is a very similar fracture pattern described in the literature with dorsal dislocation. We describe the mechanism of injury and hypothesize about the etiology of the fracture pattern and suggest that it represents the end of a spectrum that also includes the isolated dislocations and those associated with an ulna styloid fracture.","PeriodicalId":46757,"journal":{"name":"Journal of Wrist Surgery","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2023-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139348780","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Journal of Wrist SurgeryPub Date : 2023-08-21eCollection Date: 2024-06-01DOI: 10.1055/s-0043-1771376
Justin S Mathews, Tanushk L B Martyn, Kelsey S Rao, Simon B M MacLean
{"title":"The Volar Cortical Hinge: An Independent Risk Factor for Distal Radius Fracture Displacement.","authors":"Justin S Mathews, Tanushk L B Martyn, Kelsey S Rao, Simon B M MacLean","doi":"10.1055/s-0043-1771376","DOIUrl":"10.1055/s-0043-1771376","url":null,"abstract":"<p><p><b>Background</b> Displaced distal radius fractures are prone to redisplacement after manipulation. This can result in the need for delayed surgery. Several criteria have been studied to predict the likelihood of redisplacement. We hypothesized that reduction in the volar cortex would be an additional predictive factor. <b>Purpose</b> The aim of this study was to assess whether the quality of the volar cortex reduction predicts the subsequent need for further intervention (surgery or remanipulation). As a secondary outcome, we assessed whether the quality of the reduction predicts the rate of malunion. <b>Methods</b> A retrospective review was performed of displaced adult distal radius fractures over a 2-year period that had undergone closed reduction at presentation. We identified 105 patients and a review of their electronic notes and radiographs was then performed. The volar cortex reduction was defined as \"anatomical,\" \"opposed,\" or \"displaced.\" We assessed the radial height, radial inclination, radial/ulnar translation, volar/dorsal angulation, teardrop angle, presence of dorsal comminution, quality of the cast (molding, cast index), and volar cortex reduction. These measurements were taken at five time points (prereduction, postreduction, 1 week, 2 weeks, and 6 weeks). All patients that subsequently required surgical fixation or repeat reduction were identified as the primary outcome measure. The 6-week radiographs were assessed for radiographic malunion as our secondary outcome measure. A statistical analysis was then performed to assess the factors that influenced a loss of position and the need for delayed surgical intervention. <b>Results</b> Of the 105 patients, 22 patients required delayed surgery, 3 patients underwent a repeat manipulation, and 12 patients had a radiographic malunion at 6 weeks. During the study period, the proportion of patients requiring surgery or repeat manipulation in the displaced group was 10/21 (47.6%), in the opposed group it was 11/50 (23.4%), and in the anatomic group it was 4/36 (11.1%; <i>p</i> = 0.008). We then included the patients with a radiographic malunion and found the proportion of patients with an adverse outcome in the displaced group was 14/21 (66.7%), in the opposed group it was 17/47 (36.2%), and in the anatomic group it was 6/36 (16.7%; <i>p</i> = 0.001). At the 1-week time point, this association was equally significant, as the proportion in the displaced group was 17/33 (51.5%), in the opposed group it was 15/45 (33.3%) and in the anatomic group it was 1/22 (4.5%; <i>p</i> = 0.001). The patients' age, quality of cast, presence of dorsal comminution, and degree of initial displacement did not predict the subsequent need for surgery or remanipulation. <b>Conclusion</b> The most important factor in our study for significant redisplacement of an initially dorsally displaced distal radius fracture is the association of the volar cortex. This parameter maintains significance at th","PeriodicalId":46757,"journal":{"name":"Journal of Wrist Surgery","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2023-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11129888/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49095658","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Arthroscopic Debridement for Treatment of Chronic Dynamic Scaphoid Instability.","authors":"Cyrus Steppe, Houshang Seradge, Winfred Parker, Carrie Seradge, Kian Steppe, Kamran Steppe","doi":"10.1055/s-0043-1769934","DOIUrl":"10.1055/s-0043-1769934","url":null,"abstract":"<p><p><b>Background</b> There is a paucity of information on minimal surgical intervention for the treatment of chronic dynamic scaphoid instability (CDSI) that will achieve an acceptable mid-term result. <b>Purpose</b> We hypothesize that by following a debride-first-then-wait protocol, some patients with CDSI can be treated with arthroscopic debridement alone and avoid a reconstructive procedure. <b>Patients and Methods</b> We performed a retrospective, longitudinal study from January 2008 to December 2018 of all patients diagnosed with CDSI and treated with arthroscopic debridement of the scapholunate interosseous ligament. In all cases, a debride-first-then-wait protocol was followed that included a predetermined wait period after arthroscopic debridement, giving the patient a chance to experience possible symptom improvement. This approach integrated the patient's perceived wellness into the decision-making process. All wrists that remained symptomatic or experienced recurrence of symptoms were treated with a reconstructive procedure. The wrists were divided into two groups: arthroscopic debridement only (ADO) and reconstructive procedure (RP). <b>Results</b> Seventy-nine wrists (72 patients) of 191 consecutive wrist arthroscopies met the inclusion criteria. The ADO group consisted of 43 wrists (54%). An average of 6.3 years later (range: 2-11 years), these patients remained satisfied with the results of the arthroscopic debridement and did not want further treatment. The RP group included 36 wrists (46%) with 91.7% of reconstructive surgeries occurring within 6 months of the arthroscopy. With a mid-term follow-up, 75% of Geissler grade II ligament tears, 48% of grade III tears, and 39% of grade IV tears were successfully treated with arthroscopic debridement alone and avoided a reconstructive surgery. <b>Conclusion</b> By adopting a debride-first-then-wait protocol, some patients with CDSI can be treated with a more limited intervention, arthroscopic debridement. In this series, 54% of wrists with CDSI avoided a reconstructive surgery for an average of 6.3 years. <b>Type of Study / Level of Evidence</b> Case Series, Level IV.</p>","PeriodicalId":46757,"journal":{"name":"Journal of Wrist Surgery","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2023-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11254479/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47952759","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Journal of Wrist SurgeryPub Date : 2023-08-17eCollection Date: 2024-06-01DOI: 10.1055/s-0043-1768924
Jordan R Pollock, Tala Mujahed, Jacob F Smith, Jaymeson R Arthur, Joseph C Brinkman, Christina M Atkinson, Nathan T Pollock, Kevin J Renfree
{"title":"What Patients Say About Their Orthopaedic Hand and Wrist Surgeons: A Qualitative Analysis of Negative Reviews on Yelp.","authors":"Jordan R Pollock, Tala Mujahed, Jacob F Smith, Jaymeson R Arthur, Joseph C Brinkman, Christina M Atkinson, Nathan T Pollock, Kevin J Renfree","doi":"10.1055/s-0043-1768924","DOIUrl":"10.1055/s-0043-1768924","url":null,"abstract":"<p><p><b>Background</b> Patients often turn to online reviews as a source of information to inform their decisions regarding care. Existing literature has analyzed factors associated with positive online patient ratings among hand and wrist surgeons. However, there is limited in-depth analysis of factors associated with low patient satisfaction for hand and wrist surgeons. The focus of this study is to examine and characterize extremely negative reviews of hand and wrist surgeons on Yelp.com. <b>Methods</b> A search was performed using the keywords \"hand surgery\" on Yelp.com for eight major metropolitan areas including Washington DC, Dallas, New York, Phoenix, Los Angeles, San Francisco, Boston, and Seattle. Only single-star reviews (out of a possible 5 stars) of hand and wrist surgeons were included. The complaints in the 1-star reviews were then categorized into clinical and nonclinical categories. <b>Result</b> A total of 233 single-star reviews were included for analysis, which resulted in 468 total complaints. Of these complaints, 81 (18.8%) were clinically related and 351 (81.3%) were nonclinical in nature. The most common clinical complaints were for complication (24 complaints, 6%), misdiagnosis (16 complaints, 4%), unclear treatment plan (16 complaints, 4%), and uncontrolled pain (15 complaints, 3%). The most common nonclinical complaints were for physician bedside manner (93 complaints, 22%), financially related (80 complaints, 19%), unprofessional nonclinical staff (61 complaints, 14%), and wait time (46 complaints, 11%). The difference in the number of complaints for surgical and nonsurgical patients was statistically significant ( <i>p</i> < 0.05) for complication and uncontrolled pain. <b>Clinical Relevance</b> Patient satisfaction is dependent on a multitude of clinical and nonclinical factors. An awareness of online physician ratings is essential for hand and wrist surgeons to maintain and improve patient care and patient satisfaction. We believe the results of our study could be used to further improve the quality of care provided by hand and wrist surgeons.</p>","PeriodicalId":46757,"journal":{"name":"Journal of Wrist Surgery","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2023-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11129890/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47514865","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Journal of Wrist SurgeryPub Date : 2023-08-17eCollection Date: 2023-10-01DOI: 10.1055/s-0043-1770790
Sathya Vamsi Krishna, Greg Bain
{"title":"Adolescent Distal Ulna Physeal Fracture with Extensor Retinaculum Interposition.","authors":"Sathya Vamsi Krishna, Greg Bain","doi":"10.1055/s-0043-1770790","DOIUrl":"10.1055/s-0043-1770790","url":null,"abstract":"<p><p><b>Background</b> Isolated distal ulna fractures are rare injuries and are commonly associated with distal radius fractures. Though most of them can be managed conservatively, few of them require open reduction due to the interposition of various structures. <b>Case Description</b> In this case report, we report two cases of irreducible isolated distal ulna fractures in adolescents due to the interposition of the extensor retinaculum with its underlying tendons requiring open reduction to achieve bony union and distal radioulnar joint stability. These distal ulna fractures can be best reduced by open reduction with hypersupination and maintaining the distal ulna shaft gothic arch with pins. <b>Literature Review</b> There are very few case reports reported on isolated distal ulna fractures commonly seen in paediatric and adolescent patients leading to growth arrest. The interposition of various structures is a cause of irreducibility requiring open reduction. These fractures are equivalent to TFCC injuries in adults. <b>Clinical Relevance</b> Whenever there is a gross displacement or difficult reduction interposition is to be considered. Open reduction of the fracture and maintenance of DRUJ congruity is sufficient without being critical on articular reduction.</p>","PeriodicalId":46757,"journal":{"name":"Journal of Wrist Surgery","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2023-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10569828/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41239712","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
John Carney, S. Bigach, Cody Goedderz, Erik Gerlach, Jeremy Marx, D. Kalainov
{"title":"Volar Plate-Suture Fixation in the Treatment of Volar Rim Fractures of the Distal Radius","authors":"John Carney, S. Bigach, Cody Goedderz, Erik Gerlach, Jeremy Marx, D. Kalainov","doi":"10.1055/s-0043-1777022","DOIUrl":"https://doi.org/10.1055/s-0043-1777022","url":null,"abstract":"Abstract Background The purpose of this study was to describe the volar plate-suture fixation technique for augmented repair of volar rim fractures of the distal radius and to report clinical outcomes and radiographic findings. Patients and Methods Twenty-one patients treated with volar plate-suture fixation were retrospectively reviewed. Outcomes of interest included pain, joint motion, grip strength, surgical complications, additional surgeries, and radiographic parameters. Results Final follow-up office visits from surgery averaged 30.8 weeks (range 6–175 weeks). There was no report of residual wrist pain in most cases. Forearm and wrist motion measurements were within functional ranges and grip strength measurements averaged 63 ± 21% of the contralateral hand. There were no cases of infection, wound dehiscence, nerve injury, or nonunion. Hardware removal was performed in four patients for wrist pain attributed to the fixation implant(s). One patient underwent a wrist fusion for treatment of painful traumatic wrist arthritis. Failure of the fracture fixation construct to hold the carpus occurred in two patients. Changes in radiocarpal and intercarpal angles averaged less than 4 degrees and loss of articular reduction averaged less than 1 mm, although with relatively high standard deviations. Conclusion Suture fixation of volar rim fractures of the distal radius may be a useful technique in augmenting volar plate fracture fixation. Some loss of early postoperative fracture alignment should be expected. Level of Evidence IV, case series.","PeriodicalId":46757,"journal":{"name":"Journal of Wrist Surgery","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2023-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139350797","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Journal of Wrist SurgeryPub Date : 2023-08-07eCollection Date: 2024-02-01DOI: 10.1055/s-0043-1769908
Guillaume Herzberg, Marion Burnier, Lyliane Ly, Toshiyatsu Nakamura, Francisco Del Piñal, Andrea Atzei
{"title":"A New Arthroscopic Classification of Triangular Fibrocartilage Complex Disorders.","authors":"Guillaume Herzberg, Marion Burnier, Lyliane Ly, Toshiyatsu Nakamura, Francisco Del Piñal, Andrea Atzei","doi":"10.1055/s-0043-1769908","DOIUrl":"10.1055/s-0043-1769908","url":null,"abstract":"<p><p><b>Introduction</b> The use of wrist arthroscopy has become a prerequisite for diagnosis and treatment of triangular fibrocartilage complex (TFCC) disorders. Since Palmer's landmark paper, many new arthroscopic descriptions of TFCC tears have been published but there is no currently available updated comprehensive arthroscopic classification of TFCC lesions. <b>Purpose</b> We recently described the arthroscopic anatomy of the TFCC as viewed from a 3-4 portal. Our purpose was to propose a new TFCC disorders classification based on this new arthroscopic TFCC description. <b>Methods</b> We included all currently described TFCC disorders to the best of our knowledge into our arthroscopic, functional, and vascular anatomical concept. We also included patient's specific ulnar variance and distal radial ulnar joint coronal inclination as baseline treatment-oriented parameters. The fresh or chronic, reparable or nonreparable nature of some types of TFCC tears were considered as separate parameters. <b>Results</b> The proposed classification includes disc \"D\" (degenerative or traumatic), reins \"R\" (traumatic), and wall \"W\" (traumatic) lesions. Combined lesions of those three parts of the TFCC may be easily identified. This new classification should facilitate future analysis of isolated or combined TFCC disorders whether they are degenerative and/or traumatic. <b>Discussion</b> The authors present a new three-dimensional-three-part arthroscopic updated description of TFCC disorders with relevance to etiology and treatment principles.</p>","PeriodicalId":46757,"journal":{"name":"Journal of Wrist Surgery","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2023-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10803146/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47550068","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Theodore Quan, Frank R Chen, Peter Howard, Casey Gioia, Tom Pollard, Alex Gu, Sean Tabaie
{"title":"The Effect of Steroid Use on Complications after Distal Radius Fracture Repair.","authors":"Theodore Quan, Frank R Chen, Peter Howard, Casey Gioia, Tom Pollard, Alex Gu, Sean Tabaie","doi":"10.1055/s-0042-1751079","DOIUrl":"https://doi.org/10.1055/s-0042-1751079","url":null,"abstract":"<p><p><b>Background</b> Distal radius fractures (DRFs) are the most common fracture of the upper extremity. Given that steroids are one of the most commonly prescribed drugs and are usually prescribed for chronic conditions, steroid use represents a key factor to consider in how to optimize perioperative outcomes. <b>Questions/Purposes</b> The purpose of this study was to investigate if there are differences in perioperative outcomes for patients undergoing DRF open reduction and internal fixation based on preoperative steroid use. <b>Patients and Methods</b> Adult patients who underwent operative treatment for DRF from 2007 to 2018 were identified in a national database. Patients were divided into two cohorts as follows: (1) no steroid usage and (2) preoperative steroid usage. In this analysis, various postoperative complications, as well as extended length of stay and reoperation, were assessed. Bivariate analyses and multivariable logistical regression were performed. <b>Results</b> Among a total of 16,505 patients undergoing operative treatment for DRF, 16,145 patients (97.8%) did not have steroid usage and 360 (2.2%) had steroid usage. Following adjustment, an increased risk of extended length of hospital stay greater than 3 days (odds ratio [OR] = 1.646; <i>p</i> = 0.012) was seen in the steroid usage group compared with those who did not use steroids within 30 days of surgery. <b>Conclusion</b> Preoperative steroid use is associated with increased length of stay over 3 days after DRF open reduction and internal fixation surgery but is not associated with any of the other complications that were assessed in this study. <b>Level of Evidence</b> This is a Level III, retrospective study.</p>","PeriodicalId":46757,"journal":{"name":"Journal of Wrist Surgery","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10411090/pdf/10-1055-s-0042-1751079.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9969667","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}