Search: onr:"swepub:oai:lup.lub.lu.se:70b5337a-764c-4a25-a23a-bb32b0c78048" >
Patient-related out...
-
Egund, LisaLund University,Lunds universitet,Ortopedi,Forskargrupper vid Lunds universitet,Orthopedics,Lund University Research Groups,Skåne University Hospital
(author)
Patient-related outcome, fracture displacement and bone mineral density following distal radius fracture in young and older men
- Article/chapterEnglish2020
Publisher, publication year, extent ...
-
2020-12-07
-
Springer Science and Business Media LLC,2020
Numbers
-
LIBRIS-ID:oai:lup.lub.lu.se:70b5337a-764c-4a25-a23a-bb32b0c78048
-
https://lup.lub.lu.se/record/70b5337a-764c-4a25-a23a-bb32b0c78048URI
-
https://doi.org/10.1186/s12891-020-03843-9DOI
Supplementary language notes
-
Language:English
-
Summary in:English
Part of subdatabase
Classification
-
Subject category:art swepub-publicationtype
-
Subject category:ref swepub-contenttype
Notes
-
Background: Distal radius fractures can adversely affect wrist function; for men with this fracture, the role played by fracture severity, age and osteoporosis on fracture outcome has not been sufficiently studied. Objective: To describe patient-reported outcome and the association with bone integrity, fracture severity and future fracture risk among young and older men with distal radius fracture. Methods: This prospective study includes 133 men with acute distal radius fracture, mean age 54 (range 21–88), who were followed for 12 months. They were categorized as younger (< 65) and older (65+). Main outcome was DASH (Disability of the Arm, Shoulder and Hand) at 12 months; DASH > 15 was defined as poor outcome. Fractures were classified and radiographic displacement identified at initial presentation and follow-up. BMD was measured and FRAX 10-year probability of fracture calculated. Results: Disability was higher in older men (DASHmedian 10 vs 2; p = 0.002); a clinically meaningful difference (ΔDASH = 10, p = 0.017) remained after adjustment for displacement, fracture classification and treatment method. Almost 50% of older men vs 14% in younger had poor outcome, p < 0.001. Bone mineral density did not independently predict outcome. Older men with a displaced fracture at initial presentation had greater disability (DASHmedian, IQR 45, 14;73) and risk of fracture (FRAXmajor osteoporotic 14, 8;21). Conclusion: Men over the age of 65 with a distal radius fracture are more likely to have post-fracture disability regardless of radiographic appearance. Fracture displacement, indicating impaired bone strength, is also more common and associated with an increased risk of fracture within 10-years. Secondary fracture prevention should therefore be considered in men presenting with distal radius fracture.
Subject headings and genre
Added entries (persons, corporate bodies, meetings, titles ...)
-
McGuigan, Fiona E.Lund University,Lunds universitet,Ortopedi,Forskargrupper vid Lunds universitet,Orthopedics,Lund University Research Groups(Swepub:lu)med-fam
(author)
-
Egund, NielsAarhus University Hospital
(author)
-
Besjakov, JackSkåne University Hospital(Swepub:lu)ront-jbe
(author)
-
Åkesson, Kristina E.Lund University,Lunds universitet,Ortopedi,Forskargrupper vid Lunds universitet,Orthopedics,Lund University Research Groups,Skåne University Hospital(Swepub:lu)orto-kak
(author)
-
OrtopediForskargrupper vid Lunds universitet
(creator_code:org_t)
Related titles
-
In:BMC Musculoskeletal Disorders: Springer Science and Business Media LLC21:11471-2474
Internet link
Find in a library
To the university's database