Patient-related outcome, fracture displacement and bone mineral density following distal radius fracture in young and older men

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Egund, LisaLund University,Lunds universitet,Ortopedi - klinisk och molekylär osteoporosforskning,Forskargrupper vid Lunds universitet,Orthopedics - Clinical and Molecular Osteoporosis Research,Lund University Research Groups,Skåne University Hospital (författare)

Patient-related outcome, fracture displacement and bone mineral density following distal radius fracture in young and older men

Artikel/kapitelEngelska2020

Förlag, utgivningsår, omfång ...

2020-12-07
Springer Science and Business Media LLC,2020

Nummerbeteckningar

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

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Språk:engelska
Sammanfattning på:engelska

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Anmärkningar

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.

Ämnesord och genrebeteckningar

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Ortopedi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Orthopaedics hsv//eng
BMD, patient-reported outcome
Displacement
Distal radius fracture
FRAX
Function
Men

Biuppslag (personer, institutioner, konferenser, titlar ...)

McGuigan, Fiona E.Lund University,Lunds universitet,Ortopedi - klinisk och molekylär osteoporosforskning,Forskargrupper vid Lunds universitet,Orthopedics - Clinical and Molecular Osteoporosis Research,Lund University Research Groups(Swepub:lu)med-fam (författare)
Egund, NielsAarhus University Hospital (författare)
Besjakov, JackSkåne University Hospital(Swepub:lu)ront-jbe (författare)
Åkesson, Kristina E.Lund University,Lunds universitet,Ortopedi - klinisk och molekylär osteoporosforskning,Forskargrupper vid Lunds universitet,Orthopedics - Clinical and Molecular Osteoporosis Research,Lund University Research Groups,Skåne University Hospital(Swepub:lu)orto-kak (författare)
Ortopedi - klinisk och molekylär osteoporosforskningForskargrupper vid Lunds universitet (creator_code:org_t)

Sammanhörande titlar

Ingår i:BMC Musculoskeletal Disorders: Springer Science and Business Media LLC21:11471-2474

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Av författaren/redakt...: Egund, Lisa; McGuigan, Fiona ...; Egund, Niels; Besjakov, Jack; Åkesson, Kristin ...

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MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Ortopedi

Artiklar i publikationen: BMC Musculoskele ...

Av lärosätet: Lunds universitet

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