Treatment of distal radius fractures

David M. Lichtman; Randipsingh R. Bindra; Martin I. Boyer; Matthew D. Putnam; David Ring; David J. Slutsky; John S. Taras; William C. Watters; Michael J. Goldberg; Michael Keith; Charles M. Turkelson; Janet L. Wies; Robert H. Haralson; Kevin M. Boyer; Kristin Hitchcock; Laura Raymond

doi:10.5435/00124635-201003000-00007

Treatment of distal radius fractures

David M. Lichtman, Randipsingh R. Bindra, Martin I. Boyer, Matthew D. Putnam, David Ring, David J. Slutsky, John S. Taras, William C. Watters, Michael J. Goldberg, Michael Keith, Charles M. Turkelson, Janet L. Wies, Robert H. Haralson, Kevin M. Boyer, Kristin Hitchcock, Laura Raymond

Academic Institute

Research output: Contribution to journal › Review article › peer-review

224 Scopus citations

Abstract

The clinical practice guideline is based on a systematic review of published studies on the treatment of distal radius fractures in adults. None of the 29 recommendations made by the work group was graded as strong; most are graded as inconclusive or consensus; seven are graded as weak. The remaining five moderate-strength recommendations include surgical fixation, rather than cast fixation, for fractures with postreduction radial shortening >3 mm, dorsal tilt >10°, or intra-articular displacement or step-off >2 mm; use of rigid immobilization rather than removable splints for nonsurgical treatment; making a postreduction true lateral radiograph of the carpus to assess dorsal radial ulnar joint alignment; beginning early wrist motion following stable fixation; and recommending adjuvant treatment with vitamin C to prevent disproportionate pain.

Original language	English (US)
Pages (from-to)	180-189
Number of pages	10
Journal	Journal of the American Academy of Orthopaedic Surgeons
Volume	18
Issue number	3
DOIs	https://doi.org/10.5435/00124635-201003000-00007
State	Published - Mar 2010

ASJC Scopus subject areas

Surgery
Orthopedics and Sports Medicine

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Lichtman, D. M., Bindra, R. R., Boyer, M. I., Putnam, M. D., Ring, D., Slutsky, D. J., Taras, J. S., Watters, W. C., Goldberg, M. J., Keith, M., Turkelson, C. M., Wies, J. L., Haralson, R. H., Boyer, K. M., Hitchcock, K., & Raymond, L. (2010). Treatment of distal radius fractures. Journal of the American Academy of Orthopaedic Surgeons, 18(3), 180-189. https://doi.org/10.5435/00124635-201003000-00007

Lichtman, DM, Bindra, RR, Boyer, MI, Putnam, MD, Ring, D, Slutsky, DJ, Taras, JS, Watters, WC, Goldberg, MJ, Keith, M, Turkelson, CM, Wies, JL, Haralson, RH, Boyer, KM, Hitchcock, K & Raymond, L 2010, 'Treatment of distal radius fractures', Journal of the American Academy of Orthopaedic Surgeons, vol. 18, no. 3, pp. 180-189. https://doi.org/10.5435/00124635-201003000-00007

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abstract = "The clinical practice guideline is based on a systematic review of published studies on the treatment of distal radius fractures in adults. None of the 29 recommendations made by the work group was graded as strong; most are graded as inconclusive or consensus; seven are graded as weak. The remaining five moderate-strength recommendations include surgical fixation, rather than cast fixation, for fractures with postreduction radial shortening >3 mm, dorsal tilt >10°, or intra-articular displacement or step-off >2 mm; use of rigid immobilization rather than removable splints for nonsurgical treatment; making a postreduction true lateral radiograph of the carpus to assess dorsal radial ulnar joint alignment; beginning early wrist motion following stable fixation; and recommending adjuvant treatment with vitamin C to prevent disproportionate pain.",

author = "Lichtman, {David M.} and Bindra, {Randipsingh R.} and Boyer, {Martin I.} and Putnam, {Matthew D.} and David Ring and Slutsky, {David J.} and Taras, {John S.} and Watters, {William C.} and Goldberg, {Michael J.} and Michael Keith and Turkelson, {Charles M.} and Wies, {Janet L.} and Haralson, {Robert H.} and Boyer, {Kevin M.} and Kristin Hitchcock and Laura Raymond",

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AU - Slutsky, David J.

AU - Taras, John S.

AU - Watters, William C.

AU - Goldberg, Michael J.

AU - Keith, Michael

AU - Turkelson, Charles M.

AU - Wies, Janet L.

AU - Haralson, Robert H.

AU - Boyer, Kevin M.

AU - Hitchcock, Kristin

AU - Raymond, Laura

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AB - The clinical practice guideline is based on a systematic review of published studies on the treatment of distal radius fractures in adults. None of the 29 recommendations made by the work group was graded as strong; most are graded as inconclusive or consensus; seven are graded as weak. The remaining five moderate-strength recommendations include surgical fixation, rather than cast fixation, for fractures with postreduction radial shortening >3 mm, dorsal tilt >10°, or intra-articular displacement or step-off >2 mm; use of rigid immobilization rather than removable splints for nonsurgical treatment; making a postreduction true lateral radiograph of the carpus to assess dorsal radial ulnar joint alignment; beginning early wrist motion following stable fixation; and recommending adjuvant treatment with vitamin C to prevent disproportionate pain.

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Treatment of distal radius fractures

Abstract

ASJC Scopus subject areas

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