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Prevalence of posttraumatic arthritis following distal radius fractures in non-osteoporotic patients and the association with radiological measurements, clinician and patient-reported outcomes

Archives of Orthopaedic and Trauma Surgery Oct 18, 2018

Lameijer CM, et al. - Authors ascertained the commonness of posttraumatic arthritis (PA) in non-osteoporotic patients, and to evaluate the correlations of radiological measurements, clinician-reported and patient-reported outcomes (CROs and PROs) with PA and assess employment changes following distal radius fracture (DRF) in such patients. Participants were non-osteoporotic patients following a DRF. A considerably high occurrence of PA following DRFs, in spite of a relatively short follow-up time, was seen in non-osteoporotic patients. PA was more often seen in the patients with longer radial length. Diminished range of motion, but no altered grip strength measurements were seen in patients with PA irrespective of AO/OTA fracture type. Diminished general functioning and dissatisfaction, which was impacted by the diminished active range of motion, were perceived by non-osteoporotic patients following DRFs. They did not report pain or impaired general health status. In this patient group, a valuable evaluation tool might be the PRO MHQ.

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