No long-term risk of wrist osteoarthritis due to subchondral haematomas in distal radial fractures.
dc.contributor.author | Lindau, Tommy | |
dc.date.accessioned | 2019-01-22T12:07:54Z | |
dc.date.available | 2019-01-22T12:07:54Z | |
dc.date.issued | 2018-06 | |
dc.identifier.citation | J Plast Surg Hand Surg. 2018 Jun;52(3):163-165. doi: 10.1080/2000656X.2017.1372290. Epub 2017 Sep 8. | en |
dc.identifier.uri | http://hdl.handle.net/20.500.12904/1140 | |
dc.description | Author(s) Pre or Post Print Version Only | en |
dc.description.abstract | OBJECTIVE: The objective of this study of distal radius fractures was to determine if a subchondral haematoma in an unfractured compartment predicts secondary osteoarthritis. METHODS: In 1995-1997, 41 patients, 22 women, a median age of 41 years (20-57 years) with a displaced distal radius fracture underwent diagnostic wrist arthroscopy in addition to the fracture treatment. In 12 patients (7/12 women), subchondral haematomas were identified in a joint compartment not involved in the fracture. RESULTS: At 13-15 years, 37 patients were still alive. Twenty-eight patients attended the follow-up and 8/28 had had a subchondral haematoma within an uninjured compartment at the time of arthroscopy. The range of motion at 13-15 years was impaired in the injured wrist, but unrelated to the presence of a subchondral haematoma. The mean grip strength in patients with subchondral haematoma was 80% of the contralateral, compared to 78% in patients without. No correlation was found between the presence of a subchondral haematoma at arthroscopy and the development of radiographic osteoarthritis in the long term. CONCLUSION: The presence of a subchondral hematoma in an uninjured compartment at the time of fracture did not alter the long-term clinical or radiographic outcome after a distal radius fracture. | en |
dc.language.iso | en | en |
dc.subject | Bone Bruise | en |
dc.subject | Cartilage | en |
dc.subject | Distal Radial Fracture | en |
dc.subject | Long Term Outcome | en |
dc.title | No long-term risk of wrist osteoarthritis due to subchondral haematomas in distal radial fractures. | en |
dc.type | Article | en |