• Login
    View Item 
    •   Home
    • University Hospitals of Leicester NHS Trust
    • Musculoskeletal and Specialist Surgery
    • Orthopaedics
    • View Item
    •   Home
    • University Hospitals of Leicester NHS Trust
    • Musculoskeletal and Specialist Surgery
    • Orthopaedics
    • View Item
    JavaScript is disabled for your browser. Some features of this site may not work without it.

    Browse

    All of EMERCommunitiesPublication DateAuthorsTitlesSubjectsThis CollectionPublication DateAuthorsTitlesSubjectsProfilesView

    My Account

    LoginRegister

    Links

    About EMERPoliciesDerbyshire Community Health Services NHS Foundation TrustLeicester Partnership TrustNHS Nottingham and Nottinghamshire CCGNottinghamshire Healthcare NHS Foundation TrustNottingham University Hospitals NHS TrustSherwood Forest Hospitals NHS Foundation TrustUniversity Hospitals of Derby and Burton NHS Foundation TrustUniversity Hospitals Of Leicester NHS TrustOther Resources

    Statistics

    Most Popular ItemsStatistics by CountryMost Popular Authors

    Origins of the threshold for surgical intervention in intra-articular distal radius fractures.

    • CSV
    • RefMan
    • EndNote
    • BibTex
    • RefWorks
    Author
    Esworthy, George
    Johnson, Nick
    Divall, Pip
    Dias, Joseph
    Keyword
    Arthritis
    Post-traumatic arthritis
    Intra-articular injuries
    Distal radius fracture
    Date
    2021-09
    
    Metadata
    Show full item record
    DOI
    10.1302/0301-620X.103B9.BJJ-2021-0313.R1
    Publisher's URL
    https://doi.org/10.1302/0301-620X.103B9.BJJ-2021-0313.R1
    Abstract
    AIMS: The aim of this study was to identify the origin and development of the threshold for surgical intervention, highlight the consequences of residual displacement, and justify the importance of accurate measurement. METHODS: A systematic review of three databases was performed to establish the origin and adaptations of the threshold, with papers screened and relevant citations reviewed. This search identified papers investigating functional outcome, including presence of arthritis, following injury. Orthopaedic textbooks were reviewed to ensure no earlier mention of the threshold was present. RESULTS: Knirk and Jupiter (1986) were the first to quantify a threshold, with all their patients developing arthritis with > 2 mm displacement. Some papers have discussed using 1 mm, although 2 mm is most widely reported. Current guidance from the British Society for Surgery of the Hand and a Delphi panel support 2 mm as an appropriate value. Although this paper is still widely cited, the authors published a re-examination of the data showing methodological flaws which is not as widely reported. They claim their conclusions are still relevant today; however, radiological arthritis does not correlate with the clinical presentation. Function following injury has been shown to be equivalent to an uninjured population, with arthritis progressing slowly or not at all. Joint space narrowing has also been shown to often be benign. CONCLUSION: Knirk and Jupiter originated the threshold value of 2 mm. The lack of correlation between the radiological and clinical presentations warrants further modern investigation. Measurement often varies between observers, calling a threshold concept into question and showing the need for further development in this area. The principle of treatment remains restoration of normal anatomical position.
    Citation
    Esworthy,G.P.; Johnson,N.A.; Divall,P.; Dias,J.J. Origins of the threshold for surgical intervention in intra-articular distal radius fractures. Bone Joint J 2021;103-B(9):1457-1461.
    Type
    Article
    URI
    http://hdl.handle.net/20.500.12904/14891
    Collections
    Orthopaedics
    Libraries and Information Services

    entitlement

     
    DSpace software (copyright © 2002 - 2023)  DuraSpace
    Quick Guide | Contact Us
    Open Repository is a service operated by 
    Atmire NV
     

    Export search results

    The export option will allow you to export the current search results of the entered query to a file. Different formats are available for download. To export the items, click on the button corresponding with the preferred download format.

    By default, clicking on the export buttons will result in a download of the allowed maximum amount of items.

    To select a subset of the search results, click "Selective Export" button and make a selection of the items you want to export. The amount of items that can be exported at once is similarly restricted as the full export.

    After making a selection, click one of the export format buttons. The amount of items that will be exported is indicated in the bubble next to export format.