TY - JOUR
T1 - Treatment of distal radius fractures
AU - Lichtman, David M.
AU - Bindra, Randipsingh R.
AU - Boyer, Martin I.
AU - Putnam, Matthew D.
AU - Ring, David
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
PY - 2010/3
Y1 - 2010/3
N2 - 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.
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.
UR - http://www.scopus.com/inward/record.url?scp=77949827161&partnerID=8YFLogxK
U2 - 10.5435/00124635-201003000-00007
DO - 10.5435/00124635-201003000-00007
M3 - Review article
C2 - 20190108
AN - SCOPUS:77949827161
SN - 1067-151X
VL - 18
SP - 180
EP - 189
JO - Journal of the American Academy of Orthopaedic Surgeons
JF - Journal of the American Academy of Orthopaedic Surgeons
IS - 3
ER -