首页> 外文期刊>The Journal of hand surgery, European volume >Fractures of the distal radius in women aged 50 to 75 years: Natural course of patient-reported outcome, wrist motion and grip strength between 1 year and 2-4 years after fracture
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Fractures of the distal radius in women aged 50 to 75 years: Natural course of patient-reported outcome, wrist motion and grip strength between 1 year and 2-4 years after fracture

机译:50 至 75 岁女性桡骨远端骨折:骨折后 1 年至 2-4 年之间患者报告结果、腕部运动和握力的自然病程

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摘要

Fractures of the distal radius in postmenopausal women may cause prolonged pain and disability, but little is known about their natural course beyond the first year. In this study, women of 50-75 years of age, initially treated with cast or external fixation, were examined 1 year after distal radial fracture and then re-evaluated after a mean of 3 (range, 2-4) years. The evaluation included pain, disability (DASH) scores, grip strength and range of motion. In the 49 participating women pain scores, grip strength and range of motion improved significantly, although the mean improvement was moderate or small. In a subgroup of 13 patients with moderate or severe malunion, the 1 year DASH score was significantly worse than in the remaining patients but improved significantly together with grip strength and range of motion. After fractures of the distal radius, pain, grip strength and range of motion continued to improve beyond 1 year, up to 2-4 years. Patients with malunion had more disability at 1 year but showed significant improvement at 2-4 years.
机译:绝经后妇女的桡骨远端骨折可能导致长期疼痛和残疾,但对她们在第一年之后的自然病程知之甚少。在这项研究中,50-75 岁的女性,最初接受石膏固定或外固定治疗,在桡骨远端骨折后 1 年接受检查,然后在平均 3 年(范围,2-4 年)后重新评估。评估包括疼痛、残疾 (DASH) 评分、握力和运动范围。在49名参与的女性疼痛评分中,握力和运动范围显着改善,尽管平均改善为中度或小。在 13 例中度或重度畸形愈合患者的亚组中,1 年 DASH 评分明显低于其余患者,但握力和运动范围均有显著改善。桡骨远端骨折后,疼痛、握力和运动范围持续改善超过1年,长达2-4年。畸形愈合患者在 1 年时有更多的残疾,但在 2-4 年时表现出显着改善。

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