Distal Radius Fracture Clinical Trial
Official title:
Ulnar Styloid Fracture Accompanying Distal Radius Fracture Does Not Affect Functional Results, But What About Manual Dexterity?
Fracture of the distal radius (DRF) is a common musculoskeletal system injury. Fracture of
the ulnar styloid frequently accompanies fractures of the distal radius and is seen in 50-65%
of these cases. The loss of dexterity is common in many musculoskeletal conditions.
The aim of this study was to investigate whether an associated ulnar styloid fracture
following a distal radius fracture has any effect on manual dexterity.
Patients who diagnosed with isolated DRF or DRF accompanied with ulnar styloid fracture and
applied to hand rehabilitation unit were included in the study. The patients were divided
into two groups according to the ulnar styloid fracture presence. USF Group was DRF with
ulnar styloid fracture; NON-USF Group was DRF without ulnar styloid fracture.
Pain, range of motion, Quick-DASH, hand grip and pinch strength, Purdue Pegboard Test, Jebsen
Taylor Hand Function Test was measured at six month.
A total of 125 patients, 68 female (54,4%) and 57 male (45,6%) were included in the study.
The mean age of the patients was 47,15±13,41 (18-65) years. 65 of the patients (52%) had
isolated fracture of the distal radius fracture (NON-USF group) and 60 patients (48%) had a
concurrent ulnar styloid fracture (USF group).
There was no significant difference in pain between the groups (p>0,05). Joints range of
motion were higher in the NON-USF group than in the USF group. This difference was
statistically significant only for flexion and extension (p<0,05). There was no statistically
significant difference in Quick-DASH score between groups (p>0,05). The injured hand grip and
pinch strength values in NON-USF group were greater than the USF group but the difference was
not statistically significant (p>0,05). The manual dexterity and hand function tests showed
that there was no statistically significant difference between the groups at six months
(p>0,05).
There is a consensus that ulnar styloid fracture has no effect on overall hand function. But,
there is no study dwelled on the manual dexterity. In this study, the effect of ulnar styloid
fracture on hand function is more clearly emphasized. In conclusion, concomitant USF does not
lead poorer manual dexterity.
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