Featured Research

from universities, journals, and other organizations

Cracking the code on common wrist injury

Date:
February 4, 2010
Source:
American Academy of Orthopaedic Surgeons
Summary:
The American Academy of Orthopaedic Surgeons recently approved and released an evidence-based clinical practice guideline on the Treatment of Distal Radius Fractures. A distal radius fracture -- one of the most common fractures in the body -- usually occurs as a result of a fall.

The American Academy of Orthopaedic Surgeons (AAOS) recently approved and released an evidence-based clinical practice guideline on the Treatment of Distal Radius Fractures. A distal radius fracture -one of the most common fractures in the body- usually occurs as a result of a fall. For example, a fall may cause someone to land on his or her outstretched hands, breaking the larger of the two bones in the forearm, near the wrist.

Related Articles


  • In 2007, more than 261,000 people visited the emergency room due to a distal radius fracture.

"The Academy created this clinical practice guideline to improve patient care for those sustaining a distal radius fracture," stated David Lichtman, MD, chair of this guideline workgroup. "This serves as a point of reference and an educational tool for both primary care physicians and orthopaedic surgeons, streamlining possible treatment processes for this ever-so common problem," he added. "While a wide range of treatment options are available, they should always be tailored to individual patients after discussions with their orthopaedic surgeons."

The final patient-oriented guidelines for treating distal radius fractures contain 29 evidence-based recommendations overall, some of which are included below:

  • The research suggests that a rigid cast is better than a splint if the fracture was displaced.
  • If a fracture was not displaced -- as in a hairline crack -- a removable splint can be worn.
  • If a fracture has a tendency to fall back the way it was before the physician fixed it, research suggests that these fractures heal better if the surgeon operates on them, rather than treating them with a cast.

According to the work group, one key question that needs to be answered in future research is whether surgeons should perform the same operations and use the same fixation methods with older patients as they do with younger patients. Lichtman points out that some elderly patients are physiologically younger than others. By lifting weights, getting regular exercise, and staying in shape, some seniors have the same bone structure of an individual 20 or 30 years younger. Lichtman and his colleagues had been looking for answers to this particular question in the current review of the literature and were surprised, once again, to find that no answers existed at this time.

Due to the current studies lacking evidence based support, the following recommendations were a consensus among the Academy work group:

  • Distal radius fractures treated without surgery should have repeated x-rays for three weeks and when the use of a splint or cast is discontinued.
  • Patients should perform active finger motion exercises following diagnosis of distal radius fracture.
  • Patients with distal radius fractures and unremitting pain need to be re-evaluated promptly by their physician.

"Probably the most valuable part of this exercise was the realization that better studies are needed to precisely determine which current treatments work the best under different clinical circumstances. We also came up with some helpful ideas on how to design future studies," said Dr. Lichtman.

Creating this Guideline More than 4,000 journal articles from around the world were analyzed over the course of a year and every article was graded on a five-point scale depending on the strength and quality of the evidence. Only prospective, randomly controlled clinical trials with enough patients to establish clinical and statistical significance could earn the highest grade, ranking as strong evidence.

The full guideline along with all supporting documentation and workgroup disclosures is available on the AAOS website: http://www.aaos.org/guidelines.


Story Source:

The above story is based on materials provided by American Academy of Orthopaedic Surgeons. Note: Materials may be edited for content and length.


Cite This Page:

American Academy of Orthopaedic Surgeons. "Cracking the code on common wrist injury." ScienceDaily. ScienceDaily, 4 February 2010. <www.sciencedaily.com/releases/2010/02/100204144553.htm>.
American Academy of Orthopaedic Surgeons. (2010, February 4). Cracking the code on common wrist injury. ScienceDaily. Retrieved October 25, 2014 from www.sciencedaily.com/releases/2010/02/100204144553.htm
American Academy of Orthopaedic Surgeons. "Cracking the code on common wrist injury." ScienceDaily. www.sciencedaily.com/releases/2010/02/100204144553.htm (accessed October 25, 2014).

Share This



More Health & Medicine News

Saturday, October 25, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Texas Nurse Nina Pham Cured of Ebola

Texas Nurse Nina Pham Cured of Ebola

AFP (Oct. 25, 2014) — An American nurse who contracted Ebola while caring for a Liberian patient in Texas has been declared free of the virus and will leave the hospital. Duration: 01:01 Video provided by AFP
Powered by NewsLook.com
Toxin-Packed Stem Cells Used To Kill Cancer

Toxin-Packed Stem Cells Used To Kill Cancer

Newsy (Oct. 25, 2014) — A Harvard University Research Team created genetically engineered stem cells that are able to kill cancer cells, while leaving other cells unharmed. Video provided by Newsy
Powered by NewsLook.com
IKEA Desk Converts From Standing to Sitting With One Button

IKEA Desk Converts From Standing to Sitting With One Button

Buzz60 (Oct. 24, 2014) — IKEA is out with a new convertible desk that can convert from a sitting desk to a standing one with just the push of a button. Jen Markham explains. Video provided by Buzz60
Powered by NewsLook.com
Ebola Protective Suits Being Made in China

Ebola Protective Suits Being Made in China

AFP (Oct. 24, 2014) — A factory in China is busy making Ebola protective suits for healthcare workers and others fighting the spread of the virus. Duration: 00:38 Video provided by AFP
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
 
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:  

Breaking News:

Strange & Offbeat Stories

 

Health & Medicine

Mind & Brain

Living & Well

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:  

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile iPhone Android Web
Follow Facebook Twitter Google+
Subscribe RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins