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No long-term risk of wrist osteoarthritis due to subchondral haematomas in distal radial fractures
Department of Hand Surgery, Skåne University Hospital Malmö, Malmö, Sweden; Department of Clinical Sciences, Lund University, Lund, Sweden.
Örebro University, School of Medical Sciences. Örebro University Hospital. Department of Radiology.ORCID iD: 0000-0003-0529-7723
Pulvertaft Hand Centre, Derby, UK.
Department of Hand Surgery, Skåne University Hospital Malmö, Malmö, Sweden; Department of Clinical Sciences, Lund University, Lund, Sweden; Department of Orthopedics, Clinical Sciences, Lund University and Skåne University Hospital Lund, Lund, Sweden.
2017 (English)In: Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery, ISSN 2000-656X, E-ISSN 2000-6764, 1-3 p.Article in journal (Refereed) Epub ahead of print
Abstract [en]

OBJECTIVE: The objective of this study of distal radius fractures was to determine if a subchondral haematoma in an unfractured compartment predicts secondary osteoarthritis.

METHODS: In 1995-1997, 41 patients, 22 women, a median age of 41 years (20-57 years) with a displaced distal radius fracture underwent diagnostic wrist arthroscopy in addition to the fracture treatment. In 12 patients (7/12 women), subchondral haematomas were identified in a joint compartment not involved in the fracture.

RESULTS: At 13-15 years, 37 patients were still alive. Twenty-eight patients attended the follow-up and 8/28 had had a subchondral haematoma within an uninjured compartment at the time of arthroscopy. The range of motion at 13-15 years was impaired in the injured wrist, but unrelated to the presence of a subchondral haematoma. The mean grip strength in patients with subchondral haematoma was 80% of the contralateral, compared to 78% in patients without. No correlation was found between the presence of a subchondral haematoma at arthroscopy and the development of radiographic osteoarthritis in the long term.

CONCLUSION: The presence of a subchondral hematoma in an uninjured compartment at the time of fracture did not alter the long-term clinical or radiographic outcome after a distal radius fracture.

Place, publisher, year, edition, pages
Taylor & Francis, 2017. 1-3 p.
Keyword [en]
Bone bruise, cartilage, distal radial fracture, long-term outcome
National Category
Surgery
Identifiers
URN: urn:nbn:se:oru:diva-62487DOI: 10.1080/2000656X.2017.1372290PubMedID: 28885132OAI: oai:DiVA.org:oru-62487DiVA: diva2:1160554
Funder
Swedish Research Council, project 2031
Note

Funding agencies:

Greta and Johan Kock

Alfred Österlund foundation

Maggie Stephens foundation

Thure Carlsson foundation

Medical Faculty of Lund

Available from: 2017-11-27 Created: 2017-11-27 Last updated: 2017-11-29Bibliographically approved

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