ArticleJournal of wrist surgery2015
The Unstable Distal Radius Fracture-How Do We Define It? A Systematic Review.
Article in Journal of wrist surgery, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06631651 (The Effect of Intraoperative Brachioradialis Release on Radiological and Functional Outcomes in Distal Radius Fractures), which is not on this map. Cited by 23 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
The Effect of Intraoperative Brachioradialis Release on Radiological and Functional Outcomes in Distal Radius Fractures: Long-Term Results
Who cites it
23 citing papers in PubMed.
- Treatment outcomes of applying external fixator on distal radius fractures: a randomized clinical trial to compare between two directions of force exertion in parallel to radius shaft and perpendicular to the distal radius articular surface.BMC musculoskeletal disorders · 2023Trial
- A multimodal imaging approach to predict carpal tunnel syndrome after distal radius fractures.Archives of orthopaedic and trauma surgery · 2026Article
- Rethinking Lafontaine Criteria: Second Metacarpal Cortical Percentage as a Reliable Predictor of Distal Radius Fracture Instability.Hand (New York, N.Y.) · 2026Article
- Distal Radius Fracture Classifications in Real Life: Reliability and How They Change Treatment.Journal of hand surgery global online · 2026Article
- Second Metacarpal Index as a Predictor of Secondary Displacement in Conservatively Treated Distal Radius Fractures.Medicina (Kaunas, Lithuania) · 2026Article
- Adults Closed Distal Radial Fractures: Current Concepts in Treatment Selection and Complication Prevention.Journal of hand surgery global online · 2026Article
- Association Between Insurance Status and Recommendation for Surgery for Distal Radius Fractures.Journal of hand surgery global online · 2026Article
- A Prediction Model for Instability in Adult Distal Radius Fractures: Integrating Post-Reduction and Follow-Up Indicators.Journal of clinical medicine · 2025Article
- Distal Radius Fracture Subsidence after Nonoperative Treatment.Journal of wrist surgery · 2025Article
- Comparative analysis of closed reduction with external fixation versus closed reduction with percutaneous pinning for distal radius fractures.Scientific reports · 2025Article
- External validation and revision of the Lafontaine criteria for unstable distal radius fractures: a retrospective study.Journal of orthopaedic surgery and research · 2025Article
- The Volar Cortical Hinge: An Independent Risk Factor for Distal Radius Fracture Displacement.Journal of wrist surgery · 2024Article
- A proposed paradigm shift in the management of distal radius fractures.Journal of orthopaedics · 2024Article
- Defining Nonunion for Metacarpal Fractures: A Systematic Review.Journal of hand surgery global online · 2023Article
- Treatment of Distal Radius Fractures with Bridging External Fixator with Optional Percutaneous K-Wires: What Are the Right Indications for Patient Age, Gender, Dominant Limb and Injury Pattern?Journal of personalized medicine · 2022Article
- Standard radiographic assessments of distal radius fractures miss involvement of the distal radioulnar joint: a diagnostic study.Archives of orthopaedic and trauma surgery · 2022Article
- Closed Fracture Treatment in Adults, When is it Still Relevant?Spartan medical research journal · 2022Article
- A Prospective Observational Clinical and Radiological Study of a Modular Bridging External Fixator for Unstable Distal Radius Fractures.Malaysian orthopaedic journal · 2021Article
- Perioperative management of distal radius fractures.Journal of perioperative practice · 2021Article
- Comparing Outcomes between Arthroscopic-Assisted Reduction and Fluoroscopic Reduction in AO Type C Distal Radius Fracture Treatment.Journal of wrist surgery · 2021Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background Unstable distal radius fractures are a popular research subject. However, to appreciate the findings of studies that enrolled patients with unstable distal radius fractures, it should be clear how the authors defined an unstable distal radius fracture. Questions In what percentage of studies involving patients with unstable distal radius fractures did the authors define unstable distal radius fracture? What are the most common descriptions of an unstable distal radius fracture? And is there one preferred evidence-based definition for future authors? Methods A systematic search of literature was performed to identify any type of study with the term unstable distal radius fracture. We assessed whether a definition was provided and determined the level of evidence for the most common definitions. Results The search yielded 2,489 citations, of which 479 were included. In 149 studies, it was explicitly stated that patients with unstable distal radius fractures were enrolled. In 54% (81/149) of these studies, the authors defined an unstable distal radius fracture. Overall, we found 143 different definitions. The seven most common definitions were: displacement following adequate reduction; Lafontaine's definition; irreducibility; an AO type C2 fracture; a volarly displaced fracture; Poigenfürst's criteria; and Cooney's criteria. Only Lafontaine's definition originated from a clinical study (level IIIb). Conclusion In only half of the studies involving patients with an unstable distal radius fracture did the authors defined what they considered an unstable distal radius fracture. None of the definitions stood out as the preferred choice. A general consensus definition could help to standardize future research.
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