Evidence map›Paper›PMID 35620741›Full record

ArticleInternational journal of burns and trauma2022

Surgical versus conservative management of distal radius fracture with coronal shift; a randomized controlled trial.

Mohammad Dehghani, Hadi Ravanbod, Mohammadreza Piri Ardakani, Mohammad Hossein Tabatabaei Nodushan, Shakiba Dehghani, Meghdad Rahmani

Open access · greenAbstract read

PubMed Full text at PMC

In one paragraph

Article in International journal of burns and trauma, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it

0cells of the map it votes in

5citing papers in PubMed, 3 pooled it

0.9field-weighted citation impact, top 27% of its field

1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 3 syntheses or guidelines pooled it, 4 citations in OpenAlex.

Efficacy and Safety of Conservative and Surgical Treatment in the Treatment of Distal Radius Fractures: A Systematic Review and Meta-Analysis.Orthopaedic surgery · 2026
Pooled it
Operative management of displaced fractures of the distal radius is associated with improved function but not in older adults : systematic review and meta-analysis of randomized controlled trials.Bone & joint open · 2025
Pooled it
Non-surgical vs. surgical treatment of distal radius fractures: a meta-analysis of randomized controlled trials.BMC surgery · 2024
Pooled it
Comparison of treatment modalities for distal radius fractures in terms of functional outcomes pain management and grip strength.Scientific reports · 2026
Article
Volar Locking Plate versus Closed Reduction and Immobilization for Distal Radius Fracture in the Elderly: Systematic Review and Meta-Analysis of Randomized Controlled Trials.Journal of wrist surgery · 2024
Article

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Mohammad DehghaniDepartment of Orthopedics, Kashani Hospital, Isfahan University of Medical Sciences Isfahan, Iran.

Hadi RavanbodDepartment of Orthopedics, Alzahra Hospital, Isfahan University of Medical Sciences Isfahan, Iran.

Mohammadreza Piri ArdakaniResident of Orthopedics, Department of Orthopedics, Isfahan University of Medical Sciences Isfahan, Iran.

Mohammad Hossein Tabatabaei NodushanResident of Orthopedics, Department of Orthopedics, Isfahan University of Medical Sciences Isfahan, Iran.

Shakiba DehghaniSchool of Medicine, Isfahan University of Medical Sciences Isfahan, Iran.

Meghdad RahmaniResident of Orthopedics, Department of Orthopedics, Isfahan University of Medical Sciences Isfahan, Iran.

Isfahan University of Medical Sciences · IR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCoronal shift is one of the most critical complications related to distal radius fracture (DRF), leading to instability in the distal radioulnar joint (DRUJ). Nevertheless, there is no unified approach for the managing DRF with coronal shift; therefore, the current study aims to compare the surgical versus conservative approach for the coronal shift due to DRF treatment.

methodsThis is a randomized clinical trial conducted on 50 patients with distal radius fracture (type 1 based on Fernandez Classification of Distal Radius Fractures) with a coronal shift in 2014-17. The patients were randomly allocated to treatment conservatively (n=25) by a long arm casting or surgically (n=25) using a volar plate fixation. The patients were followed for 24 months, and primary outcomes included a functional score on the Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire; pain score based on the Visual Analogue Scale (VAS), and handgrip strength (HGS) measured via a dynamometer were assessed and compared.

resultsBoth approaches led to significant improvement in range of motion, pain complaint, DASH scores, and HGS at the end of the two-year follow-up (

conclusionThe long-term outcomes of volar plate fixation for DRF management (bending fracture of metaphysis) plus coronal shift are notably superior to the conservative treatment; however, due to the limited information in this regard, further evaluations are strongly recommended.

Indexed as

distal radioulnar jointDistal radiusjoint instabilityradius fractures

Identifiers

PMID35620741

PMCPMC9123450

OpenAlexW4285741402

What OpenQuestion holds

Textmetadata

Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.