ArticleThe Journal of hand surgery, European volume2023
Marginal secondary displacement in fractures of the distal radius at follow-up - an important predictor for late displacement and malunion.
Article in The Journal of hand surgery, European volume, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed, 7 citations in OpenAlex.
- An Acta Orthopaedica educational article: Choosing treatment with an elderly patient having a distal radius fracture.Acta orthopaedica · 2026Review
- Management of undisplaced or minimally displaced distal radius fractures in adults: immobilization with circumferential casting versus plaster splinting.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2026Article
- External validation and revision of the Lafontaine criteria for unstable distal radius fractures: a retrospective study.Journal of orthopaedic surgery and research · 2025Article
- Factors Associated with Re-Displacement after Nonsurgical Treatment of Distal Radius Fractures in Adults: A Retrospective Study.Orthopaedic surgery · 2024Article
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4 authors at 2 institutions in 1 country.
Funding
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Abstract
Treatment recommendations in fractures of the distal radius are often based on the degree of displacement and functional demands. The fracture may be within an acceptable radiological range, but a marginal deterioration in alignment then occurs between the initial visit and follow-up. This may pose a risk for late displacement that may require further treatment. We secondarily analysed prospectively collected data and included 165 patients. We found that marginal secondary displacement (odds ratio (OR) 9.7), anterior comminution (OR 8.8), loss of anterior apposition (OR 6.8) and dorsal comminution (OR 2.6) were predictors of late displacement. Marginal secondary displacement is an important predictor of late displacement and malunion in fractures of the distal radius. Clinicians should not unequivocally accept general guidelines on alignment but also assess a deterioration in fracture alignment on radiographic follow-up and be aware of the potential need for surgery to avoid malunion in cases that show early secondary displacement, even when radiographic measures are within acceptable limits.
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