Evidence map›Paper›PMID 37042475›Full record

ArticleHand (New York, N.Y.)2024

Improved Outcomes in Operative Management of Concomitant Distal Radius and Scaphoid Fractures.

Luke Verlinsky, Clinton Ulmer, Alec Rose, Christina Brady, Ryan Rose

Open access · hybridAbstract read
In one paragraph

Article in Hand (New York, N.Y.), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.3field-weighted citation impact, top 42% 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

2 citing papers in PubMed, 1 citations in OpenAlex.

  1. Article
  2. 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

5 authors at 2 institutions in 1 country.

Luke VerlinskyDepartment of Orthopaedics, UT Health San Antonio, TX, USA.ORCID 0000-0001-7946-4059
Clinton UlmerDepartment of Orthopaedics, UT Health San Antonio, TX, USA.
Alec RoseScripps Mercy Hospital, San Diego, CA, USA.
Christina BradyDepartment of Orthopaedics, UT Health San Antonio, TX, USA.
Ryan RoseDepartment of Orthopaedics, UT Health San Antonio, TX, USA.
The University of Texas Health Science Center at San Antonio · USScripps Mercy Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study aims to investigate the characteristics of concomitant distal radius and scaphoid fractures and determine outcome differences of operative and nonoperative management.

methodsA retrospective search of a level-1 trauma center's database over a 15-year period (2007-2022) for concomitant distal radius and scaphoid fractures in adult patients was completed. In all, 31 cases were reviewed for mechanism of injury, method of fracture management, distal radius fracture AO Foundation/Orthopaedic Trauma Association classification, scaphoid fracture classification, time to radiographic scaphoid union, time to motion, and other demographics. A multivariate statistical analysis was completed comparing outcomes in operative versus conservative management of the scaphoid fracture in these patients. Outcomes were defined as time to radiographic union and time to motion.

resultsIn all, 22 cases of operative fixation of the scaphoid and 9 cases of nonoperative management of the scaphoid were reviewed. One case of nonunion was identified in the operative group. Operative management of scaphoid fractures resulted in a statistically significant reduction in time to motion (2-week reduction) and time to radiographic union (8-week reduction).

conclusionsThis study demonstrates that operative management of scaphoid fractures in the setting of a concomitant distal radius fracture reduces the time to radiographic union and time to clinical motion. This suggests that operative management is ideal in patients who are good candidates for surgery and desire earlier return of motion. However, conservative management should be considered, as nonoperative care showed no statistical difference regarding union rates of scaphoid or distal radius fractures.

Indexed as

Radius FracturesScaphoid BoneAdultAgedConservative TreatmentFemaleFracture Fixation, InternalFracture HealingFractures, BoneFractures, MultipleHumansMaleMiddle AgedRadiographyRange of Motion, ArticularRetrospective Studiesconcomitant fracturesdistal radiusfracture/dislocationoutcomesresearch & health outcomesscaphoidtreatmentwrist

Identifiers

PMID37042475
PMCPMC11481075
OpenAlexW4365135935

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.