Evidence map›Paper›PMID 39050390›Full record

ArticleTurkish journal of medical sciences2024

Displaced sigmoid notch fracture and higher patient age are associated with distal radioulnar joint subluxation.

Saygın Kamaci, Melih Oral, Engin Türkay Yilmaz, Taha Aksoy, Barış Kafa, Mazhar Tokgözoğlu

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Article in Turkish journal of medical sciences, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Saygın KamaciDepartment of Orthopedics and Traumatology, Faculty of Medicine, Hacettepe University, Ankara, Turkiye.ORCID https://orcid.org/0000-0002-8887-9333
Melih OralDepartment of Orthopedics and Traumatology, Faculty of Medicine, Hacettepe University, Ankara, Turkiye.ORCID https://orcid.org/0000-0002-3800-9903
Engin Türkay YilmazDepartment of Orthopedics and Traumatology, Faculty of Medicine, Hacettepe University, Ankara, Turkiye.ORCID https://orcid.org/0000-0002-7673-3505
Taha AksoyDepartment of Orthopedics and Traumatology, Faculty of Medicine, Hacettepe University, Ankara, Turkiye.ORCID https://orcid.org/0000-0002-8900-9858
Barış KafaDepartment of Orthopedics and Traumatology, Gülhane Training and Research Hospital, University of Health Sciences, Ankara, Turkiye.ORCID https://orcid.org/0000-0003-4548-534X
Mazhar TokgözoğluDepartment of Orthopedics and Traumatology, Faculty of Medicine, Hacettepe University, Ankara, Turkiye.ORCID https://orcid.org/0000-0002-1375-8115

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background/aim: Distal radius fractures (DRFs) are frequently associated with distal radioulnar joint (DRUJ) instability. The purpose of this study is to evaluate the effect of the sigmoid notch and ulna styloid fracture types on DRUJ subluxation following closed reduction and casting of DRFs via calculating radioulnar ratio (RUR) on postreduction computed tomography (CT) images. Materials and methods: In our study, postreduction CT images of 202 patients with distal radius fractures were evaluated retrospectively. CT images were evaluated for RUR, sigmoid notch fracture, and ulna styloid types. Sigmoid notch fractures were classified as nondisplaced in the sigmoid notch fractures (NDS) and displaced sigmoid notch (DS) fractures; ulna styloid fractures were grouped as the proximal half ulna styloid (PHUS) and distal half ulna styloid (DHUS) fractures. Results: The mean age of Rozental type 3b (62.8 years) was significantly higher among others. The mean RUR value was significantly higher in Rozental type 3a in compared to type 1a and type 2 fractures. PHUS fractures were more common with DS fractures than DHUS fractures. Conclusion: DS fractures and higher patient age are associated with DRUJ subluxation on postreduction CT images following DRFs. DS fractures are seen more commonly with PHUS fractures than DHUS. Patients with PHUS should be carefully assessed for sigmoid notch fractures and DRUJ congruency. These findings could be helpful for preoperative decision making in the treatment of DRFs.

Indexed as

Radius FracturesTomography, X-Ray ComputedAdultAgedAged, 80 and overAge FactorsFemaleHumansJoint DislocationsMaleMiddle AgedRetrospective StudiesUlna FracturesWrist JointYoung AdultDistal radioulnar joint instabilitysigmoid notch fractureulna styloid fracture

Identifiers

PMID39050390
PMCPMC11265877

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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.