Evidence map›Paper›PMID 42078252›Full record

ArticleCureus2026

The Resurgence of Dorsal Plating for Distal Radius Fractures in Malaysia: An Epidemiological Study at a Tertiary Hand Centre.

Zareze Abd Rahman, Syahril R Arsad, Rashdeen Fazwi Muhammad Nawawi

Abstract read
In one paragraph

Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

3 authors.

Zareze Abd RahmanOrthopaedics and Traumatology Department, Hospital Kuala Lumpur, Kuala Lumpur, MYS.
Syahril R ArsadOrthopaedics and Traumatology Department, Hospital Kuala Lumpur, Kuala Lumpur, MYS.
Rashdeen Fazwi Muhammad NawawiHand and Microsurgery Unit, Orthopaedics Department, Hospital Selayang, Kuala Lumpur, MYS.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study aimed to define the contemporary epidemiological profile of adult distal radius fractures (DRFs) at a dedicated Hand and Microsurgery Centre in Malaysia.

methodsA retrospective cross-sectional study included 387 adult patients with nonpathological DRFs presenting to the Hospital Selayang, Malaysia, over a 24-month period (January 2023-December 2024). Demographic variables, injury mechanisms, fracture classifications (OTA and Frykman), and treatment modalities were analysed. Between-gender comparisons were performed using Mann-Whitney and chi-square tests.

resultsThe mean age was 52.8 ± 19.8 years, with a bimodal distribution peaking at 30-40 years and 65-75 years. Males predominated overall (n = 208, 53.7%), but with a striking age disparity: median age for females was 63 years compared to 39 years for males (p < 0.001). Fall on an outstretched hand (FOOSH) was the predominant mechanism (n = 233, 60.3%). Notably, fragility fractures constituted nearly half of all DRFs (n = 176, 45.5%), occurring predominantly in elderly females (n = 128, 72.7%) with a mean age of 70.1 ± 9.4 years. Conservative management with casting was employed in 75.7% (n = 293) of patients. Among surgically treated cases, volar rim plating (n = 27, 7%) and variable-angle locking compression plating (n = 21, 5.4%) were the most common.  Discussion: This study confirms a bimodal age distribution for DRFs in Malaysia but reveals an alarmingly high proportion of fragility fractures (n = 176, 45.5%), exceeding rates reported in Western populations. These findings mandate urgent implementation of fracture liaison services to address the secondary prevention gap. The predominance of conservative management, even for complex fractures, reflects regional practice patterns that warrant prospective evaluation against functional outcomes.

Indexed as

bimodal distributionepidemiologyfragility fracturehand surgerymalaysias: distal radius fracture

Identifiers

PMID42078252
PMCPMC13130828

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.