A classification system should clarify differences in natural history and prognosis as related to differences in the patterns of injury. In this study, the side opposite to the rider’s preferred position of stance was more commonly affected, with a higher frequency of injury associated with the technique of opposite-side edging.Ĭlassification of distal radius fractures is helpful only if it provides meaningful information that improves our understanding of the injury or helps influence the course of treatment. Intermediate snowboarders, however, more likely had comminuted intra-articular fracture patterns that were caused from a failed jump. In beginners, extra-articular fracture patterns were more common injuries and were usually caused by a simple fall. In a study of snowboarders who sustained distal radius fractures, Matsumoto and colleagues reported that these fractures were more often seen in those with less experience inexperienced snowboarders accounted for 42% and intermediate snowboarders for 48%. The recent increase in popularity of snowboarding has added yet another recreational sport as a consistent source of distal radius fractures in the young active adult population. Skateboarding and rollerblading are activities that are particularly prone to fractures of the distal radius. Distal radius fractures can occur with any contact sport including basketball, soccer, skiing, and football. In younger patients, recreational activities may often influence the incidence and pattern of distal radius fractures. Nguyen and colleagues, in a prospective study on osteoporosis in Dubbo, Australia, studied individuals older than 60 years of age and found an incidence of distal radius fractures of 34/10,000 in men compared with 125/10,000 in women. These authors also noted an increase in the incidence over the past 30 years. In contrast, men younger than the age of 65 showed a reduced risk of only 10/10,000 that increased to only 33/10,000 in men older than the age of 85. Thompson and colleagues in the United Kingdom found a female-to-male ratio of 3.9:1, with a premenopausal risk in women of 10/10,000 that increased to 120/10,000 in women older than 85. Studies by Solgaard and Petersen and Jonsson and colleagues in Sweden also confirm an increase in the incidence in wrist fractures over the past several decades. Hagino and colleagues in Japan determined that the incidence of fractures in women increased from 165/100,000 in 1986 to a rate of 211/100,000 in 1995 and that the incidence was lower in Japanese persons than in whites. Several studies demonstrate that both the number and incidence of distal radius fractures have been steadily increasing over the past several decades and have varied in relation to gender, age, and ethnicity. Chung and colleagues, in a review of nearly 1.5 million fractures recorded by the National Hospital Ambulatory Medicare Care Survey, determined that 44% of fractures involved the distal radius of these, 30% occurred from an injury at home and 47% were caused by accidental falls. If the injury occurred in a female with diabetes, the rate of intra-articular fractures nearly doubled. A decreased bone mineral density increased the relative risk of fracture to 1.8, whereas a history of falls increased the relative risk to 1.6. In this sample population, 27% of these fractures presented as an intra-articular pattern and 73% as an extra-articular pattern. Vogt and colleagues examined the incidence and distribution of distal radius fractures treated at four separate medical centers in the United States over a 10-year period and found an overall incidence of person-years. Fractures of the distal radius are among the most common osseous injuries of the musculoskeletal system.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |