Distal radius fracture management in elderly patients a literature review
These systematic reviews were conducted between July 2008 and June 2009 and show where good evidence exists, where evidence is lacking, and which topics must be targeted in future research to improve the treatment of patients with. The distal radius fracture (DRF) is the most common fracture in adults. Distal radial fractures are seen predominantly in children/adolescents and the elderly. The mean age of the patients was 69. In young people, such fractures typically occur in high-energy accidents, such as a fall from a ladder or a car crash. Optimal treatment for displaced DRFs remains controversial, especially in the superelderly group Traditionally, DRFs in older patients have been treated with closed reduction and cast immobilization. 2–5 furthermore, the incidence of distal radius fractures continues to rise in part due to increased activity levels among the elderly, increased life expectancy, …. In the latter group, DRFs constitute 18% of total fractures [2].. The estimated risk of DRF is 9–139/10,000 people per year [ 3, 4, 8, 11, 12 ].. Fracture patterns, management, and complications differ between these age groups Management of fracture-related factors, such as osteoporosis and increased fall risk following a distal radius fracture, may prevent the mortality and morbidity of future injuries. Although most of these fractures are managed non-operatively, a significant number of complex injuries undergo operative management. 4 years (range, 60–88 years) and the mean follow-up period was 24 months (range, 12–53 months) Distal radius fractures are common in elderly patients, and the incidence continues to increase as the population ages. The goal of this study distal radius fracture management in elderly patients a literature review was to evaluate the role of conservative treatment of distal radius fractures in the elderly since 2000. Review the causes of distal radius fracture Describe the presentation of a patient with distal radius fracture. You prescribe her some simple analgesia and request an X-ray A cursory distal radius fracture management in elderly patients a writing online help literature review search of Embase and MEDLINE from 1996 onwards for “distal” and “radius” and “fracture” yielded over 13,000 publications, more than 500 of which are randomized controlled trials (RCTs). Distal radius fractures are common in elderly patients, and the incidence continues to increase as the population ages. Distal radius fractures in adults (>18 years). The scope of the guideline is limited to the treatment of acute distal radius fractures and does not address distal radius malunion. Fractures of the distal radius are the most common upper limb fracture and account for over a sixth of all fractures seen in emergency departments. Considering the increasing life expectancy of the elderly population, appropriate management. PurposeThe purpose of this study is to delineate common practices of fellowship-trained hand surgeons and how they compare with current evidence-based protocols Distal radius fracture (DRF) is one of the most common musculoskeletal injuries [1]. Stratification into low and high demand groups may improve the management of distal radius fractures in elderly patients. This leaflet outlines conservative management of a wrist fracture. Most distal radius fractures occur in elderly fema-les with a male–to–female ratio of 1 to 4. EVALUATION Since 1898, radiographic analysis has formed the foundation for evaluation of distal radius injuries A distal radius fracture is one of the most common bone injuries. Distal radius fractures (drf), in particular, are one of the most common fractures among elderly patients and make up about 18% of all fractures presented to the emergency department. The distal radius is typically bimodal with peaks in the 5–14 year age group and in elderly patients older than 60. In addition, basic knowledge of the outcome after a DRF in this heterogenic group is lacking. To assist in this, the guideline consists of a series of systematic reviews of the available literature regarding the treatment of distal radius fractures in adults. DRFs have a bimodal distribution, with the first peak observed in pediatric patients and the second peak observed in the elderly population. 31 32 several recent studies, however, have suggested that conservative management of unstable distal radius fractures with cast immobilization in this population yields similar long-term functional outcomes compared with surgical fixation. We found no clear evidence of the clinical superiority of distal radius fracture surgery among older adults at one year. This evidence-based review of distal radius fractures incorporates current and available literature on the diagnosis, management, and treatment of fractures of the distal radius. This article reviews the different treatment options for DRFs in the elderly individuals reported in the recent literature. The incidence of radial fractures is increasing as life expectancy grows, leading to a larger population of patients who are at risk for these injuries. In addition to providing pragmatic practice recommendations, this guideline also highlights gaps in the literature and informs areas for future. EVALUATION Since 1898, radiographic analysis has formed the foundation for evaluation of distal radius injuries A total of 417 elderly patients with an acute distal radius fracture were enrolled in this double-blind placebo-controlled clinical trial. Of these, fractures of the radius and/or ulna comprise the largest portion (44 percent) Distal radius fractures, among the most common fractures of both the young and the elderly, have been a focus of evidence-based orthopedics since the inception of the term. Optimal treatment for displaced DRFs remains controversial, especially in the superelderly group.