Effect of Bone Mineral Density on Functional and Radiological Results in Conservatively Treated Distal Radius Fractures.

Objective: This study was designed to evaluate the effect of bone mineral density on functional and radiographic results of distal radius fractures, which were treated with closed reduction and casting. Materials and Methods: Fifty-two patients [21 males, 31 females, 31 right, 21 left-wrist mean age...

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Publicado en:Turkish Journal of Osteoporosis / Türk Osteoporoz Dergisi Vol. 21; no. 2; pp. 40 - 46
Autores principales: Onay, Tolga, Orak, Mehmet Müfit, Oltulu, İsmail, Çağırmaz, Talat, Gümüştaş, Seyit Ali, Bulut, Güven, Bekler, Halil İbrahim
Formato: diagnostic images research tables/charts Journal Article
Publicado: Galenos Yayinevi Tic. LTD. STI Aug2015
Acceso en línea:Ver este registro en EBSCOhost
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      jtl: Turkish Journal of Osteoporosis / Türk Osteoporoz Dergisi
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      dt: Aug2015
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      pub: Galenos Yayinevi Tic. LTD. STI
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        2013124833
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        atl: Effect of Bone Mineral Density on Functional and Radiological Results in Conservatively Treated Distal Radius Fractures.
      aug:
        au:
          Onay, Tolga
          Orak, Mehmet Müfit
          Oltulu, İsmail
          Çağırmaz, Talat
          Gümüştaş, Seyit Ali
          Bulut, Güven
          Bekler, Halil İbrahim
        affil: Marmara Üniversitesi Tıp Fakültesi, Pendik Eğitim ve Araştırma Hastanesi, Ortopedi ve Travmatoloji Kliniği, İstanbul, Türkiye
      sug:
        subj:
          Bone Density
          Radius Fractures Therapy
          Radiography
          Human
          Male
          Female
          Middle Age
          Aged
          Aged, 80 and Over
          Descriptive Statistics
          Clinical Assessment Tools
          Middle Aged: 45-64 years
          Aged: 65+ years
          Aged, 80 & over
          Male
          Female
      ab: Objective: This study was designed to evaluate the effect of bone mineral density on functional and radiographic results of distal radius fractures, which were treated with closed reduction and casting. Materials and Methods: Fifty-two patients [21 males, 31 females, 31 right, 21 left-wrist mean age: 63.4 years (range, 50-84)] who were treated with closed reduction and short arm casting due to fracture of distal radius were included in this study. Patients were divided into groups according to bone mineral density (BMD) measurement results as low (group 1, n=31) and normal (group 2, n=21). Groups were compared according to healing times, radiographic parameters of the last controls and Gartland-Werley functional scores. Results: The fracture type, dominant side, gender distribution and mean age were homogeneous in both group (p=0.18; p=0.96, p=0.38 and p=0.42). There were no significant differences in terms of loss of radial inclination (p=0.17), the volar tilt loss (p=0.24) and the amount of radial shortening (p=0.14) between two groups. There was also no significant difference between the groups in terms of time to union (p=0.87). Functional scores were significantly lower in group with low BMD (p=0.03) and a significant positive correlation was found between BMD and functional results (r=0.29, p=0.04). There was no significant correlation between functional scores and amount of shortening, loss of radial inclination and volar tilt (p=0.53, p=0.38 and p=0.57). Conclusion: This study showed that, lower BMD scores have no significant effect on healing time and loss of reduction of conservatively treated distal radius fractures, however affect adversely the functional results.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: Turkish
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