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- Title
Treatment of distal radius fractures.
- Authors
Lichtman, David M; Bindra, Randipsingh R; Boyer, Martin I; Putnam, Matthew D; Ring, David; Slutsky, David J; Taras, John S; Watters, William C, 3rd; Goldberg, Michael J; Keith, Michael; Turkelson, Charles M; Wies, Janet L; Haralson, Robert H, 3rd; Boyer, Kevin M; Hitchcock, Kristin; Raymond, Laura
- Abstract
The clinical practice guideline is based on a systematic review of published studies on the treatment of distal radius fractures in adults. None of the 29 recommendations made by the work group was graded as strong; most are graded as inconclusive or consensus; seven are graded as weak. The remaining five moderate-strength recommendations include surgical fixation, rather than cast fixation, for fractures with postreduction radial shortening >3 mm, dorsal tilt >10 degrees , or intra-articular displacement or step-off >2 mm; use of rigid immobilization rather than removable splints for nonsurgical treatment; making a postreduction true lateral radiograph of the carpus to assess dorsal radial ulnar joint alignment; beginning early wrist motion following stable fixation; and recommending adjuvant treatment with vitamin C to prevent disproportionate pain.
- Publication
The Journal of the American Academy of Orthopaedic Surgeons, 2010, Vol 18, Issue 3, p180
- ISSN
1067-151X
- Publication type
Journal Article
- DOI
10.5435/00124635-201003000-00007