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Journal of Hand Surgery (British and European Volume)
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Articles

Outcome of Distal Radial Fractures in Young Adults

J. D. GLIATIS
S. J. PLESSAS
T. R. C. DAVIS

From the Department of Trauma and Orthopaedic Surgery, Queens Medical Centre, University Hospital, Nottingham, UK

Correspondence: T. R. C. Davis FRCS, Consultant Hand Surgeon, Department of Trauma and Orthopaedic Surgery, Queens Medical Centre, University Hospital, Nottingham NG7 2UH, UK

The outcome of 169 fractures of the distal radius in adults under the age of 50 were assessed at least 18 months after injury (mean follow-up, 4.9 years) using a validated, patient-based outcome questionnaire. The questionnaire responses demonstrated that neither the Frykman nor the Mayo classifications of distal radial fractures predicted outcome. Fracture union with more than 10° of dorsal tilt was associated with increased difficulty with everyday activities and work, while union with a step in the radiocarpal articular surface was associated with loss of wrist mobility and difficulty with fine dextrous tasks. No measure of either intra- or extra-articular malunion influenced the severity or frequency of persistent wrist pain.

Journal of Hand Surgery (British and European Volume), Vol. 25, No. 6, 535-543 (2000)
DOI: 10.1054/jhsb.2000.0373
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