The Role of Wrist Circumference (Regional Obesity Versus Local Swelling) in Conservatively Treated Distal Radius Fractures: A Single Center Experience

Year 2023, , 75 - 80, 28.04.2023

Erdi Özdemir , Ozan Altun , Yılmaz Ergişi , Uygar Daşar , Muhammed Nadir Yalçın

https://doi.org/10.29058/mjwbs.1232968

Abstract

Aim: Regional obesity around the wrist due to local excessive fat or local swelling due to edema has not
been studied as a risk factor to predict the possibility of reduction loss during conservative treatment of
distal radius fractures. We aimed to investigate the impact of wrist circumference on reduction loss risk
in conservatively treated distal radius fractures.
Material and Methods: Patients with distal radius fractures who were conservatively in our institution
between January 2021 and December 2021 are retrospectively reviewed. Patients’ demographics, wrist
circumference, radiographic parameters were obtained from hospital registry notes. Wrist circumference
was measured with an unstretchable tape positioned on a line passing from lister tubercle of the distal
radius and distal ulna. The difference in the wrist circumferences between the injured and uninjured
extremities represented local swelling. The association of these factors with reduction loss was
evaluated.
Results: A total of 73 consecutive patients (19 male, 54 female) with a mean age of 61.1 ± 12.9 were
included. There were 18 reduction losses. There was no association with reduction loss between injured
and uninjured wrist circumferences (p>0.05). However, local swelling, initial displacement at dorsal
angulation and radial inclination, presence of dorsal comminution, and accompanying ulnar styloid
fracture were associated with reduction loss (p<0.05). Local swelling had an odd ratio of 6.661 (1.848
– 24.006, p= 0.004).
Conclusion: Excessive local swelling is found to be a risk factor to predict reduction loss in conservative
treatment of distal radius fractures while regional obesity is not.

Keywords

wrist circumference, regional obesity, local fat, distal radius fracture, redisplacement

Konservatif Olarak Tedavi Edilen Distal Radius Kırıklarında El Bilek Çevresinin Rolü (Bölgesel Obeziteye Karşı Lokal Şişlik): Tek Merkez Deneyimi

Abstract

Amaç: Distal radius kırıklarının konservatif tedavisi sırasında redüksiyon kaybı olasılığını öngörmek
için lokal aşırı yağ dokusuna bağlı bölgesel obezite veya ödeme bağlı lokal şişlik araştırılmamıştır.
Konservatif olarak tedavi edilen distal radius kırıklarında bilek çevresinin redüksiyon kaybı riski
üzerindeki etkisini araştırmayı amaçladık.
Gereç ve Yöntemler: Ocak 2021-Aralık 2021 tarihleri arasında kliniğimizde konservatif olarak izlenen
distal radius kırığı olan hastalar retrospektif olarak incelendi. Hastaların demografik bilgileri, bilek
çevresi, radyografik parametreleri hastane kayıt notlarından elde edildi. Bilek çevresi, distal radius
ve lister tüberkülü ve distal ulnadan geçen bir hat üzerinde konumlandırılan ve gerilemez bir bant ile ölçüldü. Kırık ve sağlam ekstremiteler arasındaki el bilek çevrelerindeki fark, lokal şişlik olarak tanımlandı. Bu faktörlerin redüksiyon kaybı
ile ilişkisi değerlendirildi.
Bulgular: Yaş ortalaması 61.1 ± 12.9 olan toplam 73 ardışık hasta (19 erkek, 54 kadın) çalışmaya dahil edildi. 18 adet redüksiyon kaybı
görüldü. Kırık ve sağlam el bilek çevresi ölçüleri ile redüksiyon kaybı ile ilişki yoktu (p>0.05). Ancak lokal şişlik, dorsal açılanma ve radyal
eğimdeki ilk yer değiştirme, dorsal parçalanma varlığı ve eşlik eden ulnar stiloid kırığı; redüksiyon kaybı ile ilişkiliydi (p<0.05). Lokal şişliğin
odd oranı 6,661 idi (1,848 – 24,006, p= 0,004).
Sonuç: Aşırı lokal şişlik, distal radius kırıklarının konservatif tedavisinde redüksiyon kaybını öngörmek için bir risk faktörü olarak bulunurken,
bölgesel obezite bulunmamıştır.

Keywords

el bilek çapı, bölgesel obezite, bölgesel yağlanma, distal radius kırığı, redüksiyon kaybı

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