Epidemiology of distal radius fractures and factors predicting risk and prognosis
Abstract Study design Literature Review. Introduction For optimal Distal Radius Fracture (DRF) rehabilitation and fracture prevention, it is important to understand the epidemiology and factors predictive of injury, chronic pain, chronic disability, and subsequent fracture. Purpose To summarize the...
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Published in | Journal of hand therapy Vol. 29; no. 2; pp. 136 - 145 |
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Main Authors | , |
Format | Journal Article |
Language | English |
Published |
United States
Elsevier Inc
01.04.2016
Elsevier Limited |
Subjects | |
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Abstract | Abstract Study design Literature Review. Introduction For optimal Distal Radius Fracture (DRF) rehabilitation and fracture prevention, it is important to understand the epidemiology and factors predictive of injury, chronic pain, chronic disability, and subsequent fracture. Purpose To summarize the literature reporting on DRF epidemiology, risk factors, and prognostic factors. Methods Literature synthesis. Results Although incidence varies globally, DRFs are common across the lifespan and appear to be on the rise. Risk of DRF is determined by personal factors (age, sex/gender, lifestyle, health condition) and environmental factors (population density, climate). For example, age and sex influence risk such that DRF is most common in boys/young men and older women. The most common causes of DRF in the pediatric and young adult age groups include playing/sporting activities and motor vehicle accidents. In contrast, the most common mechanism of injury in older adults is a low-energy trauma because of a fall from a standing height. Poorer health outcomes are associated with older age, being female, poor bone healing (or having an associated fracture of the ulnar styloid), having a compensated injury, and a lower socioeconomic status. Conclusions Risk stratification according to predictors of chronic pain and disability enable therapists to identify those patients who will benefit from advocacy for more comprehensive assessment, targeted interventions, and tailored educational strategies. The unique opportunity for secondary prevention of osteoporotic fracture after DRF has yet to be realized by treating therapists in the orthopedic community. Level of evidence V. |
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AbstractList | STUDY DESIGNLiterature Review.INTRODUCTIONFor optimal Distal Radius Fracture (DRF) rehabilitation and fracture prevention, it is important to understand the epidemiology and factors predictive of injury, chronic pain, chronic disability, and subsequent fracture.PURPOSETo summarize the literature reporting on DRF epidemiology, risk factors, and prognostic factors.METHODSLiterature synthesis.RESULTSAlthough incidence varies globally, DRFs are common across the lifespan and appear to be on the rise. Risk of DRF is determined by personal factors (age, sex/gender, lifestyle, health condition) and environmental factors (population density, climate). For example, age and sex influence risk such that DRF is most common in boys/young men and older women. The most common causes of DRF in the pediatric and young adult age groups include playing/sporting activities and motor vehicle accidents. In contrast, the most common mechanism of injury in older adults is a low-energy trauma because of a fall from a standing height. Poorer health outcomes are associated with older age, being female, poor bone healing (or having an associated fracture of the ulnar styloid), having a compensated injury, and a lower socioeconomic status.CONCLUSIONSRisk stratification according to predictors of chronic pain and disability enable therapists to identify those patients who will benefit from advocacy for more comprehensive assessment, targeted interventions, and tailored educational strategies. The unique opportunity for secondary prevention of osteoporotic fracture after DRF has yet to be realized by treating therapists in the orthopedic community.LEVEL OF EVIDENCEV. Literature Review. For optimal Distal Radius Fracture (DRF) rehabilitation and fracture prevention, it is important to understand the epidemiology and factors predictive of injury, chronic pain, chronic disability, and subsequent fracture. To summarize the literature reporting on DRF epidemiology, risk factors, and prognostic factors. Literature synthesis. Although incidence varies globally, DRFs are common across the lifespan and appear to be on the rise. Risk of DRF is determined by personal factors (age, sex/gender, lifestyle, health condition) and environmental factors (population density, climate). For example, age and sex influence risk such that DRF is most common in boys/young men and older women. The most common causes of DRF in the pediatric and young adult age groups include playing/sporting activities and motor vehicle accidents. In contrast, the most common mechanism of injury in older adults is a low-energy trauma because of a fall from a standing height. Poorer health outcomes are associated with older age, being female, poor bone healing (or having an associated fracture of the ulnar styloid), having a compensated injury, and a lower socioeconomic status. Risk stratification according to predictors of chronic pain and disability enable therapists to identify those patients who will benefit from advocacy for more comprehensive assessment, targeted interventions, and tailored educational strategies. The unique opportunity for secondary prevention of osteoporotic fracture after DRF has yet to be realized by treating therapists in the orthopedic community. V. Study design Literature Review. Introduction For optimal Distal Radius Fracture (DRF) rehabilitation and fracture prevention, it is important to understand the epidemiology and factors predictive of injury, chronic pain, chronic disability, and subsequent fracture. Purpose To summarize the literature reporting on DRF epidemiology, risk factors, and prognostic factors. Methods Literature synthesis. Results Although incidence varies globally, DRFs are common across the lifespan and appear to be on the rise. Risk of DRF is determined by personal factors (age, sex/gender, lifestyle, health condition) and environmental factors (population density, climate). For example, age and sex influence risk such that DRF is most common in boys/young men and older women. The most common causes of DRF in the pediatric and young adult age groups include playing/sporting activities and motor vehicle accidents. In contrast, the most common mechanism of injury in older adults is a low-energy trauma because of a fall from a standing height. Poorer health outcomes are associated with older age, being female, poor bone healing (or having an associated fracture of the ulnar styloid), having a compensated injury, and a lower socioeconomic status. Conclusions Risk stratification according to predictors of chronic pain and disability enable therapists to identify those patients who will benefit from advocacy for more comprehensive assessment, targeted interventions, and tailored educational strategies. The unique opportunity for secondary prevention of osteoporotic fracture after DRF has yet to be realized by treating therapists in the orthopedic community. Level of evidence V. Abstract Study design Literature Review. Introduction For optimal Distal Radius Fracture (DRF) rehabilitation and fracture prevention, it is important to understand the epidemiology and factors predictive of injury, chronic pain, chronic disability, and subsequent fracture. Purpose To summarize the literature reporting on DRF epidemiology, risk factors, and prognostic factors. Methods Literature synthesis. Results Although incidence varies globally, DRFs are common across the lifespan and appear to be on the rise. Risk of DRF is determined by personal factors (age, sex/gender, lifestyle, health condition) and environmental factors (population density, climate). For example, age and sex influence risk such that DRF is most common in boys/young men and older women. The most common causes of DRF in the pediatric and young adult age groups include playing/sporting activities and motor vehicle accidents. In contrast, the most common mechanism of injury in older adults is a low-energy trauma because of a fall from a standing height. Poorer health outcomes are associated with older age, being female, poor bone healing (or having an associated fracture of the ulnar styloid), having a compensated injury, and a lower socioeconomic status. Conclusions Risk stratification according to predictors of chronic pain and disability enable therapists to identify those patients who will benefit from advocacy for more comprehensive assessment, targeted interventions, and tailored educational strategies. The unique opportunity for secondary prevention of osteoporotic fracture after DRF has yet to be realized by treating therapists in the orthopedic community. Level of evidence V. |
Author | MacIntyre, Norma J., BScPT, MSc, PhD Dewan, Neha, MPT, PhD Candidate |
Author_xml | – sequence: 1 fullname: MacIntyre, Norma J., BScPT, MSc, PhD – sequence: 2 fullname: Dewan, Neha, MPT, PhD Candidate |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/27264899$$D View this record in MEDLINE/PubMed |
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ContentType | Journal Article |
Copyright | Hanley & Belfus 2016 Hanley & Belfus Copyright © 2016 Hanley & Belfus. Published by Elsevier Inc. All rights reserved. Copyright Elsevier Limited Apr-Jun 2016 |
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Keywords | Prognosis Review Epidemiology Distal radius fracture Risk factors |
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Snippet | Abstract Study design Literature Review. Introduction For optimal Distal Radius Fracture (DRF) rehabilitation and fracture prevention, it is important to... Literature Review. For optimal Distal Radius Fracture (DRF) rehabilitation and fracture prevention, it is important to understand the epidemiology and factors... Study design Literature Review. Introduction For optimal Distal Radius Fracture (DRF) rehabilitation and fracture prevention, it is important to understand the... STUDY DESIGNLiterature Review.INTRODUCTIONFor optimal Distal Radius Fracture (DRF) rehabilitation and fracture prevention, it is important to understand the... |
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SubjectTerms | Adult Adults Age Age Distribution Aged Classification Distal radius fracture Epidemiology Female Fracture Fixation - methods Fracture Fixation - rehabilitation Fractures Gender Health insurance Hospitals Humans Incidence Injury Severity Score Intra-Articular Fractures - diagnosis Intra-Articular Fractures - epidemiology Intra-Articular Fractures - surgery Male Medical prognosis Mens health Middle age Middle Aged Pediatrics Physical Medicine and Rehabilitation Population Predictive Value of Tests Prognosis Radius Fractures - diagnosis Radius Fractures - epidemiology Radius Fractures - surgery Recovery of Function Review Risk Assessment Risk factors Sex Distribution Studies Womens health Wrist Injuries - diagnosis Wrist Injuries - epidemiology Wrist Injuries - surgery |
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Title | Epidemiology of distal radius fractures and factors predicting risk and prognosis |
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