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The rate and associated risk factors for acute carpal tunnel syndrome complicating a fracture of the distal radius
- Source :
- Leow, J M, Clement, N D, McQueen, M M & Duckworth, A D 2021, ' The rate and associated risk factors for acute carpal tunnel syndrome complicating a fracture of the distal radius ', European Journal of Orthopaedic Surgery and Traumatology, vol. 31, no. 5, pp. 981-987 . https://doi.org/10.1007/s00590-021-02975-5, European Journal of Orthopaedic Surgery & Traumatology
- Publication Year :
- 2021
- Publisher :
- Springer Science and Business Media LLC, 2021.
-
Abstract
- BackgroundAcute carpal tunnel syndrome (ACTS) is a known complication of distal radius fractures. This study aimed to document the demographics, range of presenting symptoms and risk factors of patients who develop ACTS following a fracture of the distal radius.MethodsA retrospective review of 1189 patients with an acute distal radius fracture treated in the study centre over a one-year period were identified. Demographic and clinical variables were collected and compared between controls (did not develop ACTS) and those patients who did develop ACTS to identify factors associated with developing ACS.ResultsThere were 51 (4.3%) distal radius fractures complicated by ACTS. The mean age of patients who developed ACTS was 56 years (range, 16–89) and 73% were female. The median time of onset post-injury was one week (range, 1–12). There was no association between patient background and comorbidities with the development of ACTS. AO-OTA Type C fractures had significantly increased rates of developing ACTS.ConclusionFour percent of distal radius fractures were complicated by ACTS. There was no association between patient background and comorbidities with the development of ACTS. AO-OTA type C complete articular fractures had a significantly higher rate of ACTS. A suggested treatment algorithm for patients presenting with ACTS has been presented.Level of evidence:III.
- Subjects :
- Adult
Male
medicine.medical_specialty
Adolescent
Demographics
030230 surgery
Fracture Fixation, Internal
Young Adult
03 medical and health sciences
0302 clinical medicine
Risk Factors
Diagnosis
medicine
Humans
Distal radius fractures
Orthopedics and Sports Medicine
Carpal tunnel syndrome
Aged
Retrospective Studies
Aged, 80 and over
030222 orthopedics
Retrospective review
business.industry
Mean age
Radius
Middle Aged
medicine.disease
Carpal Tunnel Syndrome
Management
Surgery
Median time
Female
Original Article
Distal radius fracture
Radius Fractures
Complication
business
Acute carpal tunnel syndrome
Subjects
Details
- ISSN :
- 14321068 and 16338065
- Volume :
- 31
- Database :
- OpenAIRE
- Journal :
- European Journal of Orthopaedic Surgery & Traumatology
- Accession number :
- edsair.doi.dedup.....6e6d7e8316a69b8f729d9876b4dd2ff7
- Full Text :
- https://doi.org/10.1007/s00590-021-02975-5