wrist | R Documentation |
Two types of casts are evaluated for treatment on elderly patients with a common type of wrist fracture.
wrist
A tibble with 105 observations of 47 variables
ID number
Age in years
0 = man and 1 = female
1 = right and 2 = left
Centres are anonymised in this excel file
1 = right and 2 = left
1 = functional cast position and 2 = volar-flexion and ulnar deviation cast position
PCS score at baseline of follow-up
No-operative treatment during follow-up = 0 and operative treatment during follow-up
Reported pain of the fractured wrist at the outpatient visit at 3 months: 0 = no and 1 = yes
Reported stiffness of the fractured wrist at the outpatient visit at 3 months: 0 = no and 1 = yes
Grip strength in kilograms
Grip strength in kilograms
Grip strength of fractured side to controlled side, proportion
How many times the patient leave from home per week in average
How many kilometers does the patient walk when leaving from home in average
Does the patient use walking aids inside of home: 0 = no and 1 = yes
Does the patient use walking aids outside of home: 0 = no and 1 = yes
Did the patient use guided physiotherapy for fractured hand during follow-up: 0 = no and 1 = yes
How many physiotherapist visits patient underwent if guided physiotherapy was used?
How many cast changes patient underwent, if any?
Health-related quality of life measured with 15D at 3 months of follow-up
Health-related quality of life measured with 15D at 12 months of follow-up
Ulnar variance at 3 months in millimeters: + = ulnar bone is more lengthy than radial bone
Inclination at 3 months
Angulation at 3 months: + dorsal angulation and - volar angulation
Ulnar variance after closed reduction in millimeters: + = ulnar bone is more lengthy than radial bone
Inclination after closed reduction
Angulation after closed reduction: + dorsal angulation and - volar angulation
Angulation between 2nd metacarpal and radial bone after closed reduction and casting: + = dorsal flexion and - = volar flexion. In degrees
Angulation between 3rd metacarpal and radial bone after closed reduction and casting: + = ulnar-deviation and - = volar-deviation In degrees
Ulnar variance before closed reduction in millimeters: + = ulnar bone is more lengthy than radial bone
Inclination before closed reduction
Angulation before closed reduction: + dorsal angulation and - volar angulation
Articular line of fracture: 0 = no and 1 = yes
Processus styloideus ulna fracture: 0 = no and 1 = yes
Quick-DASH at 3 months
Quick-DASH at 12 months
VAS for pain at 3 months
VAS for pain at 12 months
PCS at 3 months
PCS at 3 months
Underwent cast change during follow-up: 0 = no and 1 = one or more changes
PRWE at 12 months
PRWE at 3 months
PCS score at 3 months minus (-) PCS score at baseline
PCS score at 12 months minus (-) PCS score at baseline
From the authors: "Distal radius fractures are common fractures and the cornerstone of treatment remains immobilization of the wrist in a cast. At present, there is a scarcity of studies that compare different cast immobilization methods. The objective of the study was therefore to compare volar-flexion and ulnar deviation cast to functional cast position in the treatment of dorsally displaced distal radius fracture among elderly patients."
Raittio L, Launonen AP, Hevonkorpi T, Luokkala T, Kukkonen J, Reito A, et al. (2020) Two casting methods compared in patients with Colles' fracture: A pragmatic, randomized controlled trial. PLoS ONE 15(5): e0232153.
https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0232153
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