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ABSTRACT:
Objective: To describe patient-reported outcome and the association with bone integrity, fracture severity and future fracture risk among young and older men with distal radius fracture.
Methods: This prospective study includes 133 men with acute distal radius fracture, mean age 54 (range 21-88), who were followed for 12?months. They were categorized as younger (?15 was defined as poor outcome. Fractures were classified and radiographic displacement identified at initial presentation and follow-up. BMD was measured and FRAX 10-year probability of fracture calculated.
Results: Disability was higher in older men (DASHmedian 10 vs 2; p?=?0.002); a clinically meaningful difference (?DASH?=?10, p?=?0.017) remained after adjustment for displacement, fracture classification and treatment method. Almost 50% of older men vs 14% in younger had poor outcome, p?median, IQR 45, 14;73) and risk of fracture (FRAXmajor osteoporotic 14, 8;21).
Conclusion: Men over the age of 65 with a distal radius fracture are more likely to have post-fracture disability regardless of radiographic appearance. Fracture displacement, indicating impaired bone strength, is also more common and associated with an increased risk of fracture within 10-years. Secondary fracture prevention should therefore be considered in men presenting with distal radius fracture.
SUBMITTER: Egund L
PROVIDER: S-EPMC7722451 | biostudies-literature | 2020 Dec
REPOSITORIES: biostudies-literature
Egund Lisa L McGuigan Fiona E FE Egund Niels N Besjakov Jack J Åkesson Kristina E KE
BMC musculoskeletal disorders 20201207 1
<h4>Background</h4>Distal radius fractures can adversely affect wrist function; for men with this fracture, the role played by fracture severity, age and osteoporosis on fracture outcome has not been sufficiently studied.<h4>Objective</h4>To describe patient-reported outcome and the association with bone integrity, fracture severity and future fracture risk among young and older men with distal radius fracture.<h4>Methods</h4>This prospective study includes 133 men with acute distal radius fract ...[more]