Surgery versus conservative treatment in patients with type A distal radius fractures, a randomized controlled trial.


BACKGROUND:Fractures of the distal radius are common and account for an estimated 17% of all fractures diagnosed. Two-thirds of these fractures are displaced and require reduction. Although distal radius fractures, especially extra-articular fractures, are considered to be relatively harmless, inadequate treatment may result in impaired function of the wrist. Initial treatment according to Dutch guidelines consists of closed reduction and plaster immobilisation. If fracture redisplacement occurs, surgical treatment is recommended. Recently, the use of volar locking plates has become more popular. The aim of this study is to compare the functional outcome following surgical reduction and fixation with a volar locking plate with the functional outcome following closed reduction and plaster immobilisation in patients with displaced extra-articular distal radius fractures. DESIGN:This single blinded randomised controlled trial will randomise between open reduction and internal fixation with a volar locking plate (intervention group) and closed reduction followed by plaster immobilisation (control group). The study population will consist of all consecutive adult patients who are diagnosed with a displaced extra-articular distal radius fracture, which has been adequately reduced at the Emergency Department. The primary outcome (functional outcome) will be assessed by means of the Disability Arm Shoulder Hand Score (DASH). Secondary outcomes comprise the Patient-Rated Wrist Evaluation score (PRWE), quality of life, pain, range of motion, radiological parameters, complications and cross-overs. Since the treatment allocated involves a surgical procedure, randomisation status will not be blinded. However, the researcher assessing the outcome at one year will be unaware of the treatment allocation. In total, 90 patients will be included and this trial will require an estimated time of two years to complete and will be conducted in the Academic Medical Centre Amsterdam and its partners of the regional trauma care network. DICUSSION:Ideally, patients would be randomised before any kind of treatment has been commenced. However, we deem it not patient-friendly to approach possible participants before adequate reduction has been obtained. TRIAL REGISTRATION:This study is registered at the Netherlands Trial Register (NTR3113) and was granted permission by the Medical Ethical Review Committee of the Academic Medical Centre on 01-10-2012.


Walenkamp MM,Goslings JC,Beumer A,Haverlag R,Leenhouts PA,Verleisdonk EJ,Liem RS,Sintenie JB,Bronkhorst MW,Winkelhagen J,Schep NW




Has Abstract


2014-03-19 00:00:00










  • Which level is responsible for gluteal pain in lumbar disc hernia?

    abstract:BACKGROUND:There are many different reasons why patients could be experiencing pain in the gluteal area. Previous studies have shown an association between radicular low back pain (LBP) and gluteal pain (GP). Studies locating the specific level responsible for gluteal pain in lumbar disc hernias have rarely been report...

    journal_title:BMC musculoskeletal disorders

    pub_type: 杂志文章


    authors: Fang G,Zhou J,Liu Y,Sang H,Xu X,Ding Z

    更新日期:2016-08-22 00:00:00

  • Comparison of improved range of motion between cam-type femoroacetabular impingement and borderline developmental dysplasia of the hip -evaluation by virtual osteochondroplasty using computer simulation.

    abstract:BACKGROUND:While cam resection is essential to achieve a good clinical result with respect to femoroacetabular impingement (FAI), it is unclear whether it should also be performed in cases of borderline developmental dysplasia of the hip (DDH) with a cam deformity. The aim of this study was to evaluate improvements in ...

    journal_title:BMC musculoskeletal disorders

    pub_type: 杂志文章


    authors: Kubota S,Inaba Y,Kobayashi N,Choe H,Tezuka T,Saito T

    更新日期:2017-10-16 00:00:00

  • The biomechanical differences of rotational acetabular osteotomy, Chiari osteotomy and shelf procedure in developmental dysplasia of hip.

    abstract:BACKGROUND:Rotational acetabular osteotomy (RAO), Chiari osteotomy and shelf procedure are important treatments to delay the progression of osteoarthritis in developmental dysplasia of hip (DDH) patients, but their biomechanical differences are still unknown. This study was to evaluate the different biomechanical chang...

    journal_title:BMC musculoskeletal disorders

    pub_type: 杂志文章


    authors: Fu M,Xiang S,Zhang Z,Huang G,Liu J,Duan X,Yang Z,Wu P,Liao W

    更新日期:2014-02-21 00:00:00

  • Psychometric evaluation of spinal assessment methods to screen for scoliosis in children and adolescents with cerebral palsy.

    abstract:BACKGROUND:In cerebral palsy (CP) there is an increased risk of scoliosis. It is important to identify a progressive scoliosis early-on because the results of surgery depend on the magnitude of the curve. The Swedish follow-up program for cerebral palsy (CPUP) includes clinical examinations of the spine. The reliabilit...

    journal_title:BMC musculoskeletal disorders

    pub_type: 杂志文章


    authors: Persson-Bunke M,Czuba T,Hägglund G,Rodby-Bousquet E

    更新日期:2015-11-14 00:00:00

  • Anatomical variation of the Psoas Valley: a scoping review.

    abstract:BACKGROUND:This scoping review aimed to investigate the literature on the anatomy of the psoas valley, an anterior depression on the acetabular rim, and propose a unified definition of the anatomical structure, describe its dimensions, anatomical variations and clinical implications. METHODS:A systematic computer sear...

    journal_title:BMC musculoskeletal disorders

    pub_type: 杂志文章,评审


    authors: Kuroda Y,Rai A,Saito M,Khanduja V

    更新日期:2020-04-10 00:00:00

  • The design of the run Clever randomized trial: running volume, -intensity and running-related injuries.

    abstract:BACKGROUND:Injury incidence and prevalence in running populations have been investigated and documented in several studies. However, knowledge about injury etiology and prevention is needed. Training errors in running are modifiable risk factors and people engaged in recreational running need evidence-based running sch...

    journal_title:BMC musculoskeletal disorders

    pub_type: 杂志文章,随机对照试验


    authors: Ramskov D,Nielsen RO,Sørensen H,Parner E,Lind M,Rasmussen S

    更新日期:2016-04-23 00:00:00

  • "What say ye gout experts?" a content analysis of questions about gout posted on the social news website Reddit.

    abstract:BACKGROUND:Social media is increasingly used by patients to source information for managing chronic disease. The aim of this study was to understand patient information needs about gout by a content analysis of questions posted on the social news website Reddit. METHODS:We analysed questions posted onto the 'Gout suff...

    journal_title:BMC musculoskeletal disorders

    pub_type: 杂志文章


    authors: Derksen C,Serlachius A,Petrie KJ,Dalbeth N

    更新日期:2017-11-23 00:00:00

  • Lower extremity joint contracture according to ambulatory status in children with Duchenne muscular dystrophy.

    abstract:BACKGROUND:Lower extremity joint contractures have negative effects on gait in children with Duchenne muscular dystrophy (DMD). Thus, contracture prevention is essential for maintaining a patient's functional ability and an acceptable quality of life. This study investigated hip flexion (HF), knee flexion (KF), and ank...

    journal_title:BMC musculoskeletal disorders

    pub_type: 杂志文章


    authors: Choi YA,Chun SM,Kim Y,Shin HI

    更新日期:2018-08-16 00:00:00

  • Oxidative stress as a risk factor for osteoporosis in elderly Mexicans as characterized by antioxidant enzymes.

    abstract:BACKGROUND:Oxidative stress (OxS) has recently been linked with osteoporosis; however, we do not know the influence of OxS as an independent risk factor for this disease. METHODS:We conducted a case-control study in 94 subjects > or =60 years of age, 50 healthy and 44 with osteoporosis. We measured total antioxidant s...

    journal_title:BMC musculoskeletal disorders

    pub_type: 杂志文章


    authors: Sánchez-Rodríguez MA,Ruiz-Ramos M,Correa-Muñoz E,Mendoza-Núñez VM

    更新日期:2007-12-19 00:00:00

  • Influence of disruption of the acromioclavicular and coracoclavicular ligaments on glenohumeral motion: a kinematic evaluation.

    abstract:BACKGROUND:Changes to the integrity of the acromioclavicular (AC) joint impact scapulothoracic and clavicular kinematics. AC ligaments provide anterior-posterior stability, while the coracoclavicular (CC) ligaments provide superior-inferior stability and a restraint to scapular internal rotation. The purpose of this ca...

    journal_title:BMC musculoskeletal disorders

    pub_type: 杂志文章


    authors: Walley KC,Haghpanah B,Hingsammer A,Harlow ER,Vaziri A,DeAngelis JP,Nazarian A,Ramappa AJ

    更新日期:2016-11-17 00:00:00

  • Fibroma of tendon sheath around large joints: clinical characteristics and literature review.

    abstract:BACKGROUND:Fibroma of tendon sheath (FTS) is a benign tumor arising from the synovium of the tendon sheath that occurs mostly around small joints such as the fingers, hands, and wrist. However, FTS rarely arises around a large joint (knee, shoulder, elbow, and ankle) with intra-articular or extra-articular involvement....

    journal_title:BMC musculoskeletal disorders

    pub_type: 杂志文章,评审


    authors: Suzuki K,Yasuda T,Suzawa S,Watanabe K,Kanamori M,Kimura T

    更新日期:2017-08-30 00:00:00

  • Optimal location of subtrochanteric osteotomy in total hip arthroplasty for crowe type IV developmental dysplasia of hip.

    abstract:BACKGROUND:When reconstructing a hip with developmental dysplasia and high dislocation, sub-trochanteric shortening osteotomy is typically needed for placing the acetabular component in the appropriate anatomical position. However, the procedure can result in complications such as non-union of the osteotomy. We evaluat...

    journal_title:BMC musculoskeletal disorders

    pub_type: 杂志文章


    authors: Huang ZY,Liu H,Li M,Ling J,Zhang JH,Zeng ZM

    更新日期:2020-04-06 00:00:00

  • Effectiveness of joint mobilisation after cast immobilisation for ankle fracture: a protocol for a randomised controlled trial [ACTRN012605000143628].

    abstract:BACKGROUND:Passive joint mobilisation is a technique frequently used by physiotherapists to reduce pain, improve joint movement and facilitate a return to activities after injury, but its use after ankle fracture is currently based on limited evidence. The primary aim of this trial is to determine if adding joint mobil...

    journal_title:BMC musculoskeletal disorders

    pub_type: 杂志文章,多中心研究,随机对照试验


    authors: Lin CC,Moseley AM,Refshauge KM,Haas M,Herbert RD

    更新日期:2006-05-26 00:00:00

  • Decision-making, therapy, and outcome in lateral compression fractures of the pelvis - analysis of a single center treatment.

    abstract:BACKGROUND:Pelvic lateral compression fractures are the most stable of the unstable fractures. Therefore, decision making regarding operative or non-operative therapy is still a matter of debate. METHODS:Factors, influencing decision making for therapy, were explored based on prospectively collected register data of a...

    journal_title:BMC musculoskeletal disorders

    pub_type: 杂志文章


    authors: Zwingmann J,Eberbach H,Strohm PC,Südkamp NP,Lauritsen J,Schmal H

    更新日期:2019-05-15 00:00:00

  • Intra-articular tranexamic acid as an adjunct to intravenous tranexamic acid for simultaneous bilateral total knee arthroplasty: a randomized double-blind, placebo-controlled trial.

    abstract:BACKGROUND:Intra-articular tranexamic acid (TXA) as an adjunct to intravenous TXA was reported to decrease perioperative blood loss during unilateral total knee arthroplasty (TKA). However, there have been no randomized controlled trials comparing intravenous versus combined intravenous and intra-articular TXA administ...

    journal_title:BMC musculoskeletal disorders

    pub_type: 杂志文章,随机对照试验


    authors: Tsukada S,Kurosaka K,Nishino M,Maeda T,Yonekawa Y,Hirasawa N

    更新日期:2019-10-22 00:00:00

  • Protocol for determining the diagnostic validity of physical examination maneuvers for shoulder pathology.

    abstract:BACKGROUND:Shoulder complaints are the third most common musculoskeletal problem in the general population. There are an abundance of physical examination maneuvers for diagnosing shoulder pathology. The validity of these maneuvers has not been adequately addressed. We propose a large Phase III study to investigate the...

    journal_title:BMC musculoskeletal disorders

    pub_type: 杂志文章,多中心研究


    authors: Somerville L,Bryant D,Willits K,Johnson A

    更新日期:2013-02-08 00:00:00

  • Association of malalignment, muscular dysfunction, proprioception, laxity and abnormal joint loading with tibiofemoral knee osteoarthritis - a systematic review and meta-analysis.

    abstract:BACKGROUND:To investigate (1) the association of specific biomechanical factors with knee osteoarthritis and knee osteoarthritis development, and (2) the impact of other relevant risk factors on this association. METHODS:MEDLINE, EMBASE, CINAHL and SPORTDiscus were searched up until April 2017. Studies were included i...

    journal_title:BMC musculoskeletal disorders

    pub_type: 杂志文章,meta分析


    authors: van Tunen JAC,Dell'Isola A,Juhl C,Dekker J,Steultjens M,Thorlund JB,Lund H

    更新日期:2018-07-28 00:00:00

  • Range of abduction in patients with Legg-Calvé-Perthes disease - a nationwide register-based cohort study.

    abstract:BACKGROUND:Range of abduction often decreases during Legg-Calvé-Perthes Disease (LCPD) disease. However, a good range of abduction is required during the course of LCPD, especially when containment surgery should be performed. This study aimed to investigate how many patients registered in the Swedish Pediatric Orthope...

    journal_title:BMC musculoskeletal disorders

    pub_type: 杂志文章


    authors: El-Harbiti A,Hailer YD

    更新日期:2020-11-05 00:00:00

  • Evidence for validity and reliability of a French version of the FAAM.

    abstract:BACKGROUND:The Foot and Ankle Ability Measure (FAAM) is a self reported questionnaire for patients with foot and ankle disorders available in English, German, and Persian. This study plans to translate the FAAM from English to French (FAAM-F) and assess the validity and reliability of this new version. METHODS:The FAA...

    journal_title:BMC musculoskeletal disorders

    pub_type: 杂志文章


    authors: Borloz S,Crevoisier X,Deriaz O,Ballabeni P,Martin RL,Luthi F

    更新日期:2011-02-08 00:00:00

  • Increased hallux angle in children and its association with insufficient length of footwear: a community based cross-sectional study.

    abstract:BACKGROUND:Wearing shoes of insufficient length during childhood has often been cited as leading to deformities of the foot, particularly to the development of hallux valgus disorders. Until now, these assumptions have not been confirmed through scientific research. This study aims to investigate whether this associati...

    journal_title:BMC musculoskeletal disorders

    pub_type: 杂志文章


    authors: Klein C,Groll-Knapp E,Kundi M,Kinz W

    更新日期:2009-12-17 00:00:00

  • Glutamate signaling through the NMDA receptor reduces the expression of scleraxis in plantaris tendon derived cells.

    abstract:BACKGROUND:A body of evidence demonstrating changes to the glutaminergic system in tendinopathy has recently emerged. This hypothesis was further tested by studying the effects of glutamate on the tenocyte phenotype, and the impact of loading and exposure to glucocorticoids on the glutamate signaling machinery. METHOD...

    journal_title:BMC musculoskeletal disorders

    pub_type: 杂志文章


    authors: Spang C,Backman LJ,Le Roux S,Chen J,Danielson P

    更新日期:2017-05-25 00:00:00

  • Minimally invasive surgery for intra-articular calcaneus fractures: a 9-year, single-center, retrospective study of a standardized technique using a 2-point distractor.

    abstract:BACKGROUND:A fracture of the calcaneus can be a painful and disabling injury. Treatment modalities may be conservative or operative. Surgical treatment strategies include open reduction and internal fixation (ORIF) techniques, as well as a variety of minimally invasive methods. The aim of this study was to evaluate the...

    journal_title:BMC musculoskeletal disorders

    pub_type: 杂志文章


    authors: Rodemund C,Krenn R,Kihm C,Leister I,Ortmaier R,Litzlbauer W,Schwarz AM,Mattiassich G

    更新日期:2020-11-14 00:00:00

  • Tarsal tunnel syndrome secondary to osteochondroma of the calcaneus: a case report.

    abstract:BACKGROUND:Tarsal tunnel syndrome is an entrapment neuropathy that can be provoked by either intrinsic or extrinsic factors that compresses the posterior tibial nerve beneath the flexor retinaculum. Osteochondroma, the most common benign bone tumor, seldom occur in foot or ankle. This is a rare case of tarsal tunnel sy...

    journal_title:BMC musculoskeletal disorders

    pub_type: 杂志文章


    authors: Won SH,Kim J,Min TH,Chun DI,Yi Y,Han SH,Cho J

    更新日期:2020-07-25 00:00:00

  • Translation and validation of the simplified Chinese new Knee Society Scoring System.

    abstract:BACKGROUND:The NKSS has recently been translated into Dutch version. The reliability and validity were also assessed. However, there is no Simplified Chinese version of New Society Knee Scoring System (SC-NKSS) for Chinese population. METHODS:The SC-NKSS was translated from the original English version following inter...

    journal_title:BMC musculoskeletal disorders

    pub_type: 杂志文章


    authors: Liu D,He X,Zheng W,Zhang Y,Li D,Wang W,Li J,Xu W

    更新日期:2015-12-21 00:00:00

  • Surgical trends in elderly patients with proximal humeral fractures in South Korea: a population-based study.

    abstract:BACKGROUND:It is known that there are large regional variations in treatment methods for the management of proximal humeral fractures. The objective of this study was to investigate the national surgical trends in elderly patients with proximal humeral fractures in South Korea. METHODS:We analyzed the Korean Health In...

    journal_title:BMC musculoskeletal disorders

    pub_type: 杂志文章


    authors: Jo YH,Lee KH,Lee BG

    更新日期:2019-03-30 00:00:00

  • Studying the association between musculoskeletal disorders, quality of life and mental health. A primary care pilot study in rural Crete, Greece.

    abstract:BACKGROUND:The burden of musculoskeletal disorders (MSD) on the general health and well-being of the population has been documented in various studies. The objective of this study was to explore the association between MSD and the quality of life and mental health of patients and to discuss issues concerning care seeki...

    journal_title:BMC musculoskeletal disorders

    pub_type: 杂志文章


    authors: Antonopoulou MD,Alegakis AK,Hadjipavlou AG,Lionis CD

    更新日期:2009-11-20 00:00:00

  • Are cervical multifidus muscles active during whiplash and startle? An initial experimental study.

    abstract:BACKGROUND:The cervical multifidus muscles insert onto the lower cervical facet capsular ligaments and the cervical facet joints are the source of pain in some chronic whiplash patients. Reflex activation of the multifidus muscle during a whiplash exposure could potentially contribute to injuring the facet capsular lig...

    journal_title:BMC musculoskeletal disorders

    pub_type: 杂志文章


    authors: Siegmund GP,Blouin JS,Carpenter MG,Brault JR,Inglis JT

    更新日期:2008-06-05 00:00:00

  • Treatment of lumbosacral spinal tuberculosis by one-stage anterior debridement and fusion combined with dual screw-rod anterior instrumentation underneath the iliac vessel.

    abstract:BACKGROUND:There has been no consensus regarding what is the optimal means of treating lumbosacral segment tuberculosis. The aim of this study was to evaluate the clinical outcomes of our newly developed one-stage anterior debridement and fusion combined with dual screw-rod construct anterior instrument underneath the ...

    journal_title:BMC musculoskeletal disorders

    pub_type: 杂志文章


    authors: Zhang T,He X,Li H,Xu S

    更新日期:2016-02-01 00:00:00

  • Reliability of four tests to assess body posture and the range of selected movements in individuals with spinal muscular atrophy.

    abstract:BACKGROUND:The majority of individuals with spinal muscular atrophy (SMA) experience progressive skeletal deformities which may affect the quality of life and mobility. To date, no studies have evaluated the reliability of tests assessing body posture and joint mobility in SMA patients. The purpose of this study was to...

    journal_title:BMC musculoskeletal disorders

    pub_type: 杂志文章


    authors: Stępień A,Jędrzejowska M,Guzek K,Rekowski W,Stępowska J

    更新日期:2019-02-07 00:00:00

  • Pattern of recovery following total shoulder arthroplasty and humeral head replacement.

    abstract:BACKGROUND:Understanding the pattern of recovery and expected rate of change after shoulder arthroplasty is helpful to clinicians and patients for setting realistic expectations and goals. The purpose of this study was to describe the pattern of recovery over a 2-year period for patients receiving either a Total Should...

    journal_title:BMC musculoskeletal disorders

    pub_type: 杂志文章


    authors: Razmjou H,Stratford P,Kennedy D,Holtby R

    更新日期:2014-09-18 00:00:00