Routine follow-up radiographs for distal radius fractures are seldom clinically substantiatedReportar como inadecuado

Routine follow-up radiographs for distal radius fractures are seldom clinically substantiated - Descarga este documento en PDF. Documentación en PDF para descargar gratis. Disponible también para leer online.

Archives of Orthopaedic and Trauma Surgery

pp 1–5

First Online: 22 July 2017Received: 28 November 2016


IntroductionThe value of routine radiographs during follow-up after distal radius fractures is unclear. The aim of this study was to evaluate whether routine radiographs performed during the follow-up period in patients with a distal radius fracture influenced clinical decision making.

MethodsThis retrospective cohort study included patients aged ≥18 years who were treated for a distal radius fracture at four hospitals in The Netherlands in 2012. Demographic and clinical and radiographic characteristics were collected from medical records.

Results1042 patients were included. In 121 14% of the 841 radiographs, a clinical indication was reported. Treatment was affected by 22 2.6% radiographs, including 11 1.5% radiographs that were categorized as routine, 9 1.2% of which led to prolonged cast immobilization and 2 0.2% to surgery for conservatively treated patients.

ConclusionAlthough it is common practice to take radiographs after distal radius fractures, the study results indicate that routine radiographs seldom affect treatment. This finding should be weighed against the high health care costs associated with these fractures. We hope that the results of our study will trigger the awareness among surgeons that in the current practice, many radiographs are taken on routine without influencing clinical decision making and can probably be omitted.

Level of evidenceLevel III.

KeywordsDistal radius fractures Wrist fractures Routine radiography Radiographs Imaging AbbreviationsASAAmerican Society of Anesthesiologists

AO-OTAArbeitsgemeinschaft für Osteosynthesefragen-Orthopaedic Trauma Association

ROMRange of motion

SDStandard deviation

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Autor: N. L. Weil - M. El Moumni - S. M. Rubinstein - P. Krijnen - M. F. Termaat - I. B. Schipper


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