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Cracking the code on common wrist injury
Date:2/4/2010

hat some elderly patients are physiologically younger than others. By lifting weights, getting regular exercise, and staying in shape, some seniors have the same bone structure of an individual 20 or 30 years younger. Lichtman and his colleagues had been looking for answers to this particular question in the current review of the literature and were surprised, once again, to find that no answers existed at this time.

Due to the current studies lacking evidence based support, the following recommendations were a consensus among the Academy work group:

  • Distal radius fractures treated without surgery should have repeated x-rays for three weeks and when the use of a splint or cast is discontinued.
  • Patients should perform active finger motion exercises following diagnosis of distal radius fracture.
  • Patients with distal radius fractures and unremitting pain need to be re-evaluated promptly by their physician.

"Probably the most valuable part of this exercise was the realization that better studies are needed to precisely determine which current treatments work the best under different clinical circumstances. We also came up with some helpful ideas on how to design future studies," said Dr. Lichtman.

Creating this Guideline

More than 4,000 journal articles from around the world were analyzed over the course of a year and every article was graded on a five-point scale depending on the strength and quality of the evidence. Only prospective, randomly controlled clinical trials with enough patients to establish clinical and statistical significance could earn the highest grade, ranking as strong evidence.


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Contact: Lauren Pearson
pearson@aaos.org
847-384-4031
American Academy of Orthopaedic Surgeons
Source:Eurekalert

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