Functional recovery of the wrist and hand after a fracture of the distal forearm in 207 consecutive patients was analysed. A good or excellent result was achieved in 77 percent, fair in 22.5 percent and poor in 0.5 percent of cases. The result in 14 unstable fractures treated with external fixation was as good as that of the whole series. Good functional results were associated with extra-articular fractures, good anatomical results, male sex and low age. Comminuted intra-articular fractures of the radiocarpal joint, fracture line into the distal radio-ulnar joint, fracture of the ulnar styloid and a poor anatomical result in addition to high age contributed to a poor result.
"During the period following a wrist fracture, the individual can experience pain and movement limitations. Certain activities may be restricted, and such individuals could have chronic pain and reduced functions (23). "
[Show abstract][Hide abstract] ABSTRACT: To review all specific questionnaires regarding quality of life in osteoporosis and to describe their distinctive indications, we searched Medline, the Scientific Electronic Library Online database, and the Latin-American and Caribbean Health Sciences Literature database. Nine specific questionnaires related to osteoporosis quality of life were found: 1) the Women's Health Questionnaire, 2) Osteoporosis Quality of Life Questionnaire, 3) Osteoporosis Assessment Questionnaire, 4) Osteoporosis Functional Disability Questionnaire, 5) Quality of Life Questionnaire of the European Foundation for Osteoporosis, 6) Osteoporosis-Targeted Quality of Life Questionnaire, 7) Japanese Osteoporosis Quality of Life Questionnaire, 8) the 16-item Assessment of Health-Related Quality of Life in Osteoporosis, and 9) the Quality of Life Questionnaire in Osteoporosis (QUALIOST TM). The Quality of Life Questionnaire of the European Foundation for Osteoporosis is the osteoporosis-specific questionnaire most commonly used in the literature. The Quality of Life Questionnaire of the European Foundation for Osteoporosis and the Osteoporosis Quality of Life Questionnaire are targeted more toward fracture assessment, and the Osteoporosis Functional Disability Questionnaire can be used for longitudinal studies involving exercise. In the present study, the authors summarize all of the specific questionnaires for osteoporosis and demonstrate that these questionnaires should be selected based on the objectives to be evaluated. Osteoporosis-specific quality of life questionnaires should be validated in the language of the country of origin before being used.
"Long-term outcome after Colles' fracture is often reported to be good or satisfactory and the effect of the fracture on a patient's functional activities is usually regarded as minimal (Altissimi et al. 1986, Kaukonen et al. 1988, Field et al. 1992, Kopylov et al. 1993, Warwick et a1 1993). However, some patients have substantial residual symptoms and impairment of function (Bacom and Kurtzke 1953, Cooney et al. 1980, Strange-Vognsen 1991). "
[Show abstract][Hide abstract] ABSTRACT: We retrospectively assessed hand and forearm symptoms of 652 patients with a Colles' fracture, 5 years after the fracture, using a questionnaire. The contralateral forearm, which was free of major injuries or illnesses, was used as control. Forearm and hand symptoms were common and only one quarter of the fractured forearms were completely free of symptoms at the time of review, whereas four fifths of the control forearms had no symptoms. Nearly half of the patients complained of impairment in various activities and 8% had had to give up leisure activities or make special arrangements at work. Demographic, and most of the fracture-related factors, were not associated with the symptoms. Neither AO nor Frykman's radiographic classifications of the primary fracture were of any use for predicting the clinical outcome.
"Forearm fractures lead to acute pain and loss of function, but recovery is usually good. Six months after the fracture, a good or excellent result was achieved in 77% (Kaukonen et al. 1988). The total loss of QALYs was 0.02 for one year (Dolan et al. 1999). "
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