{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,8]],"date-time":"2026-05-08T08:14:31Z","timestamp":1778228071849,"version":"3.51.4"},"reference-count":45,"publisher":"Georg Thieme Verlag KG","issue":"04","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Wrist Surg"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n               Background\u2003Our primary aim was to identify risk factors for subsidence development in nonoperatively treated distal radius fractures (DRFs). Secondary aims of the study included comparisons of subsidence progression over time with respect to DRF radiographic parameters.<\/jats:p><jats:p>\n               Materials and Methods\u2003A retrospective cohort study of 70 patients with DRFs treated nonoperatively and followed for a minimum of 12 weeks was performed. Of the 70 patients, 29 had subsidence and 41 did not have subsidence. Radiographic measurements assessed the radial height (RH), ulnar variance (UV), volar tilt (VT), and radial inclination (RI). Outcome measures included demographics, injury characteristics, closed reduction, and radiographic measurements.<\/jats:p><jats:p>\n               Results\u2003Nearly 95% of DRF subsidence occurred within the first 6 weeks after nonoperative treatment. The mean age of the 41 patients without DRF subsidence was 57.6\u2009\u00b1\u200916.8 years, and 31\/41 (76%) patients were females. Conversely, the mean of the 29 patients with DRF subsidence was 63.8\u2009\u00b1\u200917.5 years, and 22\/29 (76%) patients were females. Fractures requiring closed reduction were associated with more overall subsidence (p\u2009=\u20090.0009) and subsidence within the first 2 weeks posttreatment. Type C and comminuted fractures were associated with DRF subsidence (p\u2009=\u20090.02 and 0.01, respectively). The initial radiographic parameters and step-off measures were not associated with a higher risk of subsidence (p \u2265 0.05). Significant differences between subsidence progressions with respect to RH, UV, VT, and RI were observed.<\/jats:p><jats:p>\n               Conclusion\u2003Most DRF subsidence occurs within the first 6 weeks of nonoperative treatment. Closed reduction, comminution, and AO fracture type are predictors of subsidence development. Moreover, DRF subsidence progresses at different rates depending on the radiographic parameter assessed.<\/jats:p>","DOI":"10.1055\/s-0044-1779741","type":"journal-article","created":{"date-parts":[[2024,3,1]],"date-time":"2024-03-01T19:16:07Z","timestamp":1709320567000},"page":"322-332","source":"Crossref","is-referenced-by-count":1,"title":["Distal Radius Fracture Subsidence after Nonoperative Treatment"],"prefix":"10.1055","volume":"14","author":[{"given":"Kenan","family":"Alzouhayli","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Wexner Medical Center, Columbus, Ohio"},{"name":"The Ohio State University College of Medicine, Columbus, Ohio"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard","family":"Samade","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, The University of Texas Southwestern, Dallas, Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Beau","family":"Sitton","sequence":"additional","affiliation":[{"name":"The Ohio State University College of Medicine, Columbus, Ohio"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nathaniel","family":"Bates","sequence":"additional","affiliation":[{"name":"The Ohio State University College of Medicine, Columbus, Ohio"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kanu S.","family":"Goyal","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Wexner Medical Center, Columbus, Ohio"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2024,3,1]]},"reference":[{"issue":"08","key":"ref1","doi-asserted-by":"crossref","first-page":"691","DOI":"10.1016\/j.injury.2006.04.130","article-title":"Epidemiology of adult fractures: a review","volume":"37","author":"C M Court-Brown","year":"2006","journal-title":"Injury"},{"issue":"05","key":"ref2","doi-asserted-by":"crossref","first-page":"908","DOI":"10.1053\/jhsu.2001.26322","article-title":"The frequency and epidemiology of hand and forearm fractures in the United States","volume":"26","author":"K C Chung","year":"2001","journal-title":"J Hand Surg Am"},{"issue":"12","key":"ref3","doi-asserted-by":"crossref","first-page":"1912","DOI":"10.1016\/j.jhsa.2011.09.039","article-title":"An economic analysis of outcomes and complications of treating distal radius fractures in the elderly","volume":"36","author":"M J Shauver","year":"2011","journal-title":"J Hand Surg Am"},{"key":"ref4","volume-title":"Distal Radius Fractures","author":"C B Corsino","year":"2022"},{"issue":"09","key":"ref5","doi-asserted-by":"crossref","first-page":"566","DOI":"10.5435\/JAAOS-22-09-566","article-title":"Controversies in the management of distal radius fractures","volume":"22","author":"K Koval","year":"2014","journal-title":"J Am Acad Orthop Surg"},{"issue":"03","key":"ref6","first-page":"233","article-title":"Internal fixation vs conservative treatment for displaced distal radius fractures: a meta-analysis of randomized controlled trials","volume":"22","author":"G S Yu","year":"2016","journal-title":"Ulus Travma Acil Cerrahi Derg"},{"issue":"04","key":"ref7","doi-asserted-by":"crossref","first-page":"307","DOI":"10.1055\/s-0035-1556860","article-title":"The unstable distal radius fracture-how do we define it? 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