{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T17:17:42Z","timestamp":1788455862625,"version":"build-2803163510"},"reference-count":27,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,1]]},"abstract":"<jats:sec>\n            <jats:title>Objectives:<\/jats:title>\n            <jats:p>To test the null hypothesis that there is no significant change in radiographic parameters, which determines an acceptable reduction, beyond 3 weeks in distal radius fractures with closed treatment.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Design:<\/jats:title>\n            <jats:p>Retrospective review of a prospectively gathered registry of distal radius fractures.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Setting:<\/jats:title>\n            <jats:p>Academic medical center.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Patients:<\/jats:title>\n            <jats:p>Patients who underwent closed treatment of distal radius fracture.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Intervention:<\/jats:title>\n            <jats:p>Sequential radiographic evaluation.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Main Outcome Measurements:<\/jats:title>\n            <jats:p>Change of radiographic measurement including radial inclination, radial height, ulnar variance, articular tilt, teardrop angle, anteroposterior distance, intra-articular gap, and step-off. We compared postreduction radiographic parameters once within 2 weeks, at the third week, at cessation of immobilization, and analyzed the interobserver reliability test.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results:<\/jats:title>\n            <jats:p>There was a statistically significant difference between radiographic measurements, which determined an acceptable reduction between radiographs performed within 2 weeks versus the third week. Radial inclination and ulnar variance were statistically different at the third week compared with the time of cessation of immobilization. Seventy-seven percent of patients who had an acceptable reduction after 2 weeks maintained acceptable alignment at cessation of immobilization. Eighty-five percent of patients with acceptable reduction after 3 weeks maintained acceptable alignment at cessation of immobilization. Radial shortening &gt;1.8 mm at the third week predicts an unacceptable radiographic outcome at cessation of immobilization (sensitivity 94.5% and specificity 90%).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusion:<\/jats:title>\n            <jats:p>Radiographic parameters that determine acceptable reduction for closed treatment of distal radius fractures change minimally after 3-week postacceptable closed reduction. Radial shortening at the third week can be used to predict an unacceptable radiographic outcome.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Level of Evidence:<\/jats:title>\n            <jats:p>Prognostic Level IV. See Instructions for Authors for a complete description of levels of evidence.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1097\/bot.0000000000001606","type":"journal-article","created":{"date-parts":[[2019,8,29]],"date-time":"2019-08-29T15:00:24Z","timestamp":1567090824000},"page":"e26-e30","source":"Crossref","is-referenced-by-count":3,"title":["Sequential Radiographic Evaluation During Closed Treatment of Distal Radius Fracture"],"prefix":"10.1097","volume":"34","author":[{"given":"Direk","family":"Tantigate","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Columbia University Medical Center, NY; and"},{"name":"Department of Orthopaedic Surgery, Faculty of Medicine, Siriraj Hospital Mahidol University, Bangkok, Thailand."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dorien","family":"Salentijn","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Columbia University Medical Center, NY; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James D.","family":"Lin","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Columbia University Medical Center, NY; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christina E.","family":"Freibott","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Columbia University Medical Center, NY; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert J.","family":"Strauch","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Columbia University Medical Center, NY; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melvin P.","family":"Rosenwasser","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Columbia University Medical Center, NY; and"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-20230828","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":"Court-Brown","year":"2006","journal-title":"Injury."},{"key":"R2-20230828","doi-asserted-by":"crossref","first-page":"e242","DOI":"10.1097\/BOT.0000000000000312","article-title":"The epidemiology of upper extremity fractures in the United States, 2009","volume":"29","author":"Karl","year":"2015","journal-title":"J Orthop Trauma."},{"key":"R3-20230828","doi-asserted-by":"crossref","first-page":"389","DOI":"10.1186\/s12891-015-0829-2","article-title":"The Amsterdam wrist rules: the multicenter prospective derivation and external validation of a clinical decision rule for the use of radiography in acute wrist trauma","volume":"16","author":"Walenkamp","year":"2015","journal-title":"BMC Musculoskelet Disord."},{"key":"R4-20230828","doi-asserted-by":"crossref","first-page":"185","DOI":"10.1007\/s00068-015-0527-7","article-title":"A multicentre cross-sectional study to examine physicians' ability to rule out a distal radius fracture based on clinical findings","volume":"42","author":"Walenkamp","year":"2016","journal-title":"Eur J Trauma Emerg Surg."},{"key":"R5-20230828","doi-asserted-by":"crossref","first-page":"1868","DOI":"10.2106\/JBJS.H.01297","article-title":"Trends in the United States in the treatment of distal radial fractures in the elderly","volume":"91","author":"Chung","year":"2009","journal-title":"J Bone Joint Surg Am."},{"key":"R6-20230828","doi-asserted-by":"crossref","first-page":"421","DOI":"10.1016\/j.jhsa.2007.12.016","article-title":"Distal radius fracture management in elderly patients: a literature review","volume":"33","author":"Gehrmann","year":"2008","journal-title":"J Hand Surg Am."},{"key":"R7-20230828","doi-asserted-by":"crossref","first-page":"1568","DOI":"10.2106\/JBJS.H.00722","article-title":"Unstable distal radial fractures treated with external fixation, a radial column plate, or a volar plate. 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