{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,19]],"date-time":"2025-09-19T09:34:12Z","timestamp":1758274452022,"version":"3.40.5"},"reference-count":29,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2019,8,16]],"date-time":"2019-08-16T00:00:00Z","timestamp":1565913600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Emerg Medicine Australasia"],"published-print":{"date-parts":[[2020,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Primarily to determine mid\u2010term functional outcome for patients with distal radius fracture (DRF) and to compare this between operative and conservatively managed patients. Secondarily to examine for differences in age, gender and number of instability factors between management groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Eligible patients (age 18\u2009years or more, closed DRF managed to completion of care within Monash Health), presenting between 1 January and 31 December 2016. Completion of the patient\u2010rated wrist evaluation (PRWE) questionnaire was sought at 6\u201312 months post\u2010injury. Management was noted (operative or conservative). Age, sex and number of defined instability factors present (dorsal angulation &gt;20\u00b0, intra\u2010articular fracture, associated ulna fracture, dorsal comminution, radial shortening &gt;2 mm) are reported and compared between management groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 369 eligible patients, 199 (54%) completed a PRWE. Median age was 60\u2009years (interquartile range [IQR] 45\u201371), 150 (75%) were women, median number of instability factors present was 2 (IQR 1\u20134) and 45 (23%) underwent operative management. Difference in PRWE scores between operative and conservatively managed patients was not significant (20 [IQR 7\u201336] <jats:italic>vs<\/jats:italic> 16 [IQR 5\u201335]). Differences in age and gender between management groups were not significant. Significantly more in the operative group had presence of four or more instability factors (44% [95% confidence interval 30\u201360] <jats:italic>vs<\/jats:italic> 20% [14\u201327]).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The mid\u2010term median PRWE score was 18 (IQR 5\u201336). This was not significantly different between operative and conservatively managed patients. Operation was more likely when four or more instability factors were present.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1742-6723.13375","type":"journal-article","created":{"date-parts":[[2019,8,16]],"date-time":"2019-08-16T12:21:05Z","timestamp":1565958065000},"page":"105-111","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Functional outcome and management pathways for adult patients presenting to an Australian health service with distal radius fracture"],"prefix":"10.1111","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3104-0780","authenticated-orcid":false,"given":"Robert","family":"Meek","sequence":"first","affiliation":[{"name":"School of Clinical Sciences at Monash Health, Faculty of Medicine Nursing and Health Sciences, Monash University  Melbourne Victoria Australia"},{"name":"Department of Emergency Medicine Monash Health  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ananth","family":"Sundaralingam","sequence":"additional","affiliation":[{"name":"School of Clinical Sciences at Monash Health, Faculty of Medicine Nursing and Health Sciences, Monash University  Melbourne Victoria Australia"},{"name":"Department of Emergency Medicine Monash Health  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew","family":"Shen","sequence":"additional","affiliation":[{"name":"School of Clinical Sciences at Monash Health, Faculty of Medicine Nursing and Health Sciences, Monash University  Melbourne Victoria Australia"},{"name":"Department of Emergency Medicine Monash Health  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aravinthan","family":"Sundaralingam","sequence":"additional","affiliation":[{"name":"School of Clinical Sciences at Monash Health, Faculty of Medicine Nursing and Health Sciences, Monash University  Melbourne Victoria Australia"},{"name":"Monash Imaging Monash Health  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laurence","family":"Sorace","sequence":"additional","affiliation":[{"name":"Melbourne Medical School The University of Melbourne  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,8,16]]},"reference":[{"key":"e_1_2_8_2_1","unstructured":"Australian Institute of Health and Welfare.A Snapshot of Osteoporosis in Australia 2011. 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