{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T20:33:45Z","timestamp":1789590825479,"version":"build-2803163510"},"reference-count":30,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,5,27]],"date-time":"2026-05-27T00:00:00Z","timestamp":1779840000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,5,27]],"date-time":"2026-05-27T00:00:00Z","timestamp":1779840000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Hand Surg Eur Vol"],"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Evidence suggests that the distal radioulnar joint injury associated with an operatively treated displaced fracture of the distal radius does not benefit from specific treatment after the radius is realigned. To better understand variation in treatment of the distal radioulnar joint we performed a scenario-based experiment presenting radiographs of displaced distal radial fractures accompanied by clinical scenarios with randomized aspects.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>In a survey-based experiment, participants of the Science of Variation Group viewed a random subset of five of 10 sets of radiographs showing displaced fractures of the distal radius before and after anterior plate fixation. Each was accompanied by a clinical scenario with trauma energy level, age and gender randomized. Participants indicated their preferred distal radioulnar joint treatment: none, cast immobilization, operative reattachment of ligaments or ulnar styloid fixation, or distal radioulnar joint pinning. Factors associated with any treatment and with reattachment were sought in multivariable regression.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Surgeons recommended distal radioulnar joint treatment in 67% (404 of 607) of the scenarios, most commonly cast immobilization in 41% (247 of 607). Recommendation for any distal radioulnar joint treatment was associated with younger patient age, and for reattachment specifically, was associated with younger patient age, high-energy trauma and fracture of the base of the ulnar styloid.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>The observation of frequent recommendation for distal radioulnar joint treatment, relatively more so for younger patients with higher energy injuries, and some tendency to repair an aligned ulnar styloid base fracture may diverge from existing evidence.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/17531934261449057","type":"journal-article","created":{"date-parts":[[2026,5,27]],"date-time":"2026-05-27T08:23:15Z","timestamp":1779870195000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Factors associated with variation in treatment of the distal radioulnar joint after plate fixation of distal radial fractures"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-3937-6327","authenticated-orcid":false,"given":"Alexander","family":"Drost","sequence":"first","affiliation":[{"name":"Department of Surgery and Perioperative Care, Dell Medical School at The University of Texas at Austin, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Niels","family":"Brinkman","sequence":"additional","affiliation":[{"name":"Department of Surgery and Perioperative Care, Dell Medical School at The University of Texas at Austin, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6506-4879","authenticated-orcid":false,"given":"David","family":"Ring","sequence":"additional","affiliation":[{"name":"Department of Surgery and Perioperative Care, Dell Medical School at The University of Texas at Austin, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steven L","family":"Moran","sequence":"additional","affiliation":[{"name":"Department of Surgery, Mayo Clinic, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rohit","family":"Arora","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology, Medical University Innsbruck, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Niels WL","family":"Schep","sequence":"additional","affiliation":[{"name":"Department of Hand and Wrist Surgery, Maasstad Ziekenhuis, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,5,27]]},"reference":[{"key":"e_1_3_3_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/17531934231177424"},{"key":"e_1_3_3_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0000000000002867"},{"key":"e_1_3_3_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2009.10.035"},{"key":"e_1_3_3_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13018-021-02837-0"},{"key":"e_1_3_3_6_1","unstructured":"Fricker R Jupiter J Kastelec M. ORIF\u2013Palmar plate. AO Surgery References. 2015. Available at: https:\/\/surgeryreference.aofoundation.org\/orthopedic-trauma\/adult-trauma\/distal-forearm\/partial-articular-fracture-of-the-radius-involving-the-volar-rim\/orif-palmar-plate#associated-injuries (2015 accessed 1 July 2025)."},{"key":"e_1_3_3_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/17531934241275456"},{"key":"e_1_3_3_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12593-014-0133-7"},{"key":"e_1_3_3_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/2309499017690984"},{"key":"e_1_3_3_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2010.09.020"},{"key":"e_1_3_3_11_1","doi-asserted-by":"publisher","DOI":"10.1053\/jhsu.2000.6467"},{"key":"e_1_3_3_12_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.G.01368"},{"key":"e_1_3_3_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2013.08.015"},{"key":"e_1_3_3_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10278-016-9939-0"},{"key":"e_1_3_3_15_1","article-title":"Outcomes of isolated radial osteotomy for volar distal radioulnar joint instability following radial malunion in children","volume":"43","author":"Miller A","year":"2018","unstructured":"Miller A, Lightdale-Miric N, Eismann E, Carr P, Little KJ. Outcomes of isolated radial osteotomy for volar distal radioulnar joint instability following radial malunion in children. J Hand Surg Am. 2018, 43: 81.e1\u2013e8.","journal-title":"J Hand Surg Am"},{"key":"e_1_3_3_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2012.05.032"},{"key":"e_1_3_3_17_1","doi-asserted-by":"publisher","DOI":"10.1177\/1753193417730323"},{"key":"e_1_3_3_18_1","doi-asserted-by":"publisher","DOI":"10.1177\/1753193414555284"},{"key":"e_1_3_3_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12593-014-0164-0"},{"key":"e_1_3_3_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2012.12.006"},{"key":"e_1_3_3_21_1","doi-asserted-by":"publisher","DOI":"10.1177\/17531934211054282"},{"key":"e_1_3_3_22_1","article-title":"Early rehabilitation of distal radius fractures stabilized by volar locking plate: a prospective randomized pilot study","volume":"6","author":"Quadlbauer S","year":"2017","unstructured":"Quadlbauer S, Pezzei C, Jurkowitsch J, et al. Early rehabilitation of distal radius fractures stabilized by volar locking plate: a prospective randomized pilot study. J Wrist Surg. 2017, 6: 102\u201312.","journal-title":"J Wrist Surg"},{"key":"e_1_3_3_23_1","doi-asserted-by":"publisher","DOI":"10.1177\/02692155211036674"},{"key":"e_1_3_3_24_1","article-title":"Galeazzi fracture-dislocation","volume":"44","author":"Ramponi DR.","year":"2022","unstructured":"Ramponi DR. Galeazzi fracture-dislocation. Adv Emerg Nurs J. 2022, 44: 116\u201320.","journal-title":"Adv Emerg Nurs J"},{"key":"e_1_3_3_25_1","article-title":"Dynamic palmar dislocation of the ulnar head at the distal radioulnar joint (DRUJ) after radius shaft malunion","volume":"143","author":"Schmitt S","year":"2023","unstructured":"Schmitt S, Eisa A, Radosavljevic J, van Schoonhoven J. Dynamic palmar dislocation of the ulnar head at the distal radioulnar joint (DRUJ) after radius shaft malunion. Arch Orthop Trauma Surg. 2023, 143: 2781\u20137.","journal-title":"Arch Orthop Trauma Surg"},{"key":"e_1_3_3_26_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.H.00345"},{"key":"e_1_3_3_27_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.J.01452"},{"key":"e_1_3_3_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2014.08.007"},{"key":"e_1_3_3_29_1","article-title":"Management of acute distal radioulnar joint instability following a distal radius fracture: a systematic review and meta-Analysis","volume":"3","author":"Xiao AX","year":"2021","unstructured":"Xiao AX, Graf AR, Dawes A, Daley C, Wagner ER, Gottschalk MB. Management of acute distal radioulnar joint instability following a distal radius fracture: a systematic review and meta-Analysis. J Hand Surg Glob Online. 2021, 3: 133\u20138.","journal-title":"J Hand Surg Glob Online"},{"key":"e_1_3_3_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2017.08.061"},{"key":"e_1_3_3_31_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0034-1366997"}],"container-title":["Journal of Hand Surgery (European Volume)"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/17531934261449057","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/17531934261449057","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/17531934261449057","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,30]],"date-time":"2026-05-30T09:51:12Z","timestamp":1780134672000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/17531934261449057"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,27]]},"references-count":30,"alternative-id":["10.1177\/17531934261449057"],"URL":"https:\/\/doi.org\/10.1177\/17531934261449057","relation":{},"ISSN":["1753-1934","2043-6289"],"issn-type":[{"value":"1753-1934","type":"print"},{"value":"2043-6289","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,27]]},"article-number":"17531934261449057"}}