{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T18:20:37Z","timestamp":1787768437244,"version":"build-2784847793"},"reference-count":24,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T00:00:00Z","timestamp":1787443200000},"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>This study investigated the differences in clinical and radiological outcomes between conservatively and surgically treated distal ulnar metaphyseal fractures associated with distal radial fractures that were fixed with anterior locking plates.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Sixty-six patients were retrospectively included. Thirty-five patients had conservative treatment (group C) and 31 surgical fixation (group S). All ulnar fractures were treated with a plate and screws except one fracture that was fixed with K-wires. The final decision for surgical fixation was influenced by individual surgeon preference. Outcomes included Disabilities of the Arm, Shoulder and Hand (DASH) scores, range of motion, grip strength and radiological parameters. Mean follow-up was 33\u2009months for group C and 32\u2009months for group S.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The mean DASH score was 14 in both groups. No significant differences were found for range of motion or grip strength. All fractures healed with similar union times. Median ulnar metaphyseal coronal angulation was 9\u00b0 in group C (IQR 8 to 10) and 2\u00b0 in group S (IQR 2 to 3). Angular deformity of more than 10\u00b0 was more frequent in group C than in group S (13\/35 vs. 3\/31). Despite the lesser angulation, five patients in group S and one patient in group C required additional surgery owing to implant-related complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>With surgical fixation of distal ulnar fractures, radiological outcomes were better than those with closed management, but clinical outcomes were similar and there were more complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of evidence:<\/jats:title>\n                    <jats:p>III<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/17531934261474790","type":"journal-article","created":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T05:18:22Z","timestamp":1787548702000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Operative versus conservative management of metaphyseal ulnar fractures in distal radial fractures fixed with a plate"],"prefix":"10.1177","author":[{"given":"Seung-Yeob","family":"Sakong","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery, Ajou University Hospital, College of Medicine, Ajou University, Suwon, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Won-Tae","family":"Cho","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Ajou University Hospital, College of Medicine, Ajou University, Suwon, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seong-Hyun","family":"Kang","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Korea University Guro Hospital, Korea University Medicine, Seoul, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeong-Seok","family":"Choi","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Korea University Guro Hospital, Korea University Medicine, Seoul, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jung Il","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Korea University Guro Hospital, Korea University Medicine, Seoul, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8934-0137","authenticated-orcid":false,"given":"Jae-Woo","family":"Cho","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Korea University Guro Hospital, Korea University Medicine, Seoul, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,8,23]]},"reference":[{"key":"e_1_3_3_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0266-7681(05)80094-4"},{"key":"e_1_3_3_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2012.07.031"},{"key":"e_1_3_3_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/1558944720922923"},{"key":"e_1_3_3_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00590-014-1427-y"},{"key":"e_1_3_3_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1097-0274(199606)29:6<602::AID-AJIM4>3.0.CO;2-L"},{"key":"e_1_3_3_7_1","article-title":"Surgical treatment of distal radius fractures and treatment of common accompanying lesions","volume":"35","author":"Kim J-H.","year":"2022","unstructured":"Kim J-H. Surgical treatment of distal radius fractures and treatment of common accompanying lesions. J Musculoskelet Trauma. 2022, 35: 120\u20137.","journal-title":"J Musculoskelet Trauma"},{"key":"e_1_3_3_8_1","article-title":"Management of distal ulnar fracture combined with distal radius fracture","volume":"21","author":"Kim JK","year":"2016","unstructured":"Kim JK, Kim J-O, Koh Y-D. Management of distal ulnar fracture combined with distal radius fracture. J Hand Surg Asian Pac. 2016, 21: 155\u201360.","journal-title":"J Hand Surg Asian Pac"},{"key":"e_1_3_3_9_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198668050-00003"},{"key":"e_1_3_3_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0363-5023(96)80151-1"},{"key":"e_1_3_3_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/21514593211038089"},{"key":"e_1_3_3_12_1","doi-asserted-by":"publisher","DOI":"10.3928\/01477447-20120822-22"},{"key":"e_1_3_3_13_1","doi-asserted-by":"publisher","DOI":"10.1142\/S0218810415500306"},{"key":"e_1_3_3_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0000000000001063"},{"key":"e_1_3_3_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2017.01.008"},{"key":"e_1_3_3_16_1","article-title":"Distal ulna fractures in adults \u2013 subcapitular, transverse fractures did not benefit from surgical treatment","volume":"143","author":"Moloney M","year":"2023","unstructured":"Moloney M, Farnebo S, Adolfsson L. Distal ulna fractures in adults \u2013 subcapitular, transverse fractures did not benefit from surgical treatment. Arch Orthop Trauma Surg. 2023, 143: 381\u20137.","journal-title":"Arch Orthop Trauma Surg"},{"key":"e_1_3_3_17_1","doi-asserted-by":"publisher","DOI":"10.1177\/1753193409103728"},{"key":"e_1_3_3_18_1","volume-title":"Measurement of Joint Motion: A Guide to Goniometry","author":"Norkin CC","year":"2016","unstructured":"Norkin CC, White DJ. Measurement of Joint Motion: A Guide to Goniometry. 5th ed. Philadelphia, PA: F.A. 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