{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T08:20:10Z","timestamp":1790756410832,"version":"4.1.0"},"reference-count":41,"publisher":"British Editorial Society of Bone & Joint Surgery","issue":"5","license":[{"start":{"date-parts":[[2008,5,1]],"date-time":"2008-05-01T00:00:00Z","timestamp":1209600000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/online.boneandjoint.org.uk\/TDM"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Journal of Bone and Joint Surgery. British volume"],"published-print":{"date-parts":[[2008,5]]},"abstract":"<jats:p>Fractures of the distal radius occurring in young adults are treated increasingly by open surgical techniques, partly because of concern that failure to restore the alignment of the fracture accurately may cause symptomatic post-traumatic osteoarthritis in future years. We reviewed 106 adults who had sustained a fracture of the distal radius between 1960 and 1968 and who were below the age of 40 years at the time of injury. We carried out a clinical and radiological assessment at a mean follow-up of 38 years (33 to 42).<\/jats:p><jats:p>No patient had required a salvage procedure. While there was radiological evidence of post-traumatic osteoarthritis after an intra-articular fracture in 68% of patients (27 of 40), the disabilities of the arm, shoulder and hand (DASH) scores were not different from population norms, and function, as assessed by the Patient Evaluation Measure, was impaired by less than 10%. Ordinal logistic regression analysis showed a significant relationship between narrowing of the joint space and extra-articular malunion (dorsal angulation and radial shortening) as well as intra-articular injury. Multivariate analysis revealed that grip strength had fallen to 89% of that of the uninjured side in the presence of dorsal malunion, but no measure of extra-articular malunion was significantly related to either the Patient Evaluation Measure or DASH scores.<\/jats:p><jats:p>While anatomical reduction is the principal aim of treatment, imperfect reduction of these fractures may not result in symptomatic arthritis in the long term, and this should be considered when counselling patients on the risks and benefits of the many treatment options available.<\/jats:p>","DOI":"10.1302\/0301-620x.90b5.19448","type":"journal-article","created":{"date-parts":[[2008,4,30]],"date-time":"2008-04-30T21:29:52Z","timestamp":1209590992000},"page":"629-637","source":"Crossref","is-referenced-by-count":130,"title":["Do young patients with malunited fractures of the distal radius inevitably develop symptomatic post-traumatic osteoarthritis?"],"prefix":"10.1302","volume":"90-B","author":[{"given":"D. P.","family":"Forward","sequence":"first","affiliation":[{"name":"Department of Trauma and Orthopaedic Surgery"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T. R. C.","family":"Davis","sequence":"additional","affiliation":[{"name":"Department of Trauma and Orthopaedic Surgery"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. S.","family":"Sithole","sequence":"additional","affiliation":[{"name":"Nottingham University Hospitals, Queen\u2019s Medical Centre Campus, Nottingham NG7 2UH, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"42","reference":[{"key":"R1","unstructured":"Jupiter JB, Fernandez DL.Complications following distal radial fractures. Instr Course Lect 2002;51:203\u201319."},{"key":"R2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198668050-00003"},{"key":"R3","doi-asserted-by":"crossref","unstructured":"Handoll HH, Madhok R.Surgical interventions for treating distal radial fractures in adults. Cochrane Database Syst Rev 2003;3:CD003209.","DOI":"10.1002\/14651858.CD003209"},{"key":"R4","doi-asserted-by":"crossref","unstructured":"Handoll HH, Madhok R.Conservative interventions for treating distal radial fractures in adults. Cochrane Database Syst Rev 2003;2:CD000314.","DOI":"10.1002\/14651858.CD003209"},{"key":"R5","doi-asserted-by":"crossref","unstructured":"Kreder HJ.Review: evidence on surgical interventions for distal radial fractures is inconclusive. ACP J Club 2002;136:112.","DOI":"10.7326\/ACPJC-2002-136-3-112"},{"key":"R6","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2004.11.014"},{"key":"R7","doi-asserted-by":"crossref","unstructured":"Forward DP, Lindau TR, Melsom DS.Intercarpal ligament injuries associated with fractures of the distal part of the radius. J Bone Joint Surg [Am] 2007;89-A:2334\u201340.","DOI":"10.2106\/00004623-200711000-00002"},{"key":"R8","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1097-0274(199606)29:6<602::AID-AJIM4>3.0.CO;2-L"},{"key":"R9","doi-asserted-by":"crossref","unstructured":"Macey AC, Burke FD, Abbott K, et al.Outcomes of hand surgery. J Hand Surg [Br] 1995;20:841\u201355.","DOI":"10.1016\/S0266-7681(95)80059-X"},{"key":"R10","doi-asserted-by":"crossref","unstructured":"Gummesson C, Atroshi I, Ekdahl C.The disabilties of the arm, shoulder and hand (DASH) outcome questionnaire: logitudinal construct validity and measuring self-rated health change after surgery. BMC Musculoskelet Disord 2003;16:4\u201311.","DOI":"10.1186\/1471-2474-4-11"},{"key":"R11","doi-asserted-by":"crossref","unstructured":"Sharma R, Dias JJ.Validity and reliability of three generic outcome measures for hand disorders. J Hand Surg [Br] 2000;250:593\u2013600.","DOI":"10.1054\/jhsb.2000.0398"},{"key":"R12","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.83B2.0830235"},{"key":"R13","doi-asserted-by":"publisher","DOI":"10.1016\/J.JHSB.2007.01.010"},{"key":"R14","doi-asserted-by":"crossref","unstructured":"Sodha S, Ring D, Zurakowski D, Jupiter JB.Prevalence of osteoarthritis of the trapeziometacarpal joint. J Bone Joint Surg [Am] 2005;87-A:2614\u201318.","DOI":"10.2106\/JBJS.E.00104"},{"key":"R15","doi-asserted-by":"crossref","unstructured":"van der Linden W, Ericson R.Colles\u2019 fracture: how should its displacement be measured and how should it be immobilized? J Bone Joint Surg [Am] 1981;63-A:1285\u20138.","DOI":"10.2106\/00004623-198163080-00009"},{"key":"R16","doi-asserted-by":"publisher","DOI":"10.1016\/j.hcl.2005.02.008"},{"key":"R17","doi-asserted-by":"crossref","unstructured":"Fourrier P, Bardy A, Roche G, Cisterne JP, Chambon A.Approach to a definition of mal-union callus after Pourteau-Colles fractures. Int Orthop 1981;4:299\u2013305 (in French).","DOI":"10.1007\/BF00266073"},{"key":"R18","doi-asserted-by":"crossref","unstructured":"Dias JJ, Wildin CJ, Bhowal B, Thompson JR.Should acute scaphoid fractures be fixed? a randomized controlled trial. J Bone Joint Surg [Am] 2005;87-A:2160\u20138.","DOI":"10.2106\/00004623-200510000-00002"},{"key":"R19","doi-asserted-by":"publisher","DOI":"10.1037\/h0087427"},{"key":"R20","doi-asserted-by":"crossref","unstructured":"Hunsaker FG, Cioffi DA, Amadio PC, Wright JG, Caughlin B.The American academy of orthopaedic surgeons outcomes instruments: normative values from the general population. J Bone Joint Surg [Am] 2002;84-A:208\u201315.","DOI":"10.2106\/00004623-200202000-00007"},{"key":"R21","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.87B6.15539"},{"key":"R22","doi-asserted-by":"crossref","unstructured":"Gartland JJ Jr, Werley CW.Evaluation of healed Colles\u2019 fractures. J Bone Joint Surg [Am] 1951;33-A:895\u2013907.","DOI":"10.2106\/00004623-195133040-00009"},{"key":"R23","doi-asserted-by":"crossref","unstructured":"Cooney WP 3rd, Dobyns JH, Linscheid RL.Complications of Colles\u2019 fractures. J Bone Joint Surg [Am] 1980;62-A:613\u201319.","DOI":"10.2106\/00004623-198062040-00016"},{"key":"R24","doi-asserted-by":"crossref","unstructured":"Bradway JK, Amadio PC, Cooney WP. Open reduction and internal fixation of displaced, comminuted intra-articular fractures of the distal end of the radius. J Bone Joint Surg [Am] 1989;71-A:839\u201347.","DOI":"10.2106\/00004623-198971060-00007"},{"key":"R25","doi-asserted-by":"publisher","DOI":"10.1016\/0363-5023(91)90001-R"},{"key":"R26","doi-asserted-by":"publisher","DOI":"10.3109\/17453678809149341"},{"key":"R27","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.69B4.3611172"},{"key":"R28","doi-asserted-by":"publisher","DOI":"10.1016\/0266-7681(93)90195-L"},{"key":"R29","doi-asserted-by":"crossref","unstructured":"Trumble TE, Schmitt SR, Vedder NB.Factors affecting functional outcome of displaced intra-articular distal radius fractures. J Hand Surg [Am] 1994;19:325\u201340.","DOI":"10.1016\/0363-5023(94)90028-0"},{"key":"R30","doi-asserted-by":"crossref","unstructured":"Scheck M.Long-term follow-up of treatment of comminuted fractures of the distal end of the radius by transfixation with Kirschner wires and cast. J Bone Joint Surg [Am] 1962;44-A:337\u201351.","DOI":"10.2106\/00004623-196244020-00010"},{"key":"R31","doi-asserted-by":"crossref","unstructured":"DePalma AF.Comminuted fractures of the distal end of the radius treated by ulnar pinning. J Bone Joint Surg [Am] 1952;24-A:651\u201362.","DOI":"10.2106\/00004623-195234030-00019"},{"key":"R32","doi-asserted-by":"publisher","DOI":"10.1016\/0266-7681(88)90090-3"},{"key":"R33","doi-asserted-by":"crossref","unstructured":"Altissimi M, Antenucci R, Fiacca C, Mancini GB.Long-term results of conservative treatment of fractures of the distal radius. Clin Orthop 1986;206:202\u201310.","DOI":"10.1097\/00003086-198605000-00035"},{"key":"R34","doi-asserted-by":"publisher","DOI":"10.1053\/jhsu.2000.jhsu025a0019"},{"key":"R35","doi-asserted-by":"crossref","unstructured":"Overgaard S, Solgaard S.Osteoarthritis after Colles\u2019 fracture. Orthopaedics 1989;12:413\u201316.","DOI":"10.3928\/0147-7447-19890301-12"},{"key":"R36","doi-asserted-by":"crossref","unstructured":"Mackenney PJ, McQueen MM, Elton R.Prediction of instability in distal radial fractures. J Bone Joint Surg [Am] 2006;88-A:1944\u201351.","DOI":"10.2106\/00004623-200609000-00006"},{"key":"R37","doi-asserted-by":"crossref","unstructured":"Catalano LW 3rd, Cole RJ, Gelberman RH, et al.Displaced intra-articular fractures of the distal aspect of the radius: long-term results in young adults after open reduction and internal fixation. J Bone Joint Surg [Am] 1997;79-A:1290\u2013302.","DOI":"10.2106\/00004623-199709000-00003"},{"key":"R38","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.47B1.80"},{"key":"R39","doi-asserted-by":"crossref","unstructured":"Zarins B.Are validated questionnaires valid? J Bone Joint Surg [Am] 2005;87-A:1671\u20132.","DOI":"10.2106\/00004623-200508000-00001"},{"key":"R40","doi-asserted-by":"crossref","unstructured":"Doornberg JN, Ring D, Fabian LM, et al.Pain dominates measurements of elbow function and health status. J Bone Joint Surg [Am] 2005:87-A:1725\u201331.","DOI":"10.2106\/00004623-200508000-00009"},{"key":"R41","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2006.01.008"}],"container-title":["The Journal of Bone and Joint Surgery. British volume"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/pdf\/10.1302\/0301-620X.90B5.19448","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/full-xml\/10.1302\/0301-620X.90B5.19448","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/pdf\/10.1302\/0301-620X.90B5.19448","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,5,18]],"date-time":"2023-05-18T01:32:41Z","timestamp":1684373561000},"score":1,"resource":{"primary":{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/10.1302\/0301-620X.90B5.19448"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2008,5]]},"references-count":41,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2008,5]]}},"alternative-id":["10.1302\/0301-620X.90B5.19448"],"URL":"https:\/\/doi.org\/10.1302\/0301-620x.90b5.19448","relation":{},"ISSN":["0301-620X","2044-5377"],"issn-type":[{"value":"0301-620X","type":"print"},{"value":"2044-5377","type":"electronic"}],"subject":[],"published":{"date-parts":[[2008,5]]}}}