{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,7]],"date-time":"2026-11-07T07:59:28Z","timestamp":1794038368459,"version":"4.8.0"},"reference-count":23,"publisher":"British Editorial Society of Bone & Joint Surgery","issue":"7","license":[{"start":{"date-parts":[[2014,7,1]],"date-time":"2014-07-01T00:00:00Z","timestamp":1404172800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/online.boneandjoint.org.uk\/TDM"}],"content-domain":{"domain":["online.boneandjoint.org.uk"],"crossmark-restriction":true},"short-container-title":["The Bone &amp; Joint Journal"],"published-print":{"date-parts":[[2014,7]]},"abstract":"<jats:p>This paper investigates whether cortical comminution and intra-articular involvement can predict displacement in distal radius fractures by using a classification that includes volar comminution as a separate parameter.<\/jats:p><jats:p>A prospective multicentre study involving non-operative treatment of distal radius fractures in 387 patients aged between 15 and 74 years (398 fractures) was conducted. The presence of cortical comminution and intra-articular involvement according to the Buttazzoni classification is described. Minimally displaced fractures were treated with immobilisation in a cast while displaced fractures underwent closed reduction with subsequent immobilisation. Radiographs were obtained after reduction, at 10 to 14 days and after union. The outcome measure was re-displacement or union.<\/jats:p><jats:p>In fractures with volar comminution (Buttazzoni type 4), 96% (53 of 55) displaced. In intra-articular fractures without volar comminution (Buttazzoni 3), 72% (84 of 117) displaced. In extra-articular fractures with isolated dorsal comminution (Buttazzoni 2), 73% (106 of 145) displaced while in non-comminuted fractures (Buttazzoni 1), 16 % (13 of 81 ) displaced.<\/jats:p><jats:p>A total of 32% (53 of 165) of initially minimally displaced fractures later displaced. All of the initially displaced volarly comminuted fractures re-displaced. Displacement occurred in 31% (63 of 205) of fractures that were still in good alignment after 10 to 14 days.<\/jats:p><jats:p>Regression analysis showed that volar and dorsal comminution predicted later displacement, while intra-articular involvement did not predict displacement. Volar comminution was the strongest predictor of displacement.<\/jats:p><jats:p>Cite this article: Bone Joint J 2014;96-B:978\u201383.<\/jats:p>","DOI":"10.1302\/0301-620x.96b7.32728","type":"journal-article","created":{"date-parts":[[2014,7,1]],"date-time":"2014-07-01T14:55:30Z","timestamp":1404226530000},"page":"978-983","update-policy":"https:\/\/doi.org\/10.1302\/crossmark-policy","source":"Crossref","is-referenced-by-count":47,"title":["Cortical comminution in distal radial fractures can predict the radiological outcome"],"prefix":"10.1302","volume":"96-B","author":[{"given":"M. \u00c5.","family":"Wadsten","sequence":"first","affiliation":[{"name":"Ume\u00e5 University, Department of Surgical and Perioperative Sciences (Orthopedics-Sundsvall), 901 87 Ume\u00e5, Sweden."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A. S.","family":"Sayed-Noor","sequence":"additional","affiliation":[{"name":"Ume\u00e5 University, Department of Surgical and Perioperative Sciences (Orthopedics-Sundsvall), 901 87 Ume\u00e5, Sweden."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E.","family":"Englund","sequence":"additional","affiliation":[{"name":"Sundsvall Hospital, Department of Research and development, V\u00e4sternorrland County, 851 86 Sundsvall, Sweden."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G. G.","family":"Buttazzoni","sequence":"additional","affiliation":[{"name":"Ume\u00e5 University, Department of Surgical and Perioperative Sciences (Orthopedics-\u00d6stersund), 901 87 Ume\u00e5, Sweden."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G. O.","family":"Sj\u00f6d\u00e9n","sequence":"additional","affiliation":[{"name":"Ume\u00e5 University, Department of Surgical and Perioperative Sciences (Orthopedics-Sundsvall), 901 87 Ume\u00e5, Sweden."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"42","reference":[{"key":"r1","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.70B4.3403617"},{"key":"r2","doi-asserted-by":"publisher","DOI":"10.1197\/j.jht.2007.06.001"},{"key":"r3","doi-asserted-by":"publisher","DOI":"10.1053\/jhsu.2000.jhsu025a0019"},{"key":"r4","first-page":"1944","volume":"88","author":"Mackenney PJ","year":"2006","journal-title":"J Bone Joint Surg [Am]"},{"key":"r5","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-196507000-00004"},{"key":"r6","doi-asserted-by":"publisher","DOI":"10.1016\/0020-1383(89)90113-7"},{"key":"r7","doi-asserted-by":"publisher","DOI":"10.3109\/17453678508993006"},{"key":"r8","doi-asserted-by":"publisher","DOI":"10.1177\/1753193409338750"},{"key":"r9","doi-asserted-by":"publisher","DOI":"10.1007\/s11552-009-9163-1"},{"key":"r10","doi-asserted-by":"publisher","DOI":"10.1016\/S0266-7681(97)80364-6"},{"key":"r11","doi-asserted-by":"crossref","first-page":"289","DOI":"10.1111\/j.2517-6161.1995.tb02031.x","volume":"57","author":"Benjamini Y","year":"1995","journal-title":"J Roy Stat Soc B"},{"key":"r12","doi-asserted-by":"publisher","DOI":"10.3109\/17453678909149595"},{"key":"r13","doi-asserted-by":"publisher","DOI":"10.1016\/0266-7681(94)90247-X"},{"key":"r14","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-003-0597-6"},{"key":"r15","doi-asserted-by":"publisher","DOI":"10.3109\/17453678909150093"},{"key":"r16","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2004.06.008"},{"key":"r17","doi-asserted-by":"publisher","DOI":"10.1007\/BF02484412"},{"key":"r18","first-page":"191","volume":"47","author":"Jupiter JB","year":"1998","journal-title":"Instr Course Lect"},{"key":"r19","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198668050-00003"},{"key":"r20","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-007-0394-8"},{"key":"r21","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2005.08.047"},{"key":"r22","doi-asserted-by":"publisher","DOI":"10.1080\/00016470310013743"},{"key":"r23","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.H.01738"}],"container-title":["The Bone &amp; Joint Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/pdf\/10.1302\/0301-620X.96B7.32728","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/full-xml\/10.1302\/0301-620X.96B7.32728","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/pdf\/10.1302\/0301-620X.96B7.32728","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,28]],"date-time":"2024-05-28T13:20:13Z","timestamp":1716902413000},"score":1,"resource":{"primary":{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/10.1302\/0301-620X.96B7.32728"}},"subtitle":["a cohort multicentre study"],"short-title":[],"issued":{"date-parts":[[2014,7]]},"references-count":23,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2014,7]]}},"alternative-id":["10.1302\/0301-620X.96B7.32728"],"URL":"https:\/\/doi.org\/10.1302\/0301-620x.96b7.32728","relation":{},"ISSN":["2049-4394","2049-4408"],"issn-type":[{"value":"2049-4394","type":"print"},{"value":"2049-4408","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,7]]},"assertion":[{"value":"2013-07-01","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2014-03-04","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2014-07-01","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}