{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,19]],"date-time":"2026-03-19T15:16:33Z","timestamp":1773933393641,"version":"3.50.1"},"reference-count":31,"publisher":"Danish Medical Association","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Dan Med J"],"abstract":"<jats:p>INTRODUCTION. Distal radius fractures (DRFs) are common, with over 14,000 annual cases in Denmark. Most cases are treated non-surgically and may require closed reduction prior to casting. National guidelines for anaesthesia and reduction technique for closed reduction of DRFs are lacking, impacting clinical practices and potentially optimal care. This survey aimed to describe Danish clinical practice for initial treatment and closed reduction of DRFs.\n\nMETHODS. Between January and April 2025, the survey was distributed online to the 23 physicians responsible for all 44 emergency departments and minor injury units treating DRFs in Denmark. The survey examined the clinical practices used for anaesthesia, reduction technique and post-reduction follow-up for patients with DRFs.\n\nRESULTS. The response rate was 100% (23\/23). All departments used haematoma block as anaesthetic method. Manual reduction followed by induced muscle fatigue was reported as the preferred reduction technique (87%, 20\/23). Among these, 80% (16\/20) mentioned that finger-trap-traction was used as a muscle-fatiguing method. All sites used X-ray imaging to assess the reduction result. Surgery was offered when reduction was unsatisfactory, depending on various criteria, e.g. Clinical Frailty Scale, age or clinical assessment.\n\nCONCLUSIONS. In Denmark, haematoma block is the standard anaesthetic method for the closed reduction procedure of DRFs. Mostly finger-trap traction is used to induce muscle relaxation before manual reduction. Clinical practice is generally well-aligned with minor variation in surgical intervention criteria.\n\nFUNDING. None.\n\nTRIAL REGISTRATION. Not relevant.<\/jats:p>","DOI":"10.61409\/a08250653","type":"journal-article","created":{"date-parts":[[2026,2,24]],"date-time":"2026-02-24T08:53:09Z","timestamp":1771923189000},"page":"1-8","source":"Crossref","is-referenced-by-count":0,"title":["Clinical practice for closed reduction of distal radius fractures in Denmark"],"prefix":"10.61409","author":[{"given":"Anne-Sofie Linde","family":"Jellestad","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rasmus Linnebjerg","family":"Knudsen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cecilie Dupont","family":"Harwood","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mathias Therkel","family":"Steensb\u00e6k","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sanja","family":"Pisljagic","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bjarke","family":"Viberg","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jonas Ask\u00f8","family":"Andersen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Claus","family":"Varnum","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Per Hviid","family":"Gundtoft","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kai Henrik Wiborg","family":"Lange","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lars Hyldborg","family":"Lundstr\u00f8m","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anders Kehlet","family":"N\u00f8rskov","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"40208","published-online":{"date-parts":[[2026,2]]},"reference":[{"key":"ref0","doi-asserted-by":"publisher","unstructured":"Baron JA, Karagas M, Barrett J, et al. Basic epidemiology of fractures of the upper and lower limb among Americans over 65 years of age. 1996;7:612-618.","DOI":"10.1097\/00001648-199611000-00008"},{"key":"ref1","doi-asserted-by":"publisher","unstructured":"https:\/\/doi.org\/10.1097\/00001648-199611000-00008","DOI":"10.1097\/00001648-199611000-00008"},{"key":"ref2","doi-asserted-by":"publisher","unstructured":"Viberg B, Tofte S, R\u00f8nnegaard AB, et al. Changes in the incidence and treatment of distal radius fractures in adults: a 22-year nationwide register study of 276,145 fractures. Injury. 2023;54(7):110802. https:\/\/doi.org\/10.1016\/j.injury.2023.05.033","DOI":"10.1016\/j.injury.2023.05.033"},{"key":"ref3","doi-asserted-by":"publisher","unstructured":"Rundgren J, Bojan A, Navarro CM, Enocson A. Epidemiology, classification, treatment and mortality of distal radius fractures in adults: an observational study of 23,394 fractures from the national Swedish fracture register. BMC Musculoskelet Disord. 2020;21(1):88. https:\/\/doi.org\/10.1186\/s12891-020-3097-8","DOI":"10.1186\/s12891-020-3097-8"},{"key":"ref4","doi-asserted-by":"publisher","unstructured":"Handoll HHG, Madhok R, Dodds C. Anaesthesia for treating distal radial fracture in adults. Cochrane Database Syst Rev. 2002;2002(3):CD003320.","DOI":"10.1002\/14651858.CD003324"},{"key":"ref5","doi-asserted-by":"publisher","unstructured":"https:\/\/doi.org\/10.1002\/14651858.CD003320","DOI":"10.1002\/14651858.CD003320"},{"key":"ref6","doi-asserted-by":"publisher","unstructured":"Oakley B, Busby C, Kulkarni S, et al. Manipulation of distal radius fractures: a comparison of Bier's block vs haematoma block. Ann R Coll Surg Engl. 2023;105(5):434-440. https:\/\/doi.org\/10.1308\/rcsann.2022.0116","DOI":"10.1308\/rcsann.2022.0116"},{"key":"ref7","doi-asserted-by":"publisher","unstructured":"Christensen AB, Ilkj\u00e6r C, Laustrup TK, et al. Ultrasound-guided nerve blocks improve success rate of closed reduction of Colles' fractures: a randomised controlled trial. Acta Anaesthesiol Scand. 2025;69(6):e70063.","DOI":"10.1111\/aas.70063"},{"key":"ref8","doi-asserted-by":"publisher","unstructured":"https:\/\/doi.org\/10.1111\/aas.70063","DOI":"10.1111\/aas.70063"},{"key":"ref9","doi-asserted-by":"publisher","unstructured":"Pisljagic S, Temberg JL, Steensb\u00e6k MT, et al. Peripheral nerve blocks for closed reduction of distal radius fractures: a systematic review with meta-analysis and trial sequential analysis. Acta Anaesthesiol Scand. 2024;68(9):1149. https:\/\/doi.org\/10.1111\/aas.14474","DOI":"10.1111\/aas.14474"},{"key":"ref10","doi-asserted-by":"publisher","unstructured":"Handoll HHG, Madhok R. Closed reduction methods for treating distal radial fractures in adults. Cochrane Database Syst Rev. 2003;2003(1):CD003763.","DOI":"10.1002\/14651858.CD003763"},{"key":"ref11","doi-asserted-by":"publisher","unstructured":"https:\/\/doi.org\/10.1002\/14651858.CD003763","DOI":"10.1002\/14651858.CD003763"},{"key":"ref12","doi-asserted-by":"publisher","unstructured":"S\u00f8sborg-W\u00fcrtz H, Gellert SC, Erichsen JL, Viberg B. Closed reduction of distal radius fractures: a systematic review and meta-analysis. EFORT Open Rev. 2018;3(4):114-120. https:\/\/doi.org\/10.1302\/2058-5241.3.170063","DOI":"10.1302\/2058-5241.3.170063"},{"issue":"1","key":"ref13","doi-asserted-by":"publisher","first-page":"169","DOI":"10.3111\/13696998.2012.737391","article-title":"The direct and indirect costs of long bone fractures in a working age US population","volume":"16","author":"Bonafede","year":"2013","unstructured":"Bonafede M, Espindle D, Bower AG. The direct and indirect costs of long bone fractures in a working age US population. J Med Econ. 2013;16(1):169-178.","journal-title":"J Med Econ"},{"key":"ref14","doi-asserted-by":"publisher","unstructured":"https:\/\/doi.org\/10.3111\/13696998.2012.737391","DOI":"10.3111\/13696998.2012.737391"},{"key":"ref15","unstructured":"The Danish Health Authority. Behandling af h\u00e5ndledsn\u00e6re brud (distal radiusfraktur). National klinisk retningslinje. The Danish Health Authority, 2017. www.sst.dk\/media\/xumfowzx\/national-klinisk-retningslinie-for-behandling-af-haandledsnaere-brud.pdf (Jan 2026)"},{"issue":"10","key":"ref16","doi-asserted-by":"publisher","first-page":"3179","DOI":"10.1007\/s11606-021-06737-1","article-title":"A consensus-based checklist for reporting of survey studies (CROSS)","volume":"36","author":"Sharma","year":"2021","unstructured":"Sharma A, Duc NTM, Thang TLL, et al. A consensus-based checklist for reporting of survey studies (CROSS). J Gen Intern Med. 2021;36(10):3179-3187.","journal-title":"J Gen Intern Med"},{"key":"ref17","doi-asserted-by":"publisher","unstructured":"https:\/\/doi.org\/10.1007\/s11606-021-06737-1","DOI":"10.1007\/s11606-021-06737-1"},{"issue":"3","key":"ref18","doi-asserted-by":"publisher","first-page":"245","DOI":"10.1503\/cmaj.080372","article-title":"A guide for the design and conduct of self-administered surveys of clinicians","volume":"179","author":"Burns","year":"2008","unstructured":"Burns KEA, Duffett M, Kho ME, et al. A guide for the design and conduct of self-administered surveys of clinicians. CMAJ. 2008;179(3):245-252.","journal-title":"CMAJ"},{"key":"ref19","doi-asserted-by":"publisher","unstructured":"https:\/\/doi.org\/10.1503\/cmaj.080372","DOI":"10.1503\/cmaj.080372"},{"key":"ref20","doi-asserted-by":"publisher","unstructured":"Harris PA, Taylor R, Minor BL, et al. The REDCap consortium: building an international community of software platform partners. J Biomed Inform. 2019;95: 103208. https:\/\/doi.org\/10.1016\/j.jbi.2019.103208","DOI":"10.1016\/j.jbi.2019.103208"},{"issue":"2","key":"ref21","doi-asserted-by":"publisher","first-page":"377","DOI":"10.1016\/j.jbi.2008.08.010","article-title":"Research electronic data capture (REDCap) - a metadata-driven methodology and workflow process for providing translational research informatics support","volume":"42","author":"Harris","year":"2009","unstructured":"Harris PA, Taylor R, Thielke R, et al. Research electronic data capture (REDCap) - a metadata-driven methodology and workflow process for providing translational research informatics support. J Biomed Inform. 2009;42(2):377-381.","journal-title":"J Biomed Inform"},{"key":"ref22","doi-asserted-by":"publisher","unstructured":"https:\/\/doi.org\/10.1016\/j.jbi.2008.08.010","DOI":"10.1016\/j.jbi.2008.08.010"},{"issue":"1","key":"ref23","doi-asserted-by":"publisher","first-page":"79","DOI":"10.1016\/j.jen.2024.08.010","article-title":"Adult patients' experiences of closed reduction treatment for distal radius fracture in the emergency department: a qualitative descriptive study","volume":"51","author":"Jensen","year":"2025","unstructured":"Jensen CM, \u00d8stervang C, Lange KHW, et al. Adult patients' experiences of closed reduction treatment for distal radius fracture in the emergency department: a qualitative descriptive study. J Emerg Nurs. 2025;51(1):79-87.","journal-title":"J Emerg Nurs"},{"key":"ref24","doi-asserted-by":"publisher","unstructured":"https:\/\/doi.org\/10.1016\/j.jen.2024.08.010","DOI":"10.1016\/j.jen.2024.08.010"},{"issue":"6","key":"ref25","doi-asserted-by":"publisher","first-page":"533","DOI":"10.1016\/j.jhsa.2023.02.012","article-title":"Does radiographic alignment correlate with patient-reported functional outcomes and posttreatment complications in older patients treated for wrist fractures","volume":"48","author":"Lawson","year":"2023","unstructured":"Lawson A, Naylor J, Mittal R, et al. Does radiographic alignment correlate with patient-reported functional outcomes and posttreatment complications in older patients treated for wrist fractures? J Hand Surg. 2023;48(6):533-543.","journal-title":"J Hand Surg"},{"key":"ref26","doi-asserted-by":"publisher","unstructured":"https:\/\/doi.org\/10.1016\/j.jhsa.2023.02.012","DOI":"10.1016\/j.jhsa.2023.02.012"},{"key":"ref27","doi-asserted-by":"publisher","unstructured":"Aniel-Quiroga M, Fruner G, Monge-Baeza A, et al. The hematoma block is not enough as method of anesthesia in reduction of displaced distal radius fractures. Rev Esp Cir Ortop Traumatol. 2023;67(5):371-377. https:\/\/doi.org\/10.1016\/j.recot.2023.03.004","DOI":"10.1016\/j.recot.2023.03.004"},{"key":"ref28","doi-asserted-by":"publisher","unstructured":"Kakarlapudi TK, Santini A, Shahane SA, Douglas D. The cost of treatment of distal radial fractures. Injury. 2000;31(4):229-32. https:\/\/doi.org\/10.1016\/10.1016\/s0020-1383(99)00248-x","DOI":"10.1016\/S0020-1383(99)00248-X"},{"issue":"3","key":"ref29","doi-asserted-by":"publisher","first-page":"354","DOI":"10.2106\/00004623-200203000-00004","article-title":"Closed reduction of Colles fractures: comparison of manual manipulation and finger-trap traction: a prospective, randomized study","volume":"84","author":"Earnshaw","year":"2002","unstructured":"Earnshaw SA, Aladin A, Surendran S, Moran CG. Closed reduction of Colles fractures: comparison of manual manipulation and finger-trap traction: a prospective, randomized study. J Bone Joint Surg Am. 2002;84(3):354-358.","journal-title":"J Bone Joint Surg Am"},{"key":"ref30","doi-asserted-by":"publisher","unstructured":"https:\/\/doi.org\/10.2106\/00004623-200203000-00004","DOI":"10.2106\/00004623-200203000-00004"}],"container-title":["Danish Medical Journal"],"original-title":[],"deposited":{"date-parts":[[2026,3,19]],"date-time":"2026-03-19T12:48:22Z","timestamp":1773924502000},"score":1,"resource":{"primary":{"URL":"https:\/\/ugeskriftet.dk\/dmj\/A08250653"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2]]},"references-count":31,"URL":"https:\/\/doi.org\/10.61409\/a08250653","relation":{},"ISSN":["2245-1919"],"issn-type":[{"value":"2245-1919","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2]]}}}