BACKGROUND: Distal radius fractures (DRFs) are 16% of fractures treated by orthopedic surgeons. Obesity's influence on DRF complexity has not been studied. This study was undertaken to determine if body mass index (BMI) affects DRF pattern, treatment, and functional outcomes. METHODS: Part 1 was a retrospective review of patients who sustained a DRF after a fall from standing height with no prior reduction or treatment. Radiographs were classified as "simple" or "complex." Part 2 consisted of contacting patients from Part 1 and obtaining a Quick Disabilities of the Arm, Shoulder and Hand (QuickDASH) score. Retrospective review also identified patients who failed initial nonoperative treatment. Fracture pattern, failure of nonoperative treatment, and QuickDASH scores were compared with BMI at the time of injury. RESULTS: For Part 1, 130 patients (132 wrists) were identified. Average age was 57 years, 77% were female, and average BMI was 28.2 kg/m2. Each point increase in BMI increased the chance of having a complex DRF (odds ratio = 1.07). Part 2 identified 50 patients who completed a QuickDASH at an average of 4.6 years after injury. Those with a BMI <25 kg/m2 (n = 15) had an average QuickDASH score of 37; patients with a BMI ≥25 kg/m2 (n = 35) had an average QuickDASH score of 18. Increasing BMI was suggestive of a lower QuickDASH score ( P = .08). No significant difference was found with respect to BMI and failure of nonoperative treatment. CONCLUSIONS: A higher BMI increases the odds of a complex DRF. Despite more complex fractures, overweight patients may experience less disability after sustaining a DRF.
BACKGROUND: Distal radius fractures (DRFs) are 16% of fractures treated by orthopedic surgeons. Obesity's influence on DRF complexity has not been studied. This study was undertaken to determine if body mass index (BMI) affects DRF pattern, treatment, and functional outcomes. METHODS: Part 1 was a retrospective review of patients who sustained a DRF after a fall from standing height with no prior reduction or treatment. Radiographs were classified as "simple" or "complex." Part 2 consisted of contacting patients from Part 1 and obtaining a Quick Disabilities of the Arm, Shoulder and Hand (QuickDASH) score. Retrospective review also identified patients who failed initial nonoperative treatment. Fracture pattern, failure of nonoperative treatment, and QuickDASH scores were compared with BMI at the time of injury. RESULTS: For Part 1, 130 patients (132 wrists) were identified. Average age was 57 years, 77% were female, and average BMI was 28.2 kg/m2. Each point increase in BMI increased the chance of having a complex DRF (odds ratio = 1.07). Part 2 identified 50 patients who completed a QuickDASH at an average of 4.6 years after injury. Those with a BMI <25 kg/m2 (n = 15) had an average QuickDASH score of 37; patients with a BMI ≥25 kg/m2 (n = 35) had an average QuickDASH score of 18. Increasing BMI was suggestive of a lower QuickDASH score ( P = .08). No significant difference was found with respect to BMI and failure of nonoperative treatment. CONCLUSIONS: A higher BMI increases the odds of a complex DRF. Despite more complex fractures, overweight patients may experience less disability after sustaining a DRF.
Authors: Juliet E Compston; Nelson B Watts; Roland Chapurlat; Cyrus Cooper; Steven Boonen; Susan Greenspan; Johannes Pfeilschifter; Stuart Silverman; Adolfo Díez-Pérez; Robert Lindsay; Kenneth G Saag; J Coen Netelenbos; Stephen Gehlbach; Frederick H Hooven; Julie Flahive; Jonathan D Adachi; Maurizio Rossini; Andrea Z Lacroix; Christian Roux; Philip N Sambrook; Ethel S Siris Journal: Am J Med Date: 2011-11 Impact factor: 4.965
Authors: M O Premaor; K Ensrud; L Lui; R A Parker; J Cauley; T A Hillier; S Cummings; J E Compston Journal: J Clin Endocrinol Metab Date: 2011-06-15 Impact factor: 5.958
Authors: Daniel Prieto-Alhambra; Melissa O Premaor; Francesc Fina Avilés; Eduard Hermosilla; Daniel Martinez-Laguna; Cristina Carbonell-Abella; Xavier Nogués; Juliet E Compston; Adolfo Díez-Pérez Journal: J Bone Miner Res Date: 2012-02 Impact factor: 6.741
Authors: Neil G Harness; Tadashi Funahashi; Richard Dell; Annette L Adams; Raoul Burchette; Xuan Chen; Denise Greene Journal: J Hand Surg Am Date: 2012-06-28 Impact factor: 2.230
Authors: Michael C Tucker; John R Schwappach; Ross K Leighton; Kevin Coupe; William M Ricci Journal: J Orthop Trauma Date: 2007-09 Impact factor: 2.512
Authors: Melissa O Premaor; Juliet E Compston; Francesc Fina Avilés; Aina Pagès-Castellà; Xavier Nogués; Adolfo Díez-Pérez; Daniel Prieto-Alhambra Journal: J Bone Miner Res Date: 2013-08 Impact factor: 6.741
Authors: Elisabeth Sornay-Rendu; Stephanie Boutroy; Nicolas Vilayphiou; Bruno Claustrat; Roland D Chapurlat Journal: J Bone Miner Res Date: 2013-07 Impact factor: 6.741
Authors: Helena Johansson; John A Kanis; Anders Odén; Eugene McCloskey; Roland D Chapurlat; Claus Christiansen; Steve R Cummings; Adolfo Diez-Perez; John A Eisman; Saeko Fujiwara; Claus-C Glüer; David Goltzman; Didier Hans; Kay-Tee Khaw; Marc-Antoine Krieg; Heikki Kröger; Andrea Z LaCroix; Edith Lau; William D Leslie; Dan Mellström; L Joseph Melton; Terence W O'Neill; Julie A Pasco; Jerilynn C Prior; David M Reid; Fernando Rivadeneira; Tjerd van Staa; Noriko Yoshimura; M Carola Zillikens Journal: J Bone Miner Res Date: 2014-01 Impact factor: 6.741