Risk factors in the displacement of distal radius fractures treated with casting at De La Salle University Medical Center from May to August 2012 : a cohort study

Publication Date

2014

Document Type

Research

Abstract

This study is to determine the factors that contribute to displacement of distal radius fractures treated conservatively with casting at DLSU Medical Center. Patients who were initially seen during the months of May to August 2012 and treated with a long arm cast in either the emergency department or the out-patient department of De La Salle University Medical Center were included. The patients were followed-up at 1 week, at 4th week and prior to removal of cast with radiographs, and the amounts of angulation or translation as well as the quality of the cast noted. The study showed that a total of 77 subjects completed the entire study period. 11 variables were assessed; namely, age, handedness, laterality of injury, AO Fracture Classification, Nature/Mechanism of Injury, Radiographic Parameters (Radial Height, Radial Tilt, Radial inclination), Cast Index and Three Point Index. From theses, only four factors were noted to be statistically significant. They were age, gender, radial height, and radial tilt at time of injury. Then these variables were included in the multivariate regression analysis of this study and the remaining variable that was noted to be statistically significant was age.

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