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Current Issue - March 2023, Volume 17, Issue No. 1

Official Journal of Malaysian Orthopaedic Association and ASEAN Orthopaedic Association

Concomitant Ulnar Styloid Fractures in Distal Radius Osteosynthesis Does Not Impact Radiographic Outcomes, Ulnar Sided Symptoms and Patient Outcomes


  1. Shapiro LM, Kamal RN; Management of Distal Radius Fractures Work Group; Nonvoting Clinical Contributor; Nonvoting Oversight Chairs; Staff of the American Academy of Orthopaedic Surgeons and the American Society for Surgery of the Hand. Distal Radius Fracture Clinical Practice Guidelines-Updates and Clinical Implications. J Hand Surg Am. 2021; 46(9): 807-11. doi: 10.1016/j.jhsa.2021.07.014
  2. Ochen Y, Peek J, van der Velde D, Beeres FJP, van Heijl M, Groenwold RHH, et al. Operative vs Nonoperative Treatment of Distal Radius Fractures in Adults: A Systematic Review and Meta-analysis. JAMA Netw Open. 2020; 3(4): e203497. doi: 10.1001/jamanetworkopen.2020.3497
  3. Nypaver C, Bozentka DJ. Distal Radius Fracture and the Distal Radioulnar Joint. Hand Clin. 2021; 37(2): 293-307. doi: 10.1016/j.hcl.2021.02.011
  4. Kim JK, Kim JO, Koh YD. Management of Distal Ulnar Fracture Combined with Distal Radius Fracture. J Hand Surg Asian Pac Vol. 2016; 21(2): 155-60. doi: 10.1142/S2424835516400075
  5. Mulders MAM, Fuhri Snethlage LJ, de Muinck Keizer RO, Goslings JC, Schep NWL. Functional outcomes of distal radius fractures with and without ulnar styloid fractures: a meta-analysis. J Hand Surg Eur Vol. 2018; 43(2): 150-7. doi: 10.1177/1753193417730323
  6. Yuan C, Zhang H, Liu H, Gu J. Does concomitant ulnar styloid fracture and distal radius fracture portend poorer outcomes? A meta-analysis of comparative studies. Injury. 2017; 48(11): 2575-81. doi: 10.1016/j.injury.2017.08.061
  7. Turan S, Cankaya D, Yilmaz S, Karakus D, Dundar A, Ozdemir G. Effect of ulnar styloid fracture on outcomes after conservative treatment of distal radius fracture. Eklem Hastalik Cerrahisi. 2016; 27(2): 87-93. doi: 10.5606/ehc.2016.19
  8. Meinberg EG, Agel J, Roberts CS, Karam MD, Kellam JF. Fracture and Dislocation Classification Compendium-2018. J Orthop Trauma. 2018; 32 Suppl 1: S1-170. doi: 10.1097/BOT.0000000000001063
  9. Nakamura R, Horii E, Imaeda T, Nakao E, Kato H, Watanabe K. The ulnocarpal stress test in the diagnosis of ulnar-sided wrist pain. J Hand Surg Br. 1997; 22(6): 719-23. doi: 10.1016/s0266-7681(97)80432-9
  10. Owen DH, Perriman DM, Policinski I, Damiani M, Smith PN, Roberts CJ. Total wrist arthrodesis with and without arthrodesis of the carpoMetacarpal joint (WAWWAM): study protocol. BMC Musculoskelet Disord. 2021; 22(1): 766. doi: 10.1186/s12891-021-04644-4
  11. De Smet L. The DASH questionnaire and score in the evaluation of hand and wrist disorders. Acta Orthop Belg. 2008; 74(5): 575-81.
  12. Wahl EP, Lauder AS, Pidgeon TS, Guerrero EM, Ruch DS, Richard MJ. Dorsal Wrist Spanning Plate Fixation for Treatment of Radiocarpal Fracture-Dislocations. Hand (N Y). 2021; 16(6): 834-42. doi: 10.1177/1558944719893068
  13. Herzberg G, Walch A, Burnier M. Wrist hemiarthroplasty for irreparable DRF in the elderly. Eur J Orthop Surg Traumatol. 2018; 28(8): 1499-503. doi: 10.1007/s00590-018-2228-5
  14. Okoli M, Silverman M, Abboudi J, Jones C, Kirkpatrick W, Liss F, et al. Radiographic Healing and Functional Outcomes of Untreated Ulnar Styloid Fractures Following Volar Plate Fixation of Distal Radius Fractures: A Prospective Analysis. Hand (N Y). 2021; 16(3): 332-7. doi: 10.1177/1558944719855445
  15. Souer JS, Ring D, Matschke S, Audige L, Marent-Huber M, Jupiter JB. Effect of an unrepaired fracture of the ulnar styloid base on outcome after plate-and-screw fixation of a distal radial fracture. J Bone Joint Surg Am. 2009; 91(4): 830-8. doi: 10.2106/JBJS.H.00345
  16. Ayalon O, Marcano A, Paksima N, Egol K. Concomitant Ulnar Styloid Fracture and Distal Radius Fracture Portend Poorer Outcome. Am J Orthop (Belle Mead NJ). 2016; 45(1): 34-7.
  17. Sorensen AA, Howard D, Tan WH, Ketchersid J, Calfee RP. Minimal clinically important differences of 3 patient-rated outcomes instruments. J Hand Surg Am. 2013; 38(4): 641-9. doi: 10.1016/j.jhsa.2012.12.032
  18. Amorosa LF, Vitale MA, Brown S, Kaufmann RA. A functional outcomes survey of elderly patients who sustained distal radius fractures. Hand (N Y). 2011; 6(3): 260-7. doi: 10.1007/s11552-011-9327-7
  19. Kim KW, Lee CH, Choi JH, Ahn JM, Gong HS. Distal radius fracture with concomitant ulnar styloid fracture: does distal radioulnar joint stability depend on the location of the ulnar styloid fracture? Arch Orthop Trauma Surg. 2023; 143(2): 839-45. doi: 10.1007/s00402-021-04199-y
  20. Pidgeon TS, Crisco JJ, Waryasz GR, Moore DC, DaSilva MF. Ulnar Styloid Base Fractures Cause Distal Radioulnar Joint Instability in a Cadaveric Model. Hand (N Y). 2018; 13(1): 65-73. doi: 10.1177/1558944716685830
  21. Tomori Y, Nanno M, Takai S. The Presence and the Location of an Ulnar Styloid Fracture Associated With Distal Radius Fracture Predict the Presence of Triangular Fibrocartilage Complex 1B Injury. Arthroscopy. 2020; 36(10): 2674-0. doi: 10.1016/j.arthro.2020.05.025
  22. Lee SK, Kim KJ, Cha YH, Choy WS. Conservative Treatment Is Sufficient for Acute Distal Radioulnar Joint Instability With Distal Radius Fracture. Ann Plast Surg. 2016; 77(3): 297-304. doi: 10.1097/SAP.0000000000000663

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About Us

The Malaysian Orthopaedic Journal is a peer-reviewed journal that is published three times a year in both print and electronic online version. The purpose of this journal is to publish original research studies, evaluation of current practices and case reports in various subspecialties of orthopaedics and traumatology, as well as associated fields like basic science, biomedical engineering, rehabilitation medicine and nursing.

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