Ethnic Disparities in Recovery Following Distal Radial Fracture

Walsh, Michael; Davidovitch, Roy I.; Egol, Kenneth A.
May 2010
Journal of Bone & Joint Surgery, American Volume;May2010, Vol. 92-A Issue 5, p1082
Academic Journal
Background: Ethnic disparities have been demonstrated in the treatment of chronic diseases, such as diabetes and heart disease. It is unclear if similar ethnic disparities appear with respect to recovery following fracture care. Methods: We retrospectively reviewed 496 individuals (253 whites, 100 blacks, and 143 Latinos) with a fracture of the distal part of the radius. Assessment of physical function and pain was conducted at three, six, and twelve months following treatment. The Disabilities of the Arm, Shoulder and Hand (DASH) score was used to assess physical function, and a visual analog scale was used to assess pain. Multiple linear regression was used to model physical function and pain across ethnicity while controlling for age, sex, mechanism of injury, level of education, type of fracture, type of treatment (operative or nonoperative), and Workers' Compensation status. Results: Both blacks and Latinos exhibited poorer physical function and greater pain than whites did at most follow-up points. Latinos reported more pain at each follow-up point in comparison with blacks and whites (p <0.001 at three, six, and twelve months). These significant differences remained after controlling for Workers' Compensation status, which was also strongly associated with both pain and function. Conclusions: These findings suggest that recovery is different between ethnic groups following a fracture of the distal part of the radius. These ethnic disparities may result from multifactorial sociodemographic factors that are present both before and after fracture treatment.


Related Articles

  • Malunion of the distal radius. Prommersberger, Karl-Josef; Pillukat, Thomas; Mühldorfer, Marion; Schoonhoven, Jörg // Archives of Orthopaedic & Trauma Surgery;May2012, Vol. 132 Issue 5, p693 

    Fractures of the distal radius are extremely common injuries, which are steadily becoming a public health issue. One of the most common complications following distal radius fractures is still malunion of the distal radius. This review of the literature surrounding distal radius malunion covers...

  • Closed Treatment of Overriding Distal Radial Fractures without Reduction in Children. Crawford, Scott N.; Lee, Lorrin S. K.; Isuka, Byron H. // Journal of Bone & Joint Surgery, American Volume;2/1/2012, Vol. 94-A Issue 3, p246 

    Background: Traditionally, distal radial fractures with marked displacement and angulation have been treated with closed or open reduction techniques. Reduction maneuvers generally require analgesia and sedation, which increase hospital time, cost, patient risk, and the surgeon's time. In our...

  • The effect of local bone mineral density on the rate of mechanical failure after surgical treatment of distal radius fractures: a prospective multicentre cohort study including 249 patients. Daniel, Rikli; Joerg, Goldhahn; Kurt, Käch; Christine, Voigt; Andreas, Platz; Beate, Hanson // Archives of Orthopaedic & Trauma Surgery;Feb2015, Vol. 135 Issue 2, p201 

    Introduction: The aim of this prospective, multicentre study was to evaluate the influence of local bone mineral density (BMD) on the rate of mechanical failure after locking plate fixation of closed distal radius fractures. Materials and methods: Between June 2007 and April 2010, 230 women and...

  • Comparison of Intra-Articular Simple Compression and Extra-Articular Distal Radial Fractures. Sebastiaan Souer, J.; Ring, David; Jupiter, Jesse; Matschke, Stefan; Audige, Laurent; Marent-Huber, Marta // Journal of Bone & Joint Surgery, American Volume;11/16/2011, Vol. 93-A Issue 22, p2093 

    Background: The impact of a single well-reduced or stable intra-articular fracture oriented in the sagittal plane on the outcome of internal fixation of a distal radial fracture is uncertain. We tested the hypothesis that wrist motion and function scores would not differ between patients with an...

  • A Unique Failure Mechanism of a Distal Radius Fracture Fixed with Volar Plating.  // Bulletin of the NYU Hospital for Joint Diseases;2010, Vol. 68 Issue 4, p304 

    No abstract available.

  • Healio.com Poll.  // Orthopedics Today;Jan2014, Vol. 34 Issue 1, p8 

    A chart is presented that shows the most important article at web site Healio.com in 2013, which includes "AAOS announces list of unnecessary orthopedic medical tests, procedures," "Researchers confirm existence of anterolateral ligament in the knee" and "FDA announces Class I recall of DePuy...

  • Low-energy distal radius fractures in middle-aged and elderly women—seasonal variations, prevalence of osteoporosis, and associates with fractures. Øyen, J.; Rohde, G.; Hochberg, M.; Johnsen, V.; Haugeberg, G. // Osteoporosis International;Jul2010, Vol. 21 Issue 7, p1247 

    There is a lack of data on the prevalence of osteoporosis in patients with distal radius fractures occurring at the various seasons. The prevalence of osteoporosis is high, both in patients with indoor and outdoor fractures and higher than in controls. All female distal radius fracture patients...

  • Which Are the Most Relevant Questions in the Assessment of Outcome after Distal Radial Fractures? Buchanan, Donald; Prothero, D.; Field, J. // Advances in Orthopedics;12/30/2015, p1 

    A study was designed to determine which wrist scoring system best correlates with patient satisfaction and which individual variables predict a satisfactory outcome. We looked at forty-five females and 5 males with wrist fractures at 12 weeks after injury and compared their level of satisfaction...

  • Social Support Contributes to Outcomes following Distal Radius Fractures. Symonette, Caitlin J.; MacDermid, Joy; Grewal, Ruby // Rehabilitation Research & Practice;2013, p1 

    Background. Distal radius fractures are the most common fracture of the upper extremity and cause variable disability. This study examined the role of social support in patient-reported pain and disability at one year following distal radius fracture. Methods.The Medical Outcomes Study Social...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics