TY  - JOUR
PY  - 2020//
TI  - Differences in patient and injury characteristics between sports- and non-sports related distal radius fractures
JO  - Orthopaedics and traumatology: surgery and research
A1  - Hong, In-Tae
A1  - Lee, Jun-Ku
A1  - Ha, Cheungsoo
A1  - Jo, Seongmin
A1  - Wang, Pei Wei
A1  - Han, Soo-Hong
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - INTRODUCTION: The incidence of distal radius fractures (DRFs) is increasing as the number of people in recreational or sporting activities rises, due to a combination of increased leisure time and greater public awareness of the health-related benefits of sports. Despite the increases in sports-related distal radius fractures (SR-DRFs), there are limited studies regarding the characteristics of treatment and recovery.     HYPOTHESIS: There are characteristics specific to SR-DRF treated with conservative or operative management.     MATERIAL AND METHODS: Retrospective review was carried out between January 2010 and December 2017. Overall, 1706 patients were included in the study analysis. Among them, 317 patients were injured during sports activity (18.6%) and 1389 were injured during non-sports activity (81.4%). Demographic data were compared between the two groups. The type of sports was investigated in SR-DRF. Also, we compared surgically treated DRF patients to describe differences in patient characteristics, fracture characteristics, and postoperative complications.     RESULTS: The mean age of patients with SR-DRFs was significantly younger (28 vs. 52 years). The proportion of men was also significantly higher in SR-DRF group compared to NSR-DRF group (62.8 vs. 33.8%). We identified 27 kinds of sports associated with DRFs and the 5 sports topping the list associated were soccer (22.7%), cycling (17.7%), snowboarding (11.0%), ice-skating (9.1%), and mountain hiking (9.1%). There was no difference in terms of the treatment method. However, SR-DRF group had higher proportion of AO/OTA type A fracture (32.6 vs. 13.7%), and NSR-DRF group had higher proportion of type C fracture (79.5 vs. 64.2%). Postoperative complications showed no significant differences, except higher implant removal rate in SR-DRF.     DISCUSSION: Patients with SR-DRF were significantly younger and had higher proportion of men. Proportion of AO/OTA type A was higher in SR-DRF group and proportion of AO/OTA type C was higher in NSR-DRF group. Proportion of surgical treatment was similar in two groups. Given the growing population participating in sports activity worldwide, SR-DRFs are predicted to increase and further study is required.     LEVEL OF EVIDENCE: III; retrospective, epidemiological study.<p />  <p>Language: en</p>
LA  - en
SN  - 1877-0568
UR  - http://dx.doi.org/10.1016/j.otsr.2020.06.021
ID  - ref1
ER  -