Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
Distal radius fractures are often accompanied by ulnar styloid fractures, with a varying incidence reported between 21% and 65%. The impact of these concurrent fractures on functional outcomes such as range of motion, grip strength and patient‐reported outcomes is contentious, with studies presenting mixed results. The work evaluated the impact of ulnar styloid fixation on functional recovery in patients with distal radius fractures, specifically assessing range of motion, grip strength and radiological outcomes. This prospective, comparative study involved 60 patients with concomitant intra‐articular distal end radius and ulnar styloid fractures. Patients were randomly allocated into two groups: Group 1 underwent distal radius fixation only, while Group 2 received both distal radius and ulnar styloid fixation. Outcomes measured included range of motion in various planes, grip strength compared to the non‐operative hand and radiological union, assessed at multiple time points up to 9 months postoperatively. The study found that Group 2 consistently exhibited superior functional outcomes across most assessed parameters, including flexion‐extension range of motion and grip strength, particularly notable from 6 months onwards. Radioulnar arc and wrist deviations also favoured Group 2, suggesting a more stable and functional recovery trajectory. Ulnar styloid fixation in the presence of distal radius fractures enhances functional recovery, supporting its consideration in surgical planning. This approach appears particularly beneficial for improving range of motion and grip strength, potentially due to increased stability and alignment of the distal radioulnar joint.
How to cite this article:
J. Suresh and S. Kavya. The Influence of Ulnar Styloid Process Fixation on Range of Motion and Grip Strength in Distal Radius Fractures.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.10.468.474
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.10.468.474