Do radiographic indices of distal radius fracture reduction predict outcomes in older adults receiving conservative treatment? Jaremko, J L [Department of Radiology and Diagnostic Imaging, University of Alberta, Edmonton, Alberta (Canada)]; Lambert, R G.W. [Department of Radiology and Diagnostic Imaging, University of Alberta, Edmonton, Alberta (Canada)]; Rowe, B H [Department of Emergency Medicine, University of Alberta, Edmonton, Alberta (Canada)]; Department of Public Health Sciences, University of Alberta, Edmonton, Alberta (Canada)]; Johnson, J A [Department of Public Health Sciences, University of Alberta, Edmonton, Alberta (Canada)]; Department of Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta (Canada)]; Majumdar, S R [Department of Public Health Sciences, University of Alberta, Edmonton, Alberta (Canada) and Department of Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta (Canada)] 62 RADIOLOGY AND NUCLEAR MEDICINE; BONE FRACTURES; IMAGES; MULTIVARIATE ANALYSIS; PATIENTS; REGRESSION ANALYSIS; THERAPY Aim: To investigate whether radiographic deformities suggesting inadequate reduction would be associated with adverse clinical outcomes. Materials and methods: Consecutive patients over 50 years of age (n = 74) with non-operatively managed distal radius fractures were enrolled in a prospective cohort study. They had radiographs at cast removal ({approx}6 weeks) and completed DASH (Disabilities of the Arm, Shoulder and Hand), SF-12 (health-related quality of life), and satisfaction surveys 6-months post-fracture. A reference-standard musculoskeletal radiologist, blinded to outcomes status, measured palmar (dorsal) tilt, radial angle, radial height, ulnar height, and intra-articular step and gap. Radiographic indices were correlated to each other and to the various patient-reported outcomes in univariate and multivariate regression analyses. DASH score was the primary study outcome. Results: Of the cohort studied (n = 74, mean age 68.5 years, primarily white women), 71% had at least one 'unacceptable' radiographic deformity by traditional criteria. Acceptable reduction varied from 60-99% depending on which single index was reported, and 44% of patients had more than two indices reported as unacceptable. Despite these radiographic findings, 6-months post-reduction, self-reported disability was low (DASH = 24 {+-} 17), health-related quality of life was near normal, and 72% were satisfied with their care. No radiographic index of wrist deformity (alone or in combination) was significantly correlated to any of the patient-reported outcomes. Conclusion: Self-reported outcomes in older adults with conservatively managed wrist fractures were not related to the 'acceptability' of radiographic fracture reduction. The proportion of acceptable reductions varied by 40% depending on which index was reported. Consequently, detailed reporting of these indices in older adults with distal radius fracture may be inefficient or perhaps even unnecessary. United Kingdom 2007-01-15 English Journal Article Journal Name: Clinical Radiology; Journal Volume: 62; Journal Issue: 1; Other Information: DOI: 10.1016/j.crad.2006.08.013; PII: S0009-9260(06)00304-7; Copyright (c) 2006 Elsevier Science B.V., Amsterdam, The Netherlands, All rights reserved; Country of input: International Atomic Energy Agency (IAEA) Medium: X; Size: page(s) 65-72 https://doi.org/10.1016/j.crad.2006.08.013 [] 1 62 Journal ID: ISSN 0009-9260; CLRAAG; TRN: GB07R1097012894 GBN 2010-12-31 20839637