No benefit for elbow blocking on conservative treatment of distal radius fractures: A 6-month randomized controlled trial

Author(s)

Okamura, Aldo ^{[1, 2, 3]} ; de Moraes, Vinicius Ynoe ^{[1, 3]} ; Neto, Jorge Raduan ^{[1, 3]} ; Tamaoki, Marcel Jun ^[1] ; Faloppa, Flavio ^[1] ; Belloti, Joao Carlos ^{[1, 3]}

Affiliation

^[1] Univ Fed Sao Paulo Unifesp EPM, Dept Orthopaed & Traumatol, Unit Hand Surg, Sao Paulo - Brazil

^[2] Hosp Campo Limpo, Div Orthopaed & Traumatol, Hosp Municipal Dr Fernando Mauro Pires Rocha, Sao Paulo - Brazil

^[3] Hosp Alvorada Moema, Hand Surg Div, United Hlth Grp, Sao Paulo - Brazil

• Document type: Journal article
• Source: PLoS One; v. 16, n. 6 JUN 10 2021.
• Web of Science Citations: 0

Abstract

Purpose For displaced distal radius fracture, this trial aimed to compare an above-elbow (AE) and below-elbow (BE) cast at the end of a 24-week follow-up using the Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire as a primary outcome. Methods This is a clinical trial with parallel groups (1:1) and a blinded evaluator. There are two non-surgical interventions: AE and BE. A total of 128 adult patients with acute (up to 7 days) displaced distal radius fracture of type A2-3, C1-3 by the AO classification were included. The follow-up was 24 weeks. The primary outcome was the DASH questionnaire at 24 weeks. Secondary outcomes were the maintenance of reduction by the evaluation of radiographic parameters, pain measured by VAS, PRWE, objective functional evaluation and rate of adverse effects. Results The difference between the two groups in the DASH score at 24 weeks was not significant, with the mean (95% CI) DASH score being AE: 9.44 (2.70 to 16.17) vs. BE: 9.88 (3.19 to 16.57) (p = 0.895). The above-elbow group had a significantly greater worsening of the mean DASH score from baseline to 2 weeks (p < 0.001). No statistically significant differences were found between the 2 groups in any of the other follow-up assessments. Objective functional evaluation, PRWE, radiographical measures and rates of reduction loss were similar between groups. Above-elbow casting resulted in more adverse effects (mostly shoulder pain; 19 events vs. 9 events); RR = 0.39 (0.19-0.94); p = 0.033 at the end of six-month follow-up. Conclusions This study did not demonstrate a difference between above-elbow and below-elbow cast in terms of DASH outcome at 6 months in non-surgical treatment of deviated distal radius fractures. However, below-elbow casting is less debilitating during the treatment period, has comparable performance in maintaining the reduction, and is related to fewer minor adverse effects than above-elbow casting. (AU)

• FAPESP's process: 19/04546-4 - Above- versus below-elbow casting for non surgical treatment for distal radius fractures in adults. Randomized controlled trial.
• Grantee: João Carlos Belloti
• Support Opportunities: Regular Research Grants