The effect of diabetes on functional outcomes among individuals with distal radial fractures

• Published in: Journal of hand therapy 2019-10, Vol.32 (4), p.476-482
• Main Authors: Alsubheen, Sana'a A., MacDermid, Joy C., Walton, David M., Grewal, Ruby
• Format: Article
• Language: English
• Subjects: Adolescent; Adult; Aged; Aged, 80 and over; Arthritis; Blood vessels; Cohort Studies; Diabetes; Diabetes mellitus; Diabetes Mellitus - physiopathology; Distal radial fractures; Education; Evaluation; Female; Forearm; Fractures; Grip strength; Hand disability; Hand Strength - physiology; Health Status; Humans; Hyperglycemia; Male; Middle Aged; Pain; Pain Measurement; Physical health status; Population; Questionnaires; Radius Fractures - physiopathology; Radius Fractures - therapy; Range of Motion, Articular - physiology; Recovery of Function - physiology; Studies; Time Factors; Wrist; Wrist Joint - physiopathology; Young Adult
• ISSN: 0894-1130; 1545-004X
• DOI: 10.1016/j.jht.2018.02.008

Prospective cohort study. Diabetes is reported to adversely affect outcomes; however, its effect on distal radial fractures (DRF) is not well examined. This study investigated the effect of diabetes on pain, hand function, physical health status, grip strength, and wrist and forearm range of motion among patients with DRF. A total of 479 patients with DRF were classified into patients with and without diabetes based on self-report. Patient-Rated Wrist Evaluation assessed pain and hand function. The Short Form-12 assessed physical health status. Both questionnaires examined DRF recovery at baseline, 3 month, and 1 year. There was a significant improvement in Patient-Rated Wrist Evaluation scores over time (69 [19] to 25 [22]; 76 [15] to 20 [20] for patients with and without diabetes respectively, P