Forearm rotation improves after corrective osteotomy in patients with symptomatic distal radius malunion

E. M. van Es; M. Dijkhof; the Hand-Wrist Study Group; J. S. Souer; F. J. van Ewijk; L. Hoogendam; H. P. Slijper; R. W. Selles; J. W. Colaris; R. A.M. Blomme; J. M. Smit; K. Harmsen; G. Halbesma; G. M. Vermeulen; JP de Schipper; J. H. van Uchelen; O. T. Zöphel; L. Esteban Lopez; A. Fink; R. van Huis; P. Y. Pennehouat; K. Schoneveld; G. D. Arends; R. Feitz; S. E.R. Hovius; Y. E. van Kooij; J. E. Koopman; M. J.W. van der Oest; W. A. de Ridder; L. Sikking; M. H.P. ter Stege; J. S. Teunissen; R. M. Wouters; N. L. Loos; N. H.A. Mendelaar; L. van Wijk; W. R. Bijlsma; L. S. Duraku; E. P.A. van der Heijden; C. A. Hundepool; J. M. Zuidam

doi:10.1016/j.heliyon.2024.e29570

Forearm rotation improves after corrective osteotomy in patients with symptomatic distal radius malunion

E. M. van Es^*, M. Dijkhof, the Hand-Wrist Study Group, J. S. Souer, F. J. van Ewijk, L. Hoogendam, H. P. Slijper, R. W. Selles, J. W. Colaris, R. A.M. Blomme, J. M. Smit, K. Harmsen, G. Halbesma, G. M. Vermeulen, JP de Schipper, J. H. van Uchelen, O. T. Zöphel, L. Esteban Lopez, A. Fink, R. van HuisP. Y. Pennehouat, K. Schoneveld, G. D. Arends, R. Feitz, S. E.R. Hovius, Y. E. van Kooij, J. E. Koopman, M. J.W. van der Oest, W. A. de Ridder, L. Sikking, M. H.P. ter Stege, J. S. Teunissen, R. M. Wouters, N. L. Loos, N. H.A. Mendelaar, L. van Wijk, W. R. Bijlsma, L. S. Duraku, E. P.A. van der Heijden, C. A. Hundepool, J. M. Zuidam

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

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Abstract

Objectives:

Distal radius malunion can result in pain and functional complaints. One of the functional problems that can affect daily life is impaired forearm rotation. The primary aim of this study was to investigate the effect of corrective osteotomy for distal radius malunion on forearm rotation at 12 months after surgery. We secondarily studied the effect on grip strength, radiological measurements, and patient-reported outcome measurements (PROMs).

Patients and methods:

This cohort study analysed prospectively collected data of adult patients with symptomatic distal radius malunion. All patients underwent corrective osteotomy for malunion and were followed for 1 year. We measured forearm rotation (pronation and supination) and grip strength and analysed radiographs. PROMs consisted of the Patient-Rated Hand/Wrist Evaluation (PRWHE) questionnaire, Visual Analogue Scale for pain, and satisfaction with hand function.

Results:

Preoperative total forearm rotation was 112° (SD: 34°), of which supination of 49° (SD: 25°) was more impaired than pronation of 63° (SD: 17°). Twelve months after surgery, an unpaired Student's t-test showed a significant improvement of total forearm rotation to 142° (SD: 17°) (p < 0.05). Pronation improved to 72° (SD: 10°), and supination to 69° (SD: 13°) (p < 0.05). Grip strength, PROMs, as well as inclination and volar tilt on radiographs improved significantly during the first year after surgery (p < 0.05).

Conclusion:

In patients with reduced forearm rotation due to distal radius malunion, corrective osteotomy is an effective treatment that significantly improves forearm rotation. In addition, this intervention improves grip strength, the PRWHE-score, pain, and satisfaction with hand function.

Original language	English
Article number	e29570
Journal	Heliyon
Volume	10
Issue number	9
DOIs	https://doi.org/10.1016/j.heliyon.2024.e29570
Publication status	Published - 15 May 2024

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© 2024 The Authors

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van Es, E. M., Dijkhof, M., the Hand-Wrist Study Group, Souer, J. S., van Ewijk, F. J., Hoogendam, L., Slijper, H. P., Selles, R. W., Colaris, J. W., Blomme, R. A. M., Smit, J. M., Harmsen, K., Halbesma, G., Vermeulen, G. M., Schipper, JP. D., van Uchelen, J. H., Zöphel, O. T., Esteban Lopez, L., Fink, A., ... Zuidam, J. M. (2024). Forearm rotation improves after corrective osteotomy in patients with symptomatic distal radius malunion. Heliyon, 10(9), Article e29570. https://doi.org/10.1016/j.heliyon.2024.e29570

@article{27a897bf63414b958c1f10e5c8cb6e40,

title = "Forearm rotation improves after corrective osteotomy in patients with symptomatic distal radius malunion",

abstract = "Objectives: Distal radius malunion can result in pain and functional complaints. One of the functional problems that can affect daily life is impaired forearm rotation. The primary aim of this study was to investigate the effect of corrective osteotomy for distal radius malunion on forearm rotation at 12 months after surgery. We secondarily studied the effect on grip strength, radiological measurements, and patient-reported outcome measurements (PROMs). Patients and methods: This cohort study analysed prospectively collected data of adult patients with symptomatic distal radius malunion. All patients underwent corrective osteotomy for malunion and were followed for 1 year. We measured forearm rotation (pronation and supination) and grip strength and analysed radiographs. PROMs consisted of the Patient-Rated Hand/Wrist Evaluation (PRWHE) questionnaire, Visual Analogue Scale for pain, and satisfaction with hand function. Results:Preoperative total forearm rotation was 112° (SD: 34°), of which supination of 49° (SD: 25°) was more impaired than pronation of 63° (SD: 17°). Twelve months after surgery, an unpaired Student's t-test showed a significant improvement of total forearm rotation to 142° (SD: 17°) (p < 0.05). Pronation improved to 72° (SD: 10°), and supination to 69° (SD: 13°) (p < 0.05). Grip strength, PROMs, as well as inclination and volar tilt on radiographs improved significantly during the first year after surgery (p < 0.05). Conclusion: In patients with reduced forearm rotation due to distal radius malunion, corrective osteotomy is an effective treatment that significantly improves forearm rotation. In addition, this intervention improves grip strength, the PRWHE-score, pain, and satisfaction with hand function.",

author = "{van Es}, {E. M.} and M. Dijkhof and {the Hand-Wrist Study Group} and Souer, {J. S.} and {van Ewijk}, {F. J.} and L. Hoogendam and Slijper, {H. P.} and Selles, {R. W.} and Colaris, {J. W.} and Blomme, {R. A.M.} and Smit, {J. M.} and K. Harmsen and G. Halbesma and Vermeulen, {G. M.} and Schipper, {JP de} and {van Uchelen}, {J. H.} and Z{\"o}phel, {O. T.} and {Esteban Lopez}, L. and A. Fink and {van Huis}, R. and Pennehouat, {P. Y.} and K. Schoneveld and Arends, {G. D.} and R. Feitz and Hovius, {S. E.R.} and {van Kooij}, {Y. E.} and Koopman, {J. E.} and {van der Oest}, {M. J.W.} and {de Ridder}, {W. A.} and L. Sikking and {ter Stege}, {M. H.P.} and Teunissen, {J. S.} and Wouters, {R. M.} and Loos, {N. L.} and Mendelaar, {N. H.A.} and Wijk, {L. van} and Bijlsma, {W. R.} and Duraku, {L. S.} and {van der Heijden}, {E. P.A.} and Hundepool, {C. A.} and Zuidam, {J. M.}",

note = "Publisher Copyright: {\textcopyright} 2024 The Authors",

year = "2024",

month = may,

day = "15",

doi = "10.1016/j.heliyon.2024.e29570",

language = "English",

volume = "10",

journal = "Heliyon",

issn = "2405-8440",

publisher = "Elsevier Ltd.",

number = "9",

}

van Es, EM, Dijkhof, M, the Hand-Wrist Study Group, Souer, JS, van Ewijk, FJ, Hoogendam, L , Slijper, HP , Selles, RW , Colaris, JW, Blomme, RAM, Smit, JM, Harmsen, K, Halbesma, G, Vermeulen, GM, Schipper, JPD, van Uchelen, JH, Zöphel, OT, Esteban Lopez, L, Fink, A, van Huis, R, Pennehouat, PY, Schoneveld, K, Arends, GD, Feitz, R , Hovius, SER , van Kooij, YE , Koopman, JE, van der Oest, MJW, de Ridder, WA, Sikking, L, ter Stege, MHP , Teunissen, JS , Wouters, RM , Loos, NL , Mendelaar, NHA, Wijk, LV, Bijlsma, WR, Duraku, LS, van der Heijden, EPA, Hundepool, CA & Zuidam, JM 2024, 'Forearm rotation improves after corrective osteotomy in patients with symptomatic distal radius malunion', Heliyon, vol. 10, no. 9, e29570. https://doi.org/10.1016/j.heliyon.2024.e29570

TY - JOUR

T1 - Forearm rotation improves after corrective osteotomy in patients with symptomatic distal radius malunion

AU - van Es, E. M.

AU - Dijkhof, M.

AU - the Hand-Wrist Study Group

AU - Souer, J. S.

AU - van Ewijk, F. J.

AU - Hoogendam, L.

AU - Slijper, H. P.

AU - Selles, R. W.

AU - Colaris, J. W.

AU - Blomme, R. A.M.

AU - Smit, J. M.

AU - Harmsen, K.

AU - Halbesma, G.

AU - Vermeulen, G. M.

AU - Schipper, JP de

AU - van Uchelen, J. H.

AU - Zöphel, O. T.

AU - Esteban Lopez, L.

AU - Fink, A.

AU - van Huis, R.

AU - Pennehouat, P. Y.

AU - Schoneveld, K.

AU - Arends, G. D.

AU - Feitz, R.

AU - Hovius, S. E.R.

AU - van Kooij, Y. E.

AU - Koopman, J. E.

AU - van der Oest, M. J.W.

AU - de Ridder, W. A.

AU - Sikking, L.

AU - ter Stege, M. H.P.

AU - Teunissen, J. S.

AU - Wouters, R. M.

AU - Loos, N. L.

AU - Mendelaar, N. H.A.

AU - Wijk, L. van

AU - Bijlsma, W. R.

AU - Duraku, L. S.

AU - van der Heijden, E. P.A.

AU - Hundepool, C. A.

AU - Zuidam, J. M.

PY - 2024/5/15

Y1 - 2024/5/15

N2 - Objectives: Distal radius malunion can result in pain and functional complaints. One of the functional problems that can affect daily life is impaired forearm rotation. The primary aim of this study was to investigate the effect of corrective osteotomy for distal radius malunion on forearm rotation at 12 months after surgery. We secondarily studied the effect on grip strength, radiological measurements, and patient-reported outcome measurements (PROMs). Patients and methods: This cohort study analysed prospectively collected data of adult patients with symptomatic distal radius malunion. All patients underwent corrective osteotomy for malunion and were followed for 1 year. We measured forearm rotation (pronation and supination) and grip strength and analysed radiographs. PROMs consisted of the Patient-Rated Hand/Wrist Evaluation (PRWHE) questionnaire, Visual Analogue Scale for pain, and satisfaction with hand function. Results:Preoperative total forearm rotation was 112° (SD: 34°), of which supination of 49° (SD: 25°) was more impaired than pronation of 63° (SD: 17°). Twelve months after surgery, an unpaired Student's t-test showed a significant improvement of total forearm rotation to 142° (SD: 17°) (p < 0.05). Pronation improved to 72° (SD: 10°), and supination to 69° (SD: 13°) (p < 0.05). Grip strength, PROMs, as well as inclination and volar tilt on radiographs improved significantly during the first year after surgery (p < 0.05). Conclusion: In patients with reduced forearm rotation due to distal radius malunion, corrective osteotomy is an effective treatment that significantly improves forearm rotation. In addition, this intervention improves grip strength, the PRWHE-score, pain, and satisfaction with hand function.

AB - Objectives: Distal radius malunion can result in pain and functional complaints. One of the functional problems that can affect daily life is impaired forearm rotation. The primary aim of this study was to investigate the effect of corrective osteotomy for distal radius malunion on forearm rotation at 12 months after surgery. We secondarily studied the effect on grip strength, radiological measurements, and patient-reported outcome measurements (PROMs). Patients and methods: This cohort study analysed prospectively collected data of adult patients with symptomatic distal radius malunion. All patients underwent corrective osteotomy for malunion and were followed for 1 year. We measured forearm rotation (pronation and supination) and grip strength and analysed radiographs. PROMs consisted of the Patient-Rated Hand/Wrist Evaluation (PRWHE) questionnaire, Visual Analogue Scale for pain, and satisfaction with hand function. Results:Preoperative total forearm rotation was 112° (SD: 34°), of which supination of 49° (SD: 25°) was more impaired than pronation of 63° (SD: 17°). Twelve months after surgery, an unpaired Student's t-test showed a significant improvement of total forearm rotation to 142° (SD: 17°) (p < 0.05). Pronation improved to 72° (SD: 10°), and supination to 69° (SD: 13°) (p < 0.05). Grip strength, PROMs, as well as inclination and volar tilt on radiographs improved significantly during the first year after surgery (p < 0.05). Conclusion: In patients with reduced forearm rotation due to distal radius malunion, corrective osteotomy is an effective treatment that significantly improves forearm rotation. In addition, this intervention improves grip strength, the PRWHE-score, pain, and satisfaction with hand function.

UR - http://www.scopus.com/inward/record.url?scp=85192084171&partnerID=8YFLogxK

U2 - 10.1016/j.heliyon.2024.e29570

DO - 10.1016/j.heliyon.2024.e29570

M3 - Article

C2 - 38765076

AN - SCOPUS:85192084171

SN - 2405-8440

VL - 10

JO - Heliyon

JF - Heliyon

IS - 9

M1 - e29570

ER -

Forearm rotation improves after corrective osteotomy in patients with symptomatic distal radius malunion

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