Sarcopenia in distal radius fractures: systematic review of the literature and current findings.


Journal

European journal of orthopaedic surgery & traumatology : orthopedie traumatologie
ISSN: 1432-1068
Titre abrégé: Eur J Orthop Surg Traumatol
Pays: France
ID NLM: 9518037

Informations de publication

Date de publication:
Oct 2020
Historique:
received: 28 03 2020
accepted: 06 05 2020
pubmed: 18 5 2020
medline: 19 8 2021
entrez: 17 5 2020
Statut: ppublish

Résumé

Sarcopenia is a clinical syndrome characterized by the reduction in muscle mass, strength and physical ability. Although proximal femur fractures are one of the major burdens affecting the ageing population, distal radius fractures are equally important for frequency, clinical and social consequences. The aim of this study is to evaluate the incidence of sarcopenia in distal radius fractures and clinical implications in functional recovery. Scopus and PubMed search was performed to find relationship between sarcopenia and distal radius fractures. Literature search was performed between 2009 and 2019 including clinical trials and clinical studies related to "sarcopenia and distal radius fracture" and "sarcopenia and wrist fracture". After identification, studies were screened and analysed through the Oxford Level of Evidence. According to the inclusion and exclusion criteria, five articles were included. Four articles analysed the incidence of sarcopenia and its role as a risk factor in patients with distal radial fractures, while one article focused on sarcopenia and clinical results of surgical treatment of distal radius fractures. Incidence of sarcopenia in patients older than 50 years with distal radius fracture varied between 29.7% and 31.7%. Patients with distal radial fractures did not show a significant inferior muscle mass than control group in examined population. Functional results of surgery were significantly inferior in sarcopenic patients than control group (no sarcopenia). About 30% of patients older than 50 years with distal radius fracture suffered by sarcopenia; sarcopenic patients surgically treated had worse clinical results than no sarcopenic patients. Further studies with larger samples are needed to confirm these preliminary results.

Identifiants

pubmed: 32415433
doi: 10.1007/s00590-020-02697-0
pii: 10.1007/s00590-020-02697-0
doi:

Types de publication

Journal Article Systematic Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

1251-1255

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Auteurs

Stefano Artiaco (S)

Department of Orthopaedics and Traumatology, Hand Upper Limb Surgery Unit, Orthopaedic and Trauma Center, AOU Città della Salute e della Scienza di Torino, University of Turin, via Zuretti 29, 10126, Turin, Italy.

Federico Fusini (F)

Department of Orthopaedics and Traumatology, Hand Upper Limb Surgery Unit, Orthopaedic and Trauma Center, AOU Città della Salute e della Scienza di Torino, University of Turin, via Zuretti 29, 10126, Turin, Italy. fusinif@hotmail.com.
Department of Orthopaedic and Traumatology, Regina Montis Regalis Hospital, ASL CN1, Via S. Rocchetto99, 12084, Mondovì, Italy. fusinif@hotmail.com.

Gioacchino Pennacchio (G)

Orthopaedic and Traumatology Unit, S. Maria Della Pietà Hospital, Nola, Naples, Italy.

Giulia Colzani (G)

Department of Orthopaedics and Traumatology, Hand Upper Limb Surgery Unit, Orthopaedic and Trauma Center, AOU Città della Salute e della Scienza di Torino, University of Turin, via Zuretti 29, 10126, Turin, Italy.

Bruno Battiston (B)

Department of Orthopaedics and Traumatology, Hand Upper Limb Surgery Unit, Orthopaedic and Trauma Center, AOU Città della Salute e della Scienza di Torino, University of Turin, via Zuretti 29, 10126, Turin, Italy.

Pasquale Bianchi (P)

Second University of Naples, Naples, Italy.

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