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Doerrer SB, Walter JR, Priganc V, et al. The impact of shoulder pathology on individuals with distal radius fracture. J Hand Ther. 2021;doi: 10.1016/j.jht.2021.09.002.
Doerrer, S. B., Walter, J. R., Priganc, V., Winston, K., Barth, R. W., & Moss, D. P. (2021). The impact of shoulder pathology on individuals with distal radius fracture. Journal of hand therapy : official journal of the American Society of Hand Therapists, . https://doi.org/10.1016/j.jht.2021.09.002
Doerrer, Sarah B, et al. "The impact of shoulder pathology on individuals with distal radius fracture." Journal of hand therapy : official journal of the American Society of Hand Therapists vol. (2021). doi: https://doi.org/10.1016/j.jht.2021.09.002
Doerrer SB, Walter JR, Priganc V, Winston K, Barth RW, Moss DP. The impact of shoulder pathology on individuals with distal radius fracture. J Hand Ther. 2021 Oct 27; doi: 10.1016/j.jht.2021.09.002. Epub 2021 Oct 27. PMID: 34756487.
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J Hand Ther. 2021 Oct 27; doi: 10.1016/j.jht.2021.09.002. Epub 2021 Oct 27.

The impact of shoulder pathology on individuals with distal radius fracture.

Journal of hand therapy : official journal of the American Society of Hand Therapists

Sarah B Doerrer, Jacqueline Reese Walter, Victoria Priganc, Kristin Winston, Richard W Barth, David P Moss

Affiliations

  1. George Washington University, Washington, DC, USA; Washington Orthopaedics and Sports Medicine, Washington, DC, USA. Electronic address: [email protected].
  2. Jacksonville University, Jacksonville, FL, USA.
  3. University of Vermont, Burlington, VT, USA.
  4. University of New England, Portland, ME, USA.
  5. George Washington University, Washington, DC, USA; Washington Orthopaedics and Sports Medicine, Washington, DC, USA.

PMID: 34756487 DOI: 10.1016/j.jht.2021.09.002

Abstract

BACKGROUND: Shoulder pathology can occur concurrently with a distal radius fracture (DRF) but few studies have examined this population.

PURPOSE: The purpose of this study was to expand the understanding of the impact of shoulder pathology on individuals with DRF.

STUDY DESIGN: Mixed Methods Design.

METHODS: A total of 45 participants with a DRF were categorized into a DRF only (n = 29) and shoulder pathology concurrent with DRF (SPCDRF) (n = 16) groups. Quantitative data gathered included demographics, Quick Disabilities of the Arm, Shoulder, and Hand, Tampa Scale of Kinesiophobia-11, Visual Analog Scale, and Compensatory Mechanism Checklist. Qualitative interviews were performed with 7 participants in the SPCDRF group. Within group correlations were analyzed via the Spearman Rank. The Mann Whitney U test was used to compare the two groups. Qualitative analysis was performed to describe the experience of participants in the SPCDRF group. A mixed methods analysis compared quantitative and qualitative data.

RESULTS: Sixteen participants (35.6%) in the sample presented with shoulder pathology; 6 participants (37.5%) presented at initial evaluation due to the fall; 10 participants (62.5%) developed shoulder pathology due to compensation or disuse. Average number of days to develop shoulder pathology after the DRF was 43 days. SPCDRF participants had significantly greater pain levels (p = .02) and more activity avoidance (p = .03) than the DRF only group. Four qualitative themes emerged: It's difficult to perform occupations and changes had to be made; There is fear and uncertainty; The impact of pain; Tried to be normal but could not Mixed methods analysis found that qualitative data further illuminated quantitative findings.

CONCLUSIONS: Individuals with shoulder pathology concurrent with a DRF may present with higher pain levels and avoid activity more. In addition, they may describe fearfulness in using their injured upper extremity especially if they have high levels of pain.

STUDY DESIGN: Mixed Methods Design.

Copyright © 2021. Published by Elsevier Inc.

Keywords: Compensatory mechanisms; Distal radius fracture; Hand therapy; Kinesiophobia; Mixed methods; Shoulder pathology

Conflict of interest statement

Declaration of competing interest No authors in this study have any conflicts of interest to report.

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