PMID: 9167823May 1, 1997Paper

The effect of a wrist brace on injury patterns in experimentally produced distal radial fractures in a cadaveric model

The American Journal of Sports Medicine
M S MooreD W Polly

Abstract

We compared patterns of bony and ligamentous injury with distal radial fractures in braced and unbraced wrists using 20 paired fresh cadaveric upper extremities. A commercially available wrist brace was placed on one wrist in each pair. Specimens were then placed in a fast-loading gravity-driven device and subjected to loads averaging 16 kg from an average height of 78 cm. Postfracture radiographs were obtained, the specimens were dissected, and fracture patterns and ligamentous integrity were assessed. The following fracture types were produced: distal radial fractures (eight unbraced, seven braced) and intraarticular (seven unbraced, four braced). Radiographically, seven unbraced wrists demonstrated carpal bone fracture and one braced wrist demonstrated carpal fractures. Eight unbraced and three braced wrists sustained carpal intrinsic ligament injuries, four unbraced and one braced wrists demonstrated extrinsic ligament injuries. More capsular tears occurred in the unbraced group (N = 8) than in the braced group (N = 1). This model demonstrated a difference in the patterns of injury in unbraced and braced wrists subjected to the same mechanical conditions, which suggests that use of a wrist brace may alter patterns of wrist ...Continue Reading

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Citations

Mar 10, 2006·Journal of Biomechanical Engineering·Il-Kyu HwangKai-Nan An
May 16, 2013·Clinical Biomechanics·M L MaurelG E B Giddins
Aug 1, 2009·Hand Clinics·Joseph F Slade, Matthew D Milewski
May 28, 2010·The Mount Sinai Journal of Medicine, New York·Alexis C Colvin, Abigail Lynn
Mar 23, 2005·The Journal of Hand Surgery·John LubahnFrank L Buczek
Feb 21, 2014·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Max Daniel KautherMarcus Jaeger
Feb 24, 2006·The American Journal of Sports Medicine·John P DiFioriRobert M Malina
Dec 31, 2005·The American Journal of Sports Medicine·Kyu-Jung KimYoung-Hwa Lee
Nov 16, 2011·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·Timothy A BurkhartCynthia E Dunning
Dec 16, 1998·The American Journal of Sports Medicine·R M GreenwaldT R McDonald
Sep 17, 2003·The American Journal of Sports Medicine·Marsha Grant-FordAnn E Barr
Sep 28, 2001·The American Journal of Sports Medicine·R RønningL Engebretsen
Jul 29, 1999·The American Journal of Sports Medicine·M P StaeblerJ J Crisco
May 20, 2019·Work : a Journal of Prevention, Assessment, and Rehabilitation·Mohamed MokdadIbrahim Mokdad

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