Intervention Review

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Conservative interventions for treating distal radial fractures in adults

  1. Helen HG Handoll1,*,
  2. Rajan Madhok2

Editorial Group: Cochrane Bone, Joint and Muscle Trauma Group

Published Online: 22 APR 2003

Assessed as up-to-date: 21 AUG 2005

DOI: 10.1002/14651858.CD000314


How to Cite

Handoll HHG, Madhok R. Conservative interventions for treating distal radial fractures in adults. Cochrane Database of Systematic Reviews 2003, Issue 2. Art. No.: CD000314. DOI: 10.1002/14651858.CD000314.

Author Information

  1. 1

    University of Teesside, Centre for Rehabilitation Sciences (CRS), Research Institute for Health Sciences and Social Care, Middlesborough, Tees Valley, UK

  2. 2

    University of Manchester, Cochrane Bone, Joint and Muscle Trauma Group, Manchester, UK

*Helen HG Handoll, Centre for Rehabilitation Sciences (CRS), Research Institute for Health Sciences and Social Care, University of Teesside, School of Health and Social Care, Middlesborough, Tees Valley, TS1 3BA, UK. h.handoll@tees.ac.uk. H.Handoll@ed.ac.uk.

Publication History

  1. Publication Status: Edited (no change to conclusions)
  2. Published Online: 22 APR 2003

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References

References to studies included in this review

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. References to studies awaiting assessment
  4. Additional references
  5. References to other published versions of this review
Abbaszadegan 1989 {published data only}
Aladin 2001 {published and unpublished data}
  • Aladin A, Earnshaw SA, Moran CG. Control of forearm rotation during nonoperative management of Colles' fracture: a prospective randomized controlled trial. Annual Meeting of the Orthopaedic Trauma Association; 2001 Oct 18-20; San Diego, California. Available at: http://www.hwbf.org/ota/am/ota01/otapo/OTA01952.htm (accessed 14/11/01).
  • Moran CG. Plaster immobilisation of Colles fracture of the wrist: a prospective randomised controlled trial of sugar-tong cast immobilisation compared to conventional Colles-type cast fixation. National Research Register. Available at: http://www.update-software.com/national/ (accessed 20/02/04).
Blatter 1994 {published data only}
  • Blatter G, Papp P, Magerl F. A comparison of 2 methods of plastic cast fixation in treatment of loco classico radius fracture. A prospective, randomized study [Ein Vergleich von 2 Gipsfixationsmethoden bei der Behandlung der Radiusfraktur loco classico. Eine prospektive, randomisierte Studie.]. Unfallchirurg 1994;97(10):534-40. [MEDLINE: 1995108589]
Bunger 1984 {published data only}
  • Bunger C, Juhl A, Rasmussen P, Solund K. Colles fracture: Functional bracing in supination versus dorsal cast in pronation [abstract]. Acta Orthopaedica Scandinavica 1982;53:312.
  • Bunger C, Rasmussen P, Solund K. Splinting of Colles' fracture. Dynamic splint in supination compared with conventional dorsal plaster splint [Skinnebehandling ved Colles' fraktur. Dynamisk skinne i supination kontra konventionel dorsal gipsskinne]. Ugeskrift for Laeger 1985;147(20):1619-22.
  • Bunger C, Solund K, Rasmussen P. Colles fracture: Functional bracing in supination versus low dorsal cast [abstract]. Acta Orthopaedica Scandinavica 1983;54:505-6.
  • Bunger C, Solund K, Rasmussen P. Early results after Colles' fracture: functional bracing in supination vs dorsal plaster immobilization. Archives of Orthopaedic and Trauma Surgery 1984;103(4):251-6. [MEDLINE: 1985071556]
  • Solund K, Rasmussen P, Borg L, Bunger C. Radiological, functional and social healing after Colles' fracture. A prospective study [Radiologisk, funktionel og social heling efter Colles' fraktur. En prospektiv undersogelse]. Ugeskrift for Laeger 1983;145(30):2289-92.
Christensen 1995 {published data only}
Cohen 1997 {published data only}
Cohen 2001 {published and unpublished data}
  • Cohen A. personal communication February 28 2002.
  • Cohen AP, Shaw DL. Focused rigidity casting: A prospective randomised study. Journal of the Royal College of Surgeons of Edinburgh 2001;46(5):265-70.
  • Martin WN, Sandhu H. Focused rigidity casting: a prospective randomised study [letter & reply]. Journal of the Royal College of Surgeons of Edinburgh 2002;47(5):713-4.
  • Petty AC. personal communication November 1 2002.
  • Petty AC, Wardman C. A randomized, controlled comparison of adjustable focused rigidity primary casting technique with standard plaster of Paris / synthetic casting technique in the management of fractures and other injuries. Journal of Orthopaedic Nursing 1998;2:95-102.
Cornwall 2001 {published data only}
  • Cornwall R, Ghillani R, Levine JJ. Displacement of distal radius fractures during cast immobilization: A randomized, prospective trial [Abstract]. 67th Annual Meeting of the American Academy of Orthopaedic Surgeons; 2000 Mar 15-19: Orlando (FL). Available at: http://www.aaos.org/wordhtml/anmt2000/sciprog/172.htm (accessed 31/08/00).
  • Cornwall R, Ghillani R, Levine JJ. Does above-elbow immobilization have a role in the closed treatment of distal radius fractures [Abstract]. 68th Annual Meeting of the American Academy of Orthopaedic Surgeons; 2001 Feb 18 - Mar 4: San Francisco (CA). Available at: http://www.aaos.org/wordhtml/anmt2001/sciprog/142.htm (accessed 20/02/04).
Davis 1987 {published data only}
De Bruijn 1987 {published data only}
  • de Bruijn HP. Functional treatment of Colles fracture. Acta Orthopaedica Scandinavica. Supplementum 1987;223:1-95. [MEDLINE: 1987266568]
  • de Bruijn HP, Volovics L, Stapert JW. Functional treatment of Colles fractures and the relation of anatomic recovery and function [Functionele behandeling van Colles-fracturen en het verband tussen anatomisch herstel en functie.]. Nederlands Tijdschrift voor Geneeskunde 1989;133(14):723-8. [MEDLINE: 1989238669]
Dias 1987 {published and unpublished data}
  • Dias JJ, Wray CC, Jones JM, Gregg PJ. The value of early mobilisation in the treatment of Colles' fractures. Journal of Bone and Joint Surgery. British Volume 1987;69(3):463-7. [MEDLINE: 1987222496]
  • Dias JJ, Wray GC, Jones JM, Gregg PJ. Minimally displaced Colles' fractures: is plaster immobilisation necessary? [abstract]. Journal of Bone and Joint Surgery. British Volume 1988;70(4):678.
Ferris 1989 {published data only}
Gibson 1983 {published data only}
Gupta 1991 {published data only}
Ho 1986 {published data only}
  • Ho ST, Ghosh U, Ho YF. A study of functional bracing in the treatment of Colles' fractures in Chinese patients [abstract]. Journal of the Western Pacific Orthopaedic Association 1986;23(2):35.
Jackson 2002 {published data only}
  • Grafstein EJ, Jackson C, Innes GD, Christensen JM, Boychuk BA, Stothers K, et al. Comparison of three immobilization techniques in the management of acute distal radius fractures [abstract]. American Emergency Medicine 2002;9(5):448-9.
  • Jackson CM, Grafstein E, McCormack RG, Goetz T, Christenson J, Innes G, et al. Comparison of techniques for immobilizing extraarticular distal radius fractures [poster 81]. Annual Meeting of the Orthopaedic Trauma Association; 2002 Oct 11-13; Toronto, Ontario. Available at: http://www.hwbf.org/ota/am/ota02/otapo/OTP02081.htm (accessed 01/11/02).
Jensen 1997 {published data only}
  • Jensen MR, Andersen KH, Jensen CH. Management of undisplaced or minimally displaced Colles' fracture: one or three weeks of immobilisation. Journal of Orthopaedic Science 1997;2(6):424-7.
Kelly 1997 {published data only}
Kongsholm 1981 {published data only}
  • Kongsholm J, Buring K, Lindh C, Duarte-Martins H. A prospective study on the treatment of Colles' fracture [abstract]. Acta Orthopaedica Scandinavica 1981;52:693.
Ledingham 1991 {published data only}
McAuliffe 1987 {published data only}
McMillan 1996 {published data only}
  • McMillan J, James P, Kumar S, Kinninmonth AWG. Delayed primary manipulation of Colles' fractures - a prospective study [abstract]. Injury 1996;27(5):376.
Millett 1995 {published and unpublished data}
Moir 1995 {published data only}
  • Moir JS, Ashcroft GP, Ledingham W, Wardlaw D. Development of a functional brace for the immediate treatment of Colles' fractures [abstract]. Journal of the Royal College of Surgeons of Edinburgh 1992;37(6):419-20.
  • Moir JS, Ashcroft GP, Ledingham W, Wytch R, Wardlaw D, Murali R. A new functional brace for the treatment of Colles' fractures [abstract]. Journal of Bone and Joint Surgery. British Volume 1993;75 Suppl 2:197-8.
  • Moir JS, Murali SR, Ashcroft GP, Wardlaw D, Matheson AB. A new functional brace for the treatment of Colles' fractures. Injury 1995;26(9):587-93. [MEDLINE: 1996142638]
  • Moiz M. A new functional brace for the treatment of Colles' fractures [letter]. Injury 1996;27(10):756.
Nielsen 1981 {published data only}
  • Nielsen K, Lauritzen J. A comparison between Hexcelite and plaster of Paris [abstract]. Acta Orthopaedica Scandinavica 1980;51:362-3.
  • Nielsen K, Lauritzen J. A new thermoplastic casting material. A comparison between plaster of Paris and Hexelite. Acta Orthopaedica Scandinavica 1981;52(1):27-9. [MEDLINE: 1981156271]
O'Connor 2002 {published data only}
  • Mullett H, O'Connor D, Doyle M, Kutty S, Laing A, O'Sullivan M. Plaster cast vs Futura splint: A prospective randomised trial in the treatment of distal radial fractures [abstract]. Journal of Bone and Joint Surgery. British Volume 2002;84 Suppl 1:11.
  • O'Connor D. personal communication November 14 2002.
  • O'Connor D, Mullett H, Doyle M, Mofidi A, Kutty S, O'Sullivan M. Minimally displaced Colles' fractures: A prospective randomized trial of treatment with a wrist splint or a plaster cast. Journal of Hand Surgery. British Volume 2002; Vol. 28, issue 1:50-3.
Rosetzsky 1982 {published data only}
Ross 1984 {published and unpublished data}
  • Ross RE, Gourevitch D, Lawton A. A prospective randomised trial of funcional bracing in Colles' fractures [abstract]. Journal of Bone and Joint Surgery. British Volume 1984;66(5):776-7.
Sarmiento 1980 {published data only}
  • Sarmiento A, Zagorski JB, Sinclair WF. Functional bracing of Colles' fractures: A prospective study of immobilization in supination vs. pronation. Clinical Orthopaedics and Related Research 1980;(146):175-83. [MEDLINE: 1980177637]
  • Zagorski JB. Functional bracing of Colles' fractures - A prospective study of immobilization in supination vs pronation [abstract]. Orthopaedic Transactions 1979;3(1):62.
Sorensen 1986 {published data only}
  • Sorensen JL, Strange KS, Bjerg Nielsen A. Bandaging of Colles' fracture with plaster of Paris. Low dorsal bracing versus high circular plaster of Paris [Gipsbandagering af Colles' frakturer. Lav dorsal skinne kontra hoj cirkulaer gips]. Ugeskrift for Laeger 1986;148(44):2825-7. [MEDLINE: 1987071224]
Stewart 1984 {published data only}
Stoffelen 1998 {published data only}
Tumia 2003 {published data only}
  • Tumia N. personal communication November 12 2002.
  • Tumia N, Wardlaw D, Hallett J, Deutman R, Mattsson SA, Sanden B. Aberdeen Colles fracture brace as a treatment for Colles fracture: A multi-centre, prospective, randomised, controlled trial. Journal of Bone and Joint Surgery. British Volume 2003;85(1):78-82.
  • Tumia NS, Wardlaw D, Hallett JP, Deutman R, Mattsson SA, Sanden B. The Aberdeen Colles-fracture brace: An alternative treatment for Colles fracture: A prospective randomized multicenter study [abstract]. Annual Meeting of the Orthopaedic Trauma Association; 2002 Oct 11-13; Toronto, Ontario. Available at: http://www.hwbf.org/ota/am/ota02/otapa/OTA02066.htm (accessed 01/11/02).
Van der Linden 1981 {published data only}
  • Van der Linden W, Ericson R. Colles' fracture. How should its displacement be measured and how should it be immobilized?. Journal of Bone and Joint Surgery. American Volume 1981;63(8):1285-8. [MEDLINE: 1982030991]
Vang Hansen 1998 {published data only}
  • Vang Hansen F, Staunstrup H, Mikkelsen S. A comparison of 3 and 5 weeks immobilisation for older type 1 and 2 Colles' fractures. Journal of Hand Surgery. British Volume 1998;23(3):400-1. [MEDLINE: 1998328472]
  • Vang Hansen F, Staunstrup H, Mikkelsen S. Three or five weeks immobilisation of Colles' fracture, Older type 1 and 2 [abstract]. Acta Orthopaedica Scandinavica Supplementum 1996;272:15.
Wahlstrom 1982 {published data only}
Wilson 1984 {published data only}
  • Wilson C, Venner RM. Colles' fracture. Immobilisation in pronation or supination?. Journal of the Royal College of Surgeons of Edinburgh 1984;29(2):109-11. [MEDLINE: 1984242572]

References to studies excluded from this review

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. References to studies awaiting assessment
  4. Additional references
  5. References to other published versions of this review
Davison 2001 {published data only}
Earnshaw 1999 {published and unpublished data}
  • Earnshaw SA, Surendran S, Aladin A, Moran CG. Closed reduction of Colles' fracture of the wrist: a prospective randomized controlled trial of conventional manual manipulation vs. finger-trap traction [poster 13]. Annual Meeting of the Orthopaedic Trauma Association; 1999 Oct 22-24; Charlotte, North Carolina. http://www.hwbf.org/ota/am/ota99/otapo/OTP99013.htm (accessed 15/12/00).
  • Moran CG. Colles fracture trial - manipulation versus finger traps. National Research Register. Available at: http://www.update-software.com/national/ (accessed 20/02/04).
Harris 2002 {unpublished data only}
  • Harris T. Early mobilisation of Colles fracture (EMSC Trial). National Research Register. Available at: http://www.update-software.com/national/ (accessed 20/02/04).
  • Metcalfe J. personal communication August 5 2002.
Hearne 2003 {unpublished data only}
  • Hearne D. personal comminucation January 9 2004.
  • Hearne D. personal communication January 6 2002.
  • Hearne D. Short and long term effects of early mobilisation of stable fractures of the distal radius. In: The National Research Register, Issue 4, 2002. Oxford: Update Software.
  • Hearne D. To investigate the effects of early mobilisation of stable fractures of the distal radius upon the functional outcome for this type of injury. In: The National Research Register, Issue 4, 2002. Oxford: Update Software.
Kongsholm 1987 {published data only}
  • Kongsholm J, Olerud C. Neurological complications of dynamic reduction of Colles' fractures without anesthesia compared with traditional manipulation after local infiltration anesthesia. Journal of Orthopaedic Trauma 1987;1(1):43-7.
  • Kongsholm J, Olerud C. Reduction of Colles' fractures without anaesthesia using a new dynamic bone alignment system. Injury 1987;18(2):133-6.
Kowalski 2002 {published data only}
  • Kowalski KL, Pitcher JD, Bickley B. Evaluation of fiberglass versus plaster of Paris for immobilization of fractures of the arm and leg. Military Medicine 2002;167(8):657-61.
McGeoy 1986 {published data only}
  • McGeoy B, McMahon JS, Lloyd GJ. Forearm and wrist strength after Colles' fracture [abstract]. Journal of Hand Surgery. American Volume 1986;11(3):449.
Milliez 1992 {published data only}
  • Milliez PY, Dallaserra M, Defives T, el Ayoubi L, Thomine JM. Effect of early mobilization following Kapandji's method of intrafocal wiring in fractures of the distal end of the radius. Results of a prospective study of 60 cases [Influence de la mobilisation precoce apres embrochage intra-focal selon Kapandji dans les fractures de l'extremite inferieure du radius. Resultats d'une etude prospective sur 60 cas.]. International Orthopaedics 1992;16(1):39-43. [MEDLINE: 1992242042]
Moran 2002 {unpublished data only}
  • Moran CG. personal communication August 8 2002.
  • Moran CG. A prospective randomised controlled trial of pre-formed plastic brace immobilisation compared to conventional colles' cast for distal radial (Colles') fracture. In: The National Research Register, Issue 3, 2002. Oxford: Update Software.
Pool 1973 {published data only}
  • Pool C. Colles's fracture. A prospective study of treatment. Journal of Bone and Joint Surgery. British Volume 1973;55(3):540-4.
Shah 2002 {published data only}
  • Shah NH, Anderson AJ, Patel AD, Donell ST. Undisplaced distal radial fractures: do they require plaster? [abstract]. Journal of Bone and Joint Surgery. British Volume 2004;86 Suppl 3:339.
  • Shah NH, Anderson AJ, Patel AD, Donell ST. Undisplaced distal radial fractures: do they require plaster? [poster abstract G61]. Poster abstracts. Annual Congress of the British Orthopaedic Association; 2002 Sept 18-20; Cardiff (UK). London: British Orthopaedic Association, 2002:26.
Shah 2003 {published and unpublished data}
  • Shah G. personal communication January 12 2004.
  • Shah G, Lindsay JRL. Clinical outcome of distal radial fractures: soft cast vs plaster of Paris [abstract]. British Trauma Society Annual Scientific Meeting; 2003 Oct 1-3; London. 2003.
Shanker 2000 {unpublished data only}
  • Shanker UR. personal communication September 10 2002.
  • Shanker UR. Comparative study of conservative management versus primary manipulation of minimally displaced Colles' fractures in adults. In: The National Research Register, Issue 3, 2000. Oxford: Update Software.
Singhania 2001 {unpublished data only}
  • Singhania AK. Early mobilisation of wrist fractures. In: The National Research Register, Issue 4, 2000. Oxford: Update Software.
Smith 1999 {published and unpublished data}
  • Jones S, Smith I, Jones MW. Treatment of distal radius buckle fractures [abstract]. British Orthopaedic Congress 2001. Poster Abstracts 14.
  • Smith I. The management of torus fractures of distal radius. National Research Register. Available at: http://www.update-software.com/national/ (accessed 20/02/04).

References to studies awaiting assessment

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. References to studies awaiting assessment
  4. Additional references
  5. References to other published versions of this review
Liebman 2004 {published data only}
  • Liebman M, Egol KA, Koval KJ. Splint after wrist fracture: a prospective randomized study of patient comfort and efficacy [abstract]. 71st Annual Meeting of the American Academy of Orthopaedic Surgeons; 2004 March 10-14; San Francisco,CA. Available at: http://www.aaos.org/wordhtml/anmt2004/sciprog/196.htm (accessed 17/02/05).
Sahin 2005 {published data only}
  • Sahin M, Tasbas BA, Daglar B, Bayrakci K, Savas MS, Gunel U. The effect of long- or short-arm casting on the stability of reduction and bone mineral density in conservative treatment of Colles' fractures [Colles kiriklarinin konservatif tedavisinde kisa veya uzun kol alcilamanin kemik mineral yogunlugu ve reduksiyon uzerine etkisi]. Acta Orthopaedica et Traumatologica Turcica 2005;39(1):30-4.

Additional references

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. References to studies awaiting assessment
  4. Additional references
  5. References to other published versions of this review
Altissimi 1984
  • Altissimi M, Antenucci R, Fiacca C, Mancini GB. Long-term results of conservative treatment of fractures of the distal radius. Clinical Orthopaedics and Related Research 1984;206:202-10.
Atkins 1989
Begg 1996
  • Begg C, Cho M, Eastwood S, Horton R, Moher D, Olkin I, et al. Improving the quality of reporting of randomized controlled trials - The CONSORT statement. Journal of the American Medical Association 1996;276(8):637-9.
Belsole 1993
Chitnavis 1999
  • Chitnavis J. The wrist. In: Pynsent PB, Fairbank JCT, Carr AJ editor(s). Classification of musculoskeletal trauma. Oxford: Butterworth Heinemann, 1999:146-70.
Cooney 1980
Cummings 1985
Fernandez 1996
  • Fernandez DL, Jupiter JB. Fractures of the distal radius. A practical approach to management. New York: Springer-Verlag, 1996.
Gartland 1951
  • Gartland JJ, Werley CW. Evaluation of healed Colles' fractures. Journal of Bone and Joint Surgery. American Volume 1951;33(4):895-910.
Handoll 2003a
  • Handoll HHG, Madhok R. From evidence to best practice in the management of fractures of the distal radius in adults: working towards a research agenda. BMC Musculoskeletal Disorders 2003; Vol. 4, issue 27:http://www.biomedcentral.com/1471-2474/4/27.
Handoll 2005a
  • Handoll HHG, Madhok R. Surgical interventions for treating distal radial fractures in adults (Cochrane review). Cochrane Database of Systematic Reviews 2005, Issue 3.
Handoll 2005b
Handoll 2005c
Handoll 2005d
  • Handoll HHG, Madhok R, Howe TE. Rehabilitation for distal radial fractures in adults (Cochrane review). Cochrane Database of Systematic Reviews 2004, Issue 3.
Higgins 2005
  • Higgins JPT, Green S, editors. Highly sensitive search strategies for identifying reports of randomized controlled trials in MEDLINE. Cochrane Handbook for Systematic Reviews of Interventions 4.2.5 [updated May 2005]; Appendix 5b. In: The Cochrane Library, Issue 3, 2005. Chichester, UK: John Wiley & Sons, Ltd.
Jupiter 1997
Knirk 1986
  • Knirk JL, Jupiter JB. Intra-articular fractures of the distal end of the radius in young adults. Journal of Bone and Joint Surgery. American Volume 1986;68(5):647-59.
MacDermid 2000
  • MacDermid JC, Richards RS, Donner A, Bellamy N, Roth JH. Responsiveness of the short form-36, disability of the arm, shoulder, and hand questionnaire, patient-rated wrist evaluation, and physical impairment measurements in evaluating recovery after a distal radius fracture. Journal of Hand Surgery. American Volume 2000;25(2):330-40.
Moher 2001
  • Moher D, Schulz KF, Altman DG, for the CONSORT group. The CONSORT statement: revised recommendations for improving the quality of reports of parallel-group randomised trials. Lancet 2001;357:1191-4.
Moiz 1996
O'Neill 2001
Petty 1998
  • Petty AC, Wardman C. A randomized, controlled comparison of adjustable focused rigidity primary casting technique with standard plaster of Paris / synthetic casting technique in the management of fractures and other injuries. Journal of Orthopaedic Nursing 1998;2:95-102.
Stewart 1985
Taleisnik 1984

References to other published versions of this review

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. References to studies awaiting assessment
  4. Additional references
  5. References to other published versions of this review
Handoll 1999
  • Handoll HHG, Madhok R. Conservative treatment of distal radial fractures in adults (Cochrane Review). Cochrane Database of Systematic Reviews 1999, Issue 2.
Handoll 2001
Handoll 2002d
  • Handoll HHG, Madhok R. Conservative interventions for treating distal radial fractures in adults (Cochrane Review). Cochrane Database of Systematic Reviews 2002, Issue 3. [Art. No.: CD000314. DOI: 10.1002/14651858.CD000314]
Handoll 2003
  • Handoll HHG, Madhok R. Conservative interventions for treating distal radial fractures in adults (Cochrane Review). Cochrane Database of Systematic Reviews 2003, Issue 2. [Art. No.: CD000314. DOI: 10.1002/14651858.CD000314]