Can surgeons accurately estimate loss of threshold alignment (instability) of distal radius fractures?

Surgeons' ability to detect DRF instability on both pre- and post-reduction radiographs, as well as post-reduction CT-scans, was limited, reflecting a restricted value of probability estimates for clinical decision-making. Given suboptimal estimations of alignment loss, it seems prudent to monitor adequately reduced fractures during initial immobilization. Future studies should focus on aids that can overcome this limited accuracy.

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Publication Details

Journal
Bone & Joint Open
Published
2026-03-14
DOI
https://doi.org/10.1302/2633-1462.73.bjo-2025-0330.r1
Primary Topic
Orthopedic Surgery and Rehabilitation
Type
article
Field-Weighted Citation Impact
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article

Can surgeons accurately estimate loss of threshold alignment (instability) of distal radius fractures?

Joost W. Colaris, Job Nicolaas Doornberg, Koen D. Oude Nijhuis, Ruurd Lukas Jaarsma et al.
Bone & Joint Open
Orthopedic Surgery and Rehabilitation
article

Can surgeons accurately estimate loss of threshold alignment (instability) of distal radius fractures?

Joost W. Colaris, Job Nicolaas Doornberg, Koen D. Oude Nijhuis, Ruurd Lukas Jaarsma, Lente H. M. Dankelman, Melle M. Broekman, Michael H.J. Verhofstad, Mathieu Wijffels, David Ring, Frank F. A. IJpma, Britt Barvelink
article en

Abstract

Surgeons' ability to detect DRF instability on both pre- and post-reduction radiographs, as well as post-reduction CT-scans, was limited, reflecting a restricted value of probability estimates for clinical decision-making. Given suboptimal estimations of alignment loss, it seems prudent to monitor adequately reduced fractures during initial immobilization. Future studies should focus on aids that can overcome this limited accuracy.

Bone & Joint OpenVol. 7(3)
University Medical Center Groningen (NL), Harvard University (US), Flinders University (AU), Erasmus MC (NL), Flinders Medical Centre (AU), Massachusetts General Hospital (US), The University of Texas at Austin (US), Vrije Universiteit Amsterdam (NL)
Openalex Percentile: Top 23%
Orthopedic Surgery and Rehabilitation
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