Niezen, C.K. (2016) Outcomes after perilunate dislocation/fracture dislucation. thesis, Medicine.
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Abstract
Introduction: Perilunate dislocation (PLD) and perilunate fracture dislocation (PLFD) comprise 7% of all carpal injuries and are typically seen in high energetic traumas or falls from heights. Immediate surgical treatment is necessary to ensure the likelihood of a positive outcome. Even then a prevalence of posttraumatic arthritis (PA) up to 56% has been reported. PA can influence the patients’ hand performance in a negative manner. However, a good functional outcome is also seen in mild PA on radiographic imaging. Due to a wide variety of outcomes in literature, it is necessary to determine baseline doctor reported outcome measures (DROMs) and patient reported outcome measures (PROMs) of patients with PLD/PLFD. This in order to determine the need for rehabilitation, and to further objectify outcome in comparison to a healthy person. Objective: Comparing DROMs and PROMs of PLD/PLFD patients with control patients. Material & Methods: Eleven patients were included. DROMs (range of motion and grip strength) were measured using Biometrics LTD hardware and E-Link® software. PROMs were objectified using 5 validated questionnaires: VAS, PRWE, DASH, SF36, MHQ. Results: A significantly lower active range of motion flexion/extension (aROMF/E) and active range of motion ulnar/radial deviation (aROMU/R) was found in the PLD/PLFD group (P<0.001). The PLD/PLFD patient had more pain and daily or general functioning were poor (P<0.001). Although PLD/PLFD patients scored significantly lower on satisfaction (P<0.001), no difference was found regarding work (P=0.281). Conclusion: PLD/PLFD in literature are known as debilitating injuries. This research shows that this injury causes decreased mobility and pain, causing the PLD/PLFD patient to be less satisfied with daily functioning.
| Item Type: | Thesis (Thesis) |
|---|---|
| Supervisor name: | Facultair begeleider: and Sluis, Prof.dr. C.K. van der and Tweede begeleider: and Lameijer, drs. C.M. and Locatie: UMCG, afdeling Revalidatiegeneeskunde |
| Faculty: | Medical Sciences |
| Date Deposited: | 25 Jun 2020 10:58 |
| Last Modified: | 25 Jun 2020 10:58 |
| URI: | https://umcg.studenttheses.ub.rug.nl/id/eprint/1878 |
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